End Stage Breast Cancer Assignment Paper

End Stage Breast Cancer Assignment Paper

End Stage Breast Cancer Assignment Paper

Breast cancer is the second most prevalent malignancy affecting females with marked mortality seen in advanced disease. End-Stage breast cancer leads to a marked deterioration of the patient’s quality of life as well as their psychological well-being (Cherny et al., 2018). With disease progression, the prognosis worsens with the benefits of therapeutic interventions being minimal and the risks increasing. At this point, palliative care becomes the cornerstone of patient care to promote comfort by reducing patient distress while minimizing the futile potentially harmful, and aggressive treatment. Palliation requires a multidisciplinary approach so that the needs of the patients and those of their families are met.

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End-stage breast cancer end-of-life care requires various careful considerations. These considerations include relief of physical symptoms, prevention of unnecessary prolongation of dying, fostering good self-esteem in the patient, addressing family burdens, and enhancing family support (Matsuoka et al., 2018). These form the basis for advance care plans such as advance directives and living wills. Patients in consultation with the healthcare team and family decide on their future healthcare interventions when they will likely be incapacitated to express their wishes. This may include deciding when to prioritize comfort over sustaining survival duration. This ensures satisfaction in care according to the patient’s interests with reduced possibility of conflicting decision-making.

Spirituality and culture play a pivotal role in end-of-life care. In the face of imminent demise, spirituality and culture help patients by bringing them a sense of comfort and security,  and making sense of their terminal illness situation (Pentaris et al., 2022). It is therefore important to integrate this kind of care into conventional care to holistically meet the patient’s needs.  Wellness-promoting practices such as physical activities, yoga, and walks have been shown to improve the quality of palliative care by prolonging survival (Palesh et al., 2018). This means that other appropriate strategies can be implemented to enhance the wellness and independence of end-stage breast cancer patients.

References

Cherny, N., Paluch-Shimon, S., & Berner-Wygoda, Y. (2018). Palliative care: needs of advanced breast cancer patients. Breast Cancer: Targets And Therapy, Volume 10, 231-243. https://doi.org/10.2147/bctt.s160462

Matsuoka, J., Kunitomi, T., Nishizaki, M., Iwamoto, T., & Katayama, H. (2018). Advance care planning in metastatic breast cancer. Chinese Clinical Oncology, 7(3), 33. https://doi.org/10.21037/cco.2018.06.03

Palesh, O., Kamen, C., Sharp, S., Golden, A., Neri, E., Spiegel, D., & Koopman, C. (2018). Physical Activity and Survival in Women With Advanced Breast Cancer. Cancer Nursing, 41(4), E31-E38. https://doi.org/10.1097/ncc.0000000000000525

Pentaris, P., & Tripathi, K. (2022). Palliative Professionals’ Views on the Importance of Religion, Belief, and Spiritual Identities toward the End of Life. International Journal Of Environmental Research And Public Health, 19(10), 6031. https://doi.org/10.3390/ijerph19106031

 

Describe a progressive and debilitating “end stage” disease process from CareOnPoint and apply the principles of advanced directives or living wills. Discuss how patients’ spirituality and culture may impact their decisions about their end-of-life care. Determine if it is appropriate to promote wellness and independence for your selected disease process and provide examples.