Palliative care Emphasis program on symptom management …

1 Palliative care Emphasis program on symptom management and Assessment for Continuous medical Education physical emotional cognitive NCCN Practice Guidelines in Oncology 2010 Primary Fatigue Secondary Fatigue Radbruch L. Palliat Med 2008 78-96% Portenoy RK. Oncologist 1999 58% (22%) (18%) Stone P. Ann Oncol 2000 EPECTM-O Participant s Handbook 65 3 Vogelzang NJ.

2 Semin Hematol 1997 66 Passik SD. J Pain symptom Manage 2002 .. NCCN Practice Guidelines in Oncology 2009 .. 65 3 0-10 Wang XS.

3 Clin J Oncol Nurs 2008 Barsevick AM. Clin J Oncol Nurs 2008 Roscoe JA. Oncologist 2007 Dirksen SR. J Adv Nurs 2008 Respini D. Crit Rev Oncol Hematol 2003 Whooley MA. J Gen Intern Med 1997 65 3 6/10.

4 2/10 1 2 QOL Olderoll LM. Eur J Cancer 2004 Cochrane Database Syst Rev 2008 NCCN Practice Guidelines in Oncology 2010 Bruera E. Cancer Treat Rep 1985 4mg/ 4 6mg/ 4mg/ 24 ( ).

5 NCCN Practice Guidelines in Oncology 2009 .. ( ) 1 Barsevick AM. Cancer 2004 .. 4mg/ Cancer Fatigue Scale 15 5 Okuyama T.

6 J Pain symptom Manage 2000 Palliative care Emphasis program on symptom management and Assessment for Continuous medical Education Cancer Fatigue Scale 1 1 2 3 4 5 2 1 2 3 4 5 3 1 2 3 4 5 4 1 2 3 4 5 5 1 2 3 4 5 6 1 2 3 4 5 7 1 2 3 4 5 8 1 2 3 4 5 9 1 2 3 4 5 10 1 2 3 4 5 11 1 2 3 4 5 12 1 2 3 4 5 13 1 2 3 4 5 14 1 2 3 4 5 15 1 2 3 4 5 =( 1+2+3+6+9+12+15) 7= /28 =20 ( 5+8+11+14)= /16 =( 4+7+10+13) 4= /16 /60 Okuyama T. J Pain symptom Manage 2000 1 63% 54% Olderoll LM.

7 Palliat Support Care 2005 Olderoll LM. J Pain symptom Manage 2006 ? ASPEN Clinical Guidelines 2009 ESPEN Guidelines 2007 NRS NRS Fatigue Numerical Rating Scale FNS 1 2 4 5 10 Given B. J Pain symptom Manage 2008