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Advanced Symptom Management




  • Guides on how to classify pain according to certain criteria
  • Focuses on analgesics and their role in alleviating pain
  • Addresses the symptoms associated with gynaecological cancer including breathlessness, vomiting and constipation and how to assess and manage them

Symptoms commonly associated with progressive gynaecological malignancy include pain, fatigue, breathlessness, anorexia, nausea, vomiting, constipation and symptoms associated with haemorrhage and fungation. This chapter examines the management of these symptoms.


Contents include

  • Pain
    • Definition
    • Classification
    • Assessment
    • Pharmacological interventions
    • Non-pharmacological interventions
    • TENS
  • Fatigue
    • Description and causes
    • Assessment
    • Pharmacological interventions
    • Non-pharmacological interventions
  • Breathlessness
    • Description and causes
    • Assessment
    • Medical interventions
    • Pharmacological interventions
    • Non-pharmacological interventions
  • Anorexia
    • Social and cultural significance
    • Cachexia
    • Assessment
    • Non-pharmacological interventions
    • Pharmacological interventions
  • Nausea and vomiting
    • Causes
    • Assessment
    • Pharmacological interventions
    • Non-pharmacological interventions
  • Constipation
    • Incidence and consequences
    • Causes
    • Assessment
    • Pharmacological interventions
    • Non-pharmacological interventions
    • Bowel obstruction
  • Symptoms associated with fungation
    • Psychological and social issues
    • Surgery and associated treatment
    • Dressings and antibiotics
    • Deodorants and fragrances
  • Symptoms associated with haemorrhage
    • Small haemorrhages
    • Larger haemorrhages
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Author / Editor Biographies

RN, Cert (Oncology), GradCert (Clinical Trials Management), GradDip (Palliative Care), MastersD (Nursing - Research)
Peta McVey is a registered nurse who holds an oncology certificate, a graduate certificate in clinical trials management, a graduate diploma in palliative care and master's degree in nursing (research). Her master's thesis focused on the prevalence and experience of anxiety and depression among community palliative care patients. Peta has worked as a cancer nurse for more than 20 years - as a Clinical Nurse Specialist in gynaecological oncology at Royal Prince Alfred Hospital (Sydney, Australia), a Clinical Nurse Specialist in palliative care at Sacred Heart Hospice (Sydney) and, for the past ...

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