Breast Cancer and Palliative Care Issues

Breast pubic louse and Palliative C atomic number 18 IssuesHina MirzaThe purpose of this writing is to highlighting reduces of the affected role of in lenitive consideration, which a diligent faced throughout the disease process and at magnetic pole stage of illness. Moreover, it will drag ones attention towards rough strategies to deal long-suffering with advance crabmeat. A 54 year old fe masculine with kn witness case of ductal cell carcinoma of left-hand(a) breast, came to the hospital with the complaint of oozing and pain in fungating wound large in size endow at the primary site of neoplasm. When I encountered the tolerant, she was very drowsy and unable to talk due to matchress ulcers that have been developed a week ago. Upon taking history from the patients attendants, they verbalize that the patient got breast pubic louse for 1.5 years and since then she was on homeopathic discussion. Moreover, the patient initially didnt aver anyone nigh her disease, no t even to her husband. Later, when symptoms got exacerbate she disclosed her problem to the family members. Consequently, she was taken to a crab louse hospital, where a doctor recommended her for a biopsy. Thus, the results revealed breast carcinoma. Even after, she didnt consult to the doctor and continued her homeopathic medication. dapple taking awe of the patient, I got an opportunity to get her about the reasons behind postponement in the diagnosing and the variables that make her condition decline. maven of the reasons she gave in regards to not counseling a specializer or not having a legitimate treatment was monetary instability, an alternate reason was absence of awareness with respect to tumor treatment and misconceptions identified with its side effects. Besides, after a time of 1 year when her condition got wrinkle and a tumor in her breast uncovered as fungating wound, a relative took her again to the crabby person hospital, from that point she was referred to the Baitul Sukoon for palliative consideration. The patient verbalizes torment because of mouth ulcers and as indicated by specialists her tumor has been metastasized to different part of the body including liver and brain. Moreover, the patient likewise expressed that she will give priority to the treatment early(a) than surgery on the grounds that she is afraid about losing her breast and it will alter her body image. In addition to it, the patients attendant stated that her commissariat pattern has been also effected which causes weakness. The patient was prepared and very much aware of her condition. For a week she has been on laxatives and as indicated by the specialist she had developed encephalopathy. Following 2 weeks of hospitalization she died because of deteriorated condition.Breast malignant neoplastic disease is a serious health issue among women throughout the world. According to a consultant at Shaukat Khanam Memorial Cancer Hospital, in Pakistan it is estimated t hat 1 in 9 women develops breast cancer once at any stage of their life. Cancer affects a mortal not only physically, but also cause spiritual, sexual, and psychological distress. When considering a physical domain of the patient in palliative care, she was suffering from pain and mouth ulcers which as a result altered her communicating pattern. On the other hand, she was very drowsy, her dietary inspiration has also decreased and the patient has not passed stools for 2 days. Looking forward to the to a higher place mentioned symptoms firstly, mouth sore is among common indications in cancer patient in light of the fact that when patients are in critical condition, they overlook oral hygiene as a result becomes more prone to infection. In addition to it, infections in cancer patients remain a major complication due to effects of malignancy i.e. neutropenia. These patients require prompt antibiotics (Bodey, 2004). As the patient mentioned in the above scenario was getting augmen tation. As indicated by literature, oral cavity plays a vital role in communicating and dietary pattern and in cancer patient alterations in the oral cavity is common because of the induction of diminished in safety consideration (Eilers Million, 2011). Secondly, impaired oral cavity results in decreased intake of food that is critical at this stage of cancer. Decline in nutrition is considered normal at the terminal stage of life as a result malnutrition, cachexia is commonly found in patient with palliative care (Capra, ferguson, Ried, 2001). Thirdly, the patient was showing symptoms of encephalopathy. As literature evidenced that as an outcome of some metabolic disturbance, encephalopathy is a common clinical syndrome in cancer patients (Lore, Anne, Patrick, Simon, 2012). Relating it to the above scenario, the patient has been hand over ridden for 2 months, not passing stool and she has been on laxative since 2 weeks. The purpose of giving laxative was to prevent hyper ammo nia in the body which can cause encephalopathy. According to Willson, Nott, Broadbridge, Price (2013) hepatic encephalopathy as a result of liver infiltration is common among metastatic malignancy.Analyzing the psycho-social factors that becomes hindrance to care and approach to treatment as part palliative care were fear colligate to losing her breast, unawareness of the patient and her family members about disease and treatment options linked with socio-cultural barriers, financial issues, and preference towards alternative drugs i.e. homeopathic treatment. According to a look for it was found that patients with breast cancer who consulted a doctor had fear of mastectomies. Firstly, the reason behind fear was lack of awareness about treatment option available for breast cancer such as procedures that are less invasive like lumpectomies. Due to the fact, women avoid availing proper check up and maintained non-compliance to the cancer therapy (Memon et al., 2013). Secondly, among socio-cultural barriers, lack of information related to disease due to low education reported by women. This in the long run delays the approach to health care, even with prominent signs and symptoms of a disease such as nodule, edema and erythema. One of the reasons behind avoidance is social myths, society including friends and family gives different meaning to these symptoms, which minimize its seriousness. Moreover, cultural barriers have unassailable impact on getting awareness related to breast cancer. According to Banning, Hassan, Faisal, Hafeez (2010) many Asian women do not perform self breast examination because of a taboo related to touching own body parts, feeling embarrassment to discuss intimate body parts and to consult a male physician. According to literature myths around the pathology of breast cancer causes late diagnosis and hindrance to care (Goncalves et al., 2014). Thirdly, cancer treatment is considered financially devastating burden to the family because they have to pay for the treatment by themselves (Daher, 2012). Therefore, initiating treatment becomes psychologically distressing for the patient and for the family. Relating it to the scenario, the patient didnt disclose her problem to the family member due to myths and unawareness related to disease. Lastly, in my opinion the main factor that contributes to delay in diagnosis and worse the patients condition was preferences for homeopathic medicine and this again could be linked with lack of awareness related to the handiness of treatment options. According to a research its commonly reported that one-on-one with cancer search alternative medicine due to misconception associated with treatment options (Daher, 2012). Moreover, unconventional methods, including traditional herbal medicine and healers over doctors for cancer treatment also reported in a study of women associated with delay seeking medical advice (Memon et al., 2013).numerous factors contribute towards, delay an d obstruction in treatment of breast malignancy. In terms of prioritize the variables that add to delay in diagnosis were unawareness related to the options available for treatment, socio-cultural hindrances, choosing alternative medicine, and financial issues. On individual level health professionals must respect autonomy of the patient and inclination of treatment. It is ones obligation to explain electromotive force harm of such alternative treatment. Besides, when health care prrovider experience patients with breast tumor, they should explain its risk factors and preventive measures to the patient and their family members for precautionary purpose. On hospital level, staff should be well trained to deal brand culturally and care for the patient with interdisciplinary aspects and according to patients needs. These can include care according to patients comfortability level, counseling patients family regarding disease and helping them to select suitable and appropriate treatme nt options. Moreover, the Government should organize an awareness program to educate the patient with respect to primary ginmill, which includes awareness related to self breast examination, treatment options that are less invasive as a secondary prevention and tertiary prevention that should include the concept of palliative care, and information about the institution that provide palliative and hospice care. On the other hand, female health care professionals should be given first priority to be trained to deal with culturally sensitive issues. Together, these contributions can help to eradicate issues related to breast cancer and will support patients suffering from it.ReferencesBanning,M., Hassan,M., Faisal,S., Hafeez,H. (2010). Cultural interrelationships and the lived experience of Pakistani breast cancer patients.European Journal of Oncology Nursing. inside10.1016/j.ejon.2010.05.001B-Articles. (n.d.). Retrieved from https//www.shaukatkhanum.org.pk/news-a-events/events/228.h tmlBODEY,G. (1986). Infection in cancer patients A continuing association.American Journal of Medicine. doi10.1016/0002-9343(86)90510-3Capra,S., Ferguson,M., Ried,K. (2001). Cancer impact of nutrition intervention outcomenutrition issues for patients.Nutrition. doi10.1016/S0899-9007(01)00632-3Daher,M. (2012). Cultural beliefs and values in cancer patients.Annals of Oncology. doi10.1093/annonc/mds091Eilers,J., Million,R. 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Hepatic Encephalopathy Associated With Cancer or Anticancer Therapy.Gastrointest Cancer Research,6(1), 11-16. Retrieved from http//www.ncbi.nlm.nih.gov/pmc/articles/PMC3597933/