Treatment of lower extremities edema by subcutaneous drainage in palliative care of advanced cancer patients.

2010 Jan 1
01/01/2010
By Bar-Sela G, Omer E, Flechter E, Zalman D.

Background: Lower extremity edema is a problem in patients with advanced cancer, causing decreased physical function and reduced movement.

Methods: Eight patients with advanced cancer were treated by subcutaneous needles inserted in the inner and outer sides of the ankles and attached to an enclosed drainage bag, or by creating subcutaneous tracts in both ankles.

Results: All patients lost weight after 24 hours. A total of 4 patients reported enhanced mobilization and 5 patients had significant improvement of mobilization that improved their quality of life.

Conclusions: Subcutaneous drainage can improve edema in the lower limbs or the lower body segment, contributing to patient comfort at his end-of-life period. A prospective study with better evaluation of patient quality of life is ongoing in our center.

More publications on the subject

The cultural context of patient’s autonomy and doctor’s duty: passive euthanasia and advance directives in Germany and Israel
01/11/2010
Abstract The moral discourse surrounding end-of-life (EoL) decisions is highly complex, and a comparison of Germany and Israel can highlight the impact of cultural
Selected issues in palliative care among East Jerusalem Arab residents
01/01/2010
Abstract Understanding of cultural context is important when working with Palestinian patients, particularly in Israeli hospitals. Cultural competence includes individual assessment of communication needs
End-of-life needs as perceived by terminally ill older adult patients, family and staff
01/09/2010
Abstract Purpose of the study: A comparison of inpatient end-of-life needs as perceived by terminally ill older adult patients, family, physicians and nurses, is lacking.
The cultural context of end-of-life ethics: a comparison of Germany and Israel
01/07/2010
No abstract available
Family caregiving to hospitalized end-of-life and acutely ill geriatric patients
01/08/2010
Abstract The article examines family caregiving to hospitalized older adults at the end of life (EOL). The stress stress process model was used to
Blaming the messenger and not the message
01/06/2010
No abstract available