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Nausea and Vomiting




It is estimated that 50-60% of patients with advanced cancer suffer from nausea and/or vomiting (Baines 1997).The palliative-care nurse has a pivotal role as a team member in the alleviation of nausea and vomiting and associated symptoms. The nurse's role in the management of nausea and vomiting requires excellent assessment skills and contemporary knowledge of physiology, current pharmacology and appropriate non pharmacological interventions.


Contents include

  • Introduction
  • Definitions
  • Physiology
    • Mechanisms of vomiting
    • Causes of Vomiting
  • Assessment
    • The person's story
    • Physical examination
    • Investigations
  • Documentation
  • Intervention
    • Immediate non-drug measures
      • Food preparation and environmental measures
      • Gastrointestinal factors
    • Drug therapy
    • Mechanical and surgical intervention
      • Nasogastric tube
      • Percutaneous gastrostomy
    • Complementary therapy
  • Management in the last hours of lfe
  • Conclusion
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Author / Editor Biographies

Robyn Millership is a registered nurse and registered midwife who holds diplomas in nursing education, intensive care, and ward management. She also holds a certificate in palliative care. Robyn has worked in palliative care as a nurse consultant for more than 15 years. Her background is diverse including clinical practice, intensive care, administration, and education. Robyn is passionately committed to providing excellence in symptom control for patients with terminal illnesses. She believes that most people can achieve what seem to be impossible goals if they are provided with optimal sympt...

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