In the terminal stage of lung cancer, 99% of the patients had at least one or more symptoms of pain, dyspnea, nausea, cough, hemoptysis, and psychological and neurologic difficulties. The most frequent symptoms were pain, psychological manifestations, and/or dyspnea. One fourth of patients had nausea, cough, and/or neurologic symptoms, and only one tenth displayed hemoptysis. Two thirds of the terminal lung cancer patients had three or more symptoms.
The strength of this study is that 98% of all lung cancer patients in a defined hospital area were included and 89% had a histologic confirmation, which is higher than previous studies. The cohort of patients was followed up from 5 to 11 years, and we were able to obtain information concerning the terminal stage of lung cancer in 98% of those who died.
There were 271 incident lung cancer patients from 1990 to 1997. Eighteen patients (6.6%) were alive by December 1, 2003. The diagnosis was confirmed by histology in 218 patients (89%). Information on symptoms and treatment in the terminal 8 weeks were collected from 247 of the 253 patients (98%) who died within this period of surveillance. One patient died abroad, and the records of five patients were not available. Only 53 of the 247 deaths (22%) were in women. The distribution of age, stage, performance status, and histology at the time of initial diagnosis (Table 1) did not differ between genders (p > 0.05). Of 56 patients with small cell lung carcinoma (SCLC) 27 patients had localized disease corresponding to stage I-III, and 29 patients had extensive disease with metastasis corresponding to stage IV. The average age was 68.5 years (SD, 10.1 years; range, 38 to 89 years). Initial antineoplastic treatment (surgery, radiotherapy, and/or chemotherapy) was administered to 60% of the patients. Lung cancer was the underlying cause of death in 227 patients and was contributory to death in 15 of the remaining 20 patients. The average time from beginning of symptoms to diagnosis was 89 days.
The mortality rate of lung cancer is high, and there has been little improvement in the long-term survival over the last 40 years. In addition, information is lacking whether sex, age, initial stage and performance status, and histology may predict the presence of serious symptoms in the terminal stage. In previous community studies of patients dying from lung cancer, 78% displayed dyspnea and 85% had pain in the final year of life, while depression was observed in 33% of patients with lung cancer referred to palliative treatments centers. In the first study, the participation rate was only 69%, while the latter was comprised of patients from three lung cancer trials with very different inclusion criteria, Comparison of these studies is difficult due to these different inclusion criteria and also to information gathered at various points during the course of the disease. Quality of life measurements give incomplete information at the end stage because many patients are unable to fill out the questionnaires. Therefore, information is not available concerning the incidence and prevalence of major symptoms in the terminal care of lung cancer patients from a population-based study.
The person who got sick, feels all negative consequences of the illness. However they can be absolutely different in severity. Just a cold which is only perceived by children as an occasion to pass school, is incomparable with the heavy diagnosis of elderly person. The young man who spent some days in bed, easily is restored and accepted to daily duties. In differently the matter of fact with elderly people is. For them special care much longer is necessary. Elderly people often suffer from bad mood because of health deterioration.
They can offend the relatives, constantly introducing reproaches or the pessimistic ideas. To help to cope with gloomy thoughts, it is necessary to organize the correct care. Canadian Health&Care Mall underlines that it is very important to find the balance between the sick person and nurse.
Itch is an infectious parasitic skin disease. It is known since antique times, but long time doctors couldn’t reveal a parasite causing this disease and therefore denied the its pathogenic nature, and emergence of skin defects claimed to be connected with an patients emotional condition. Today it is known that itch at children and adults is caused by activity of acarus called Sarcoptes scabiei. They are widespread in life, easily pass from the person to the person and cause various allergic reactions. Despite prevalence of activators, timely laboratory diagnosis of itch is complicated because of the insufficient level of preparation of the personnel of many skin and venereologic establishments and lack of the necessary equipment.
Itch is provoked by activity of acarus scabies called Sarcoptes scabiei. They have the tiny sizes and therefore aren’t found at usual survey by an unaided look. Getting on skin of the person, females of acarus scabies make in it an opening and terms start “biting” into thickness, leaving the characteristic scabby paths. Further the impregnated female will postpone the posterity in the made channels. As a rule, itch at the person is located on palms, feet, wrists, elbows and genitals
Itch as a disease is not so complicated to be treated but it gives uncomfortable feelings during all the period of existence that’s why it is better to start for treatment in time not to put it in a cold storage. To find an effective treatment you should attend a doctor who will prescribe you different preparations which can be ordered via the web drug store.
Studying of cytologic preparations of bone marrow doesn’t yield decisive results for diagnosis of hypoplastic anemia. Even at considerable devastation of bone marrow the needle can get to the center of the remained myelogenesis. It creates wrong idea of sufficient blood formation. At suspicion on bone marrow hypoplasia in connection with panhematopenia in peripheral blood it is necessary to apply core biopsy. This method gives an idea of replacement extent of bone marrow with fatty tissue. In cytologic preparations of marrow at hypoplastic anemia it is possible to reveal some features.
Enjoy our newest service – the Stepping Stones Foot Therapy – a Foot Bath and Therapeutic Foot Massage. This experience begins with a riveting hot and cold foot bath giving your foot muscles a rush of sensation. The bath is followed with our special foot scrub and rinse. Then begins the most delightful 30 minute therapeutic foot massage imaginable….you may never want to leave.
Wonderful world may be created together with Health Rhythms Medi Spas and Canadian Pharmacy Mall Medical Care. It is rather easy to achieve due to services they suggest.
- Foot Tension is completely released
- Foot pain and/or numbness is significantly reduced
- You’ll remember your feet fondly
- You’ll will walk away with a renewed gate
This as a moisturizing, exfoliating treatment that rids the skin of dry, dead cells, softens elbows and heels, and stimulates the circulatory system. Sea salt rich in trace minerals is mixed with warm oils and applied to the entire body in massage-type strokes. It leaves your skin satin-smooth. All these elemnts may be easily found in Canadian Pharmacy Mall.
- Rejuvenated Skin
- Smooth Skin
- Ingrown hair release
- Circulatory System Stimulation
An invigorating European mini-facial. A short and sweet addition to any of our wonderful, relaxing therapies, this cleansing & toning facial includes the Golden Moor Mud Mask.
- Cleanses the face
- Tightens the skin
- skin care products suggested by Canadian Health and Care Mall
MicroDermAbrasion is a new technology in skin refinement that is a mild alternative to harsh chemical and laser peels. The process involves the use of inert, diamond shaped crystals to abrade the surface of the skin. Exfoliating crystals are introduced to the skin with low pressure, gently massaging away fine lines and wrinkles, acne and acne scaring, stretch marks and pigmentation.
MicroDermAbrasion slowly wears away certain skin conditions and imperfections, leaving your skin smoother and clearer, with more refined features. Each treatment session stimulates the generation of new cellular growth and as reparation occurs, your skin takes on a different look. Younger, Healthier skin emerges adding luster to your appearance.