• Semin Oncol Nurs · Feb 2005

    Review

    Symptom clusters in advanced illness.

    • Peg Esper and Debra Heidrich.
    • University of Michigan Comprehensive Cancer Center, Ann Arbor, USA. pesper@umich.edu
    • Semin Oncol Nurs. 2005 Feb 1;21(1):20-8.

    ObjectivesTo review the four sets of symptom clusters commonly seen in patients with advanced illness, and their definitions, associated symptomatology, and management.Data SourcesResearch and review articles and textbooks.ConclusionSymptoms of patients with advanced illness tend to occur not isolation, but in symptom clusters. The ability to cluster symptoms in both assessment and management reduces the use of polypharmacy, systemic toxicities, and improves the patient's quality of life.Implications For Nursing PracticeIt is important that the nurse providing symptom management for the oncology patient understand the importance of clustering certain symptoms together.

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