Palliative Medicine and Rehabilitation OF Lung Cancer

Things that need to be emphasized in palliative therapy is the goal to improve patient quality of life as possible. Symptoms and signs bronkogenik carcinoma can be grouped on bronchopulmonary symptoms, extrapulmonary intratorasik, extratoraksik extratorasik non-metastatic and metastatic. While the complaints are often met by coughing, coughing up blood, shortness of breath and chest pain. Palliative treatment for lung cancer include radiotherapy, chemotherapy, medical, physiotherapy, and psychosocial. In some circumstances surgical intervention, stent implantation and cryotherapy can be performed.  

Medical Rehabilitation. In patients with lung cancer can occur musculoskeletal disorders mainly due to bone metastases. Manifestations may include inviltration to vetebra or got nerve. Symptoms that emerge in the form of tingling, numbness, pain and even paralysis can occur to muscle paresis, with the final result of interference with mobilization / ambulation.  

Medical rehabilitation efforts depends on the case, whether or not operable :

• When operable medical rehabilitation measures are preventive and restorative.

• When non-operable medical rehabilitation measures are supportive and palliative.  

For lung cancer patients before surgery is necessary to pre-surgical and medical rehabilitation after surgery, which aims to help obtain optimal surgical results, especially to prevent post-operative complications (eg, sputum retention, lungs do not expand) and speed up the mobilization. The goal of medical rehabilitation program for cases of non operabel is to improve and maintain functional abilities of patients assessed by Karnofsky scale. These efforts also include the handling of patients with lung cancer and palliative hospice care (In Hospital or at home ).  

Recurrence rates (relapse) the highest lung cancer occurs in the first 2 years, so the evaluation in patients who have been treated optimally performed every 3 months. Evaluation included clinical and radiological examination of chest X-ray PA / lateral and thoracic CT-scan, while the other checks done on indication.