Palliativ vård, cytostatikabehandling och brytpunktssamtal i livets slutskede hos patienter med metastaserad bröstcancer

Detta är en Magister-uppsats från Uppsala universitet/Institutionen för folkhälso- och vårdvetenskap; Uppsala universitet/Institutionen för folkhälso- och vårdvetenskap

Sammanfattning: ABSTRACT   Background: About 1500 women dies every year of breast cancer, many of them have received chemotherapy (PCT) close to the end of life. This can lead to that they and their significant others do not get enough time to prepare themselves for the death and seize their last time the way they desire.   Aim: The aim of this study is to study the palliative care, PCT and a break point conversation at the end of life among patients with metastatic breast cancer (mBC) in two oncology clinics in Sweden.   Method: A quantitative investigation has been performed with a retrospective and descriptive design. 99 patients are included who died 2014-2016, with a mBC. The data was collected by patient record review.   Results: Most of the patients had received a break point conversation and had contact with a palliative team when they died. There was a statistic significant that patients who died at a Hospice/palliative unit or at home/residential care had more likely received a break point conversation compared to patients who died in a Hospital.   More than a third of the patients were treated with PCT during the last 30 days of their lives, somewhat more younger than older. There was no significant difference in the results above.   Conclusion: The studie shows that patients with mBC who has received PCT receives PCT close to death and that those who died in a Hospice/palliative care unit or at home/residential care has had a break point conversation statistically more often compared to patients who died in a Hospital. There’s a need to develop the clinical care in a way that follows the guidelines at a higher level.   Keywords: Breast cancer, palliative chemotherapy, break point conversation, palliative care

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