The holistic management of malignant bowel obstruction in women with advanced ovarian cancer at end of life.

Gaughan, Sarah and Williams, Mary (2023) The holistic management of malignant bowel obstruction in women with advanced ovarian cancer at end of life. British journal of nursing (Mark Allen Publishing), 32 (12). pp. 550-555. ISSN 0966-0461

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Abstract

Bowel obstruction is commonly a pre-terminal event in women with advanced ovarian cancer. Management of symptoms will often be the focus rather than surgical intervention. Determining the patient's end-of-life wishes is paramount - because the prognosis for these patients can be short, advanced care planning is key. This case study will explore the management of nausea and vomiting associated with malignant bowel obstruction and demonstrate how a patient's psychological and social wellbeing is as important as managing the physical symptoms. It will discuss how skilled and effective communication is vital early in the disease trajectory in ensuring the patient's needs are met. Additionally, by undertaking a thorough holistic needs assessment, all aspects of end-of-life care can be discussed with the patient and family, which may enable the achievement of a preferred place of care and a peaceful, dignified death. Multidisciplinary working and co-ordination of care may allow for quick interventions, meeting individual needs and symptoms being managed more effectively.

Item Type:	Article
Additional Information:	** From PubMed via Jisc Publications Router
Keywords:	Malignant bowel obstruction, Ovarian Neoplasms - complications - therapy - pathology, Intestinal Obstruction - therapy - complications, Ovarian cancer, Hospice Care, End of life, Assessment, Female, Humans, Palliative Care, Multidisciplinary working, Naus
SWORD Depositor:	JISC Router
Depositing User:	JISC Router
Date Deposited:	12 Jul 2023 12:39
Last Modified:	27 Sep 2023 03:09
URI:	https://bnu.repository.guildhe.ac.uk/id/eprint/18750

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