Oral complications of palliative patients with advanced cancer

Nino Tebidze, Memed Jincharadze, Vladimer Margvelasvili

Abstract


Background:  Oral health care control is especially important in palliative care, Oral pain and adverse symptoms must be controlled during  palliative care, because adequate communication with patients makes easy to  perform good quality palliative care .  In this case preserving verbal communication and comfortable mouth is very important.

Aim: Our aim was to review the literature about the oral cavity complains of  patients with advanced cancer undergoing the palliative care, and to define which of the complains are caused by direct impact of oncological disease and which by the treatment methods.

Methods: we tried to review most of existing literature in this field. Unfortunately, there are only few amount of literature about mouth problems of palliative patients with advanced cancer, but we used them to overview all known oral problems. Some of them announce about oral infections, some of them talk about treatment methods impact and etc.. We summarized all of them to create a real picture of oral cavity of palliative patients.

Conclusion: Literature review proves that xerostomia, oral infections, taste alteration and other pathological conditions of oral cavity are very common in patients with advanced cancer. They lead to malnutrition and communication disorder and  with the accompanying pathological condition decrease the quality of life.


Keywords


oral cavity complains, palliative care, quality of life.

Full Text:

PDF

References


David Casey R.D.N Specialist Cert in Oral Health Promotion, Breaking through oral health barriers in Palliative care , ISDH - Irish Society for Disability & Oral Health, Annual Special Care Dental Professional Award 2014.

http://ssa.gov.ge/files/01_GEO/KANONMDEBLOBA/Sakanonmdeblo/30.pd

Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell; The Role of the Dentist in Geriatric Palliative Care.

Siri F. Kvalheim, Gunhild V. Strand, Bettina S. Husebø and Mihaela C. Marthinussen; End-of-life palliative oral care in Norwegian health institutions.An exploratory study; doi: 10.1111/ger.12198

D. J. Fischer & J. B. Epstein & Y Yao & D. J. Wilkie; Oral health conditions affect functional and social activities of terminally ill cancer patients; Support Care Cancer (2014) 22:803–810.

Scottish palliative care guidelines; Healthcare improvement Scotland; Orak care.

Petter Wilberg & Marianne J. Hjermstad & Stig Ottesen & Bente B. Herlofson, Oral health is an important issue in end-of-life cancer care, Support Care Cancer (2012) 20:3115–3122.

Xi Chen, DDS, PhD; Hong Chen, DDS, MS; Christian Douglas, BS, MS; John S. Preisser, PhD; Stephen K. Shuman, DDS, MS, Dental treatment intensity in frail older adults in the last year of life, COVER STORY

Andrew N. Davies, Oral care 447-455; Palliative medicine, fifth edition, Oxford textbook

Sushma Bhatnagar, Saraswathi Devi, NK Vinod, PN Jain, G Durgaprasad, Sanjaykumar H Maroo, Ketan R Patel; Safety and Efficacy of Oral Transmucosal Fentanyl Citrate Compared to Morphine Sulphate Immediate Release Tablet in Management of Breakthrough Cancer Pain; http://www.jpalliativecare.com on Thursday, April 13, 2017, IP: 92.51.77.109]

Sarbani Ghosh Laskar, Shirley Lewis, Is Quality of Life “The Heart of The Issue” In Head and Neck Cancers? , http://www.jpalliativecare.com on Thursday, April 13, 2017, IP: 92.51.77.109]

N Beech, S Robinson, S Porceddu, M Batstone; Dental management of patients irradiated for head and neck cancer; Australian Dental Journal 2014; 59: 20–28

Michael Wiseman, BSc, DDS, M SND RCS (Edin), FASGD; The Treatment of Oral Problems in the Palliative Patient; Clinical PRACTICE; JCDA • www.cda-adc.ca/jcda • June 2006, Vol. 72, No. 5

Jitender Reddy Kubbi, Loka Ravali Reddy, Lakshmi Srujana Duggi, Harisha Aitha; Xerostomia: An overview; http://www.jiaomr.in on Thursday, April 6, 2017, IP: 92.51.77.109]

Davies, A.N. and Epstein, J.B. (2010). Oral Complications of Cancer and its Management. Oxford: Oxford University Press.

M. P. Sweeney , J. Bagg , W. P. Baxter , T. C. Aitchison; Oral disease in terminally ill cancer patients with xerostomia; Oral Oncology 34 (1998) 123 126.

Sreebny, L.M. and Schwartz, S.S. (1997). A reference guide to drugs and dry mouth—2nd edition. Gerodontology, 14, 33–47.

Ripamonti and Fulfaro(1998), A randomized , controlled clinical trial to evaluate thr effects of zinc sulfate on cancer patients with taste alterations caused by head and neck irradiation. Cancer 82;1938-1945.

Davies, A.N. and Shorthose, K. (2007). Parasympathomimetic drugs for the treatment of salivary gland dysfunction due to radiotherapy. Cochrane Database of Systematic Reviews, 3, CD003782.

Davies, A.N. and Kaur, K. (1998). Taste problems in patients with advanced cancer. Palliative Medicine, 12, 482–483.

Rydholm, M. and Strang, P. (2002). Physical and psychosocial impact of xerostomia in palliative cancer care: a qualitative interview study. International Journal of Palliative Nursing, 8, 318–323.

Petter Wilberg & Marianne J. Hjermstad & Stig Ottesen & Bente B. Herlofson, Oral health is an important issue in end-of-life cancer care, Support Care Cancer (2012) 20:3115–3122.

Nallan CSK Chaitanya, Komali Garlapati, Danam Reshma Priyanka, Sravani Soma, Ujwala Suskandla, Niharika Harsha Boinepally; Assessment of Anxiety and Depression in Oral Mucositis Patients Undergoing Cancer Chemoradiotherapy: A Randomized Cross‐sectional Study; http://www.jpalliativecare.com on Thursday, April 13, 2017, IP: 92.51.77.109]

Davies, A.N., Brailsford, S.R., and Beighton, D. (2006). Oral candidosis in patients with advanced cancer. Oral Oncology, 42, 698–702. Davies, A.N., Brailsford, S.R., Beighton, D., Shorthose, K., and Stevens, V.C. (2008). Oral candidosis in community-based patients with advanced cancer. Journal of Pain and Symptom Management, 35, 508–514.

Andrew N. Davies a,*, Susan R. Brailsford b David Beighton b

a Department of Palliative Medicine, Royal Marsden Hospital, Downs Road, Sutton, Surrey SM2 5PT, United Kingdom

b Dental Institute, King’s College London, C/O Floor 17 Guy’s Tower, Guy’s Hospital, St. Thomas’s Street, London SE1 9RT, United Kingdom

Oral candidosis in patients with advanced cancer, Oral Oncology (2006) 42, 698– 702

Aldred, M.J., Addy, M., Bagg, J., and Finlay, I. (1991). Oral health in the terminally ill: a cross-sectional pilot survey. Special Care in Dentistry, 11, 59–62.

Gordon, S.R., Berkey, D.B., and Call, R.L. (1985). Dental need among hospice patients in Colorado: a pilot study. Gerodontics, 1, 125–129.

Sweeney, M.P., Bagg, J., Baxter, W.P., and Aitchison, T.C. (1997). Clinical trial of a mucin-containing oral spray for treatment of xerostomia in hospice patients. Palliative Medicine, 11, 225–232.

Davies, A.N. (2000a). A comparison of artificial saliva and chewing gum in the management of xerostomia in patients with advanced cancer. Palliative Medicine, 14, 197–203.




DOI: http://dx.doi.org/10.29088/TCM-GMJ.2017.20

Refbacks

  • There are currently no refbacks.




 

Become a REVIEWER 

 

ISSN: 2346-8491 (online)