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PALLIATIVE CARE MANAGEMENT OF OVARIAN CANCER

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Author: 
*I Gde Sastra Winata, William Alexander Setiawan,Gde Bagus Rizky Kornia, Ni Luh Wita Astari Widhusadi, Tjokorda Istri Apriliyanty Pemayun, Komang Adya Data Agrasidi, Dewa Gde Agung Aditya Mahadarmika
Country: 
Indonesia
Volume & Issue: 
Volume 05, Issue 05, May 2023
Page No: 
4475-4478
Abstract: 

Background & Aims: The majority of ovarian cancers are not discovered until the disease has spread outside of the ovary. As a result, a diagnosis is made at an advanced stage (stages III and IV), when treatment is less successful and resulting a poor prognosis. Therefore, patient with any form or stage of ovarian cancer is required a comprehensive approach, such as palliative care to improve their quality of life. This paper aims to summarize the management of ovarian cancer-specific palliative care. Method: Literature review were compiled based on article obtained using search engine “Google Scholar” and “PubMed” with keywords “Palliative Care”, “Ovarian Cancer”, and “Quality of Life”. There were 16 articles were appropriate for this purpose. Discussion: Palliative care is an approach that helps patients and their family quality of life when they are dealing with challenges driven by a life-threatening illness. The Association of Regional Cancer Centers (ACCC) launched an advocacy-led, multi-step initiative to improve care for patients diagnosed with ovarian cancer in the United States, with three key components. Quality-based recommendations were made for the program's seven core components that focuses on ensuring quality care for patients with ovarian cancer through improved patient education and participation by addressing unmet medical and supportive care needs, there are : patient education and care coordination, screening and prevention, initial management and diagnosis, treatment strategy, disease monitoring, equity in healthcare, and quality of life. One of the obstacles in implementing comprehensive palliative care program is the limited time for medical personel to identify patient problems other than medical problems. Conclusion Given the complexity of ovarian cancer, navigator-led, and person-centered programs are urgently needed with an emphasis on critical aspects such as multidisciplinary team-based care, access to clinical trials, and the provision of ancillary services.

KeyWords: 
Palliative Care, Ovarian Cancer, Quality of Life.