Palliative oral care in terminal cancer patients:Integrated review  

作　　者：Ana Rute Preis Silva Augusto Vanni Bodanezi Emanuely Silva Chrun Mariah Luz Lisboa Alessandra R de Camargo Etiene Andrade Munhoz 

机构地区：[1]Department of Dentistry,Federal University of Santa Catarina,Florianopolis 88040-379,Brazil [2]Department of Pathology,Federal University of Santa Catarina,Florianopolis 88040900,Brazil [3]Professor Polydoro São Thiago Ernani Hospital,Federal University of Santa Catarina,Florianopolis 88040900,Brazil [4]Department of Dentistry,Health Science Centre,Federal University of Santa Catarina,Florianopolis 88040-379,Brazil

出　　处：《World Journal of Clinical Cases》2023年第13期2966-2980,共15页世界临床病例杂志

摘　　要：BACKGROUND Palliative care(PC)aims to improve quality of life in patients and its families against life threatening diseases,through suffering’s prevention and relief.It is the duty of the dental surgeon to possess the knowledge needed to treat a patient with little life span,in order to establish an adequate treatment plan for each situation.AIM To synthesize the published evidence on oral conditions,impact,management and challenges in managing oral conditions among palliative patients.METHODS Articles were selected from PubMed and Scopus electronic platforms,using a research strategy with diverse descriptors related to“palliative care”,“cancer”and“oral health”.The article’s selection was done in two phases.The first one was performed by the main researcher through the reading of the abstracts.In the second phase two researchers selected eligible articles after reading in full those previous selected.Data was tabulated and analyzed,obtaining information about what is found in literature related to this subject and what is necessary to be approached in future researches about PC.RESULTS As results,the total of 15 articles were eligible,being one a qualitative analysis,13(92.8%)clinical trials and one observational study.Of the 15 articles,8(53.4%)involved questionnaires,while the rest involved:one systematic review about oral care in a hospital environment,2 oral exams and oral sample collection,one investigation of terminal patient’s(TP)oral assessment records,2 collection of oral samples and their respective analysis and one treatment of the observed oral complications.CONCLUSION It can be concluded that the oral manifestations in oncologic patients in terminal stage are,oral candidiasis,dry mouth,dysphagia,dysgeusia,oral mucositis and orofacial pain.Determining a protocol for the care of these and other complications of cancer–or cancer therapy–based on scientific evidence with the latest cutting-edge research results is of fundamental importance for the multidisciplinary team that works

关 键 词：Palliative care Oral lesion Terminal patients Oral mucositis Oral candidiasis 

分 类 号：R473.73[医药卫生—护理学]