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Nausea and Vomiting 

Nausea and Vomiting
Chapter:
Nausea and Vomiting
Author(s):

David Collett

, and Kimberly Chow

DOI:
10.1093/med/9780190862374.003.0012
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date: 18 August 2019

Nausea and vomiting are highly prevalent and distressing symptoms experienced by patients in both the cancer and noncancer palliative care population. Nausea and vomiting, although often occurring together, are two distinct symptoms and should be assessed and managed as such. The cause of these symptoms is often multifactorial and may be directly related to the disease itself and/or disease-specific treatments. A comprehensive assessment of the patient includes a thorough history and physical exam, with the consideration of diagnostic tests if this is in line with the patient’s goals and the results can help guide treatment decisions. The skilled palliative care nurse understands that the management of symptoms such as nausea and vomiting can improve the overall quality of life for patients and requires a holistic, patient-centered approach that includes both pharmacologic and nonpharmacologic methods.

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