Level of Awareness, Knowledge, and Involvement of Malaysian Medical and Dental Practitioners in Dysphagia Management of Head and Neck Cancer Patients

Dysphagia ◽  
2021 ◽  
Author(s):  
Husmeela Hussain ◽  
Kartini Ahmad ◽  
Zakinah Yahaya ◽  
Sharifa Ezat Wan Puteh ◽  
Hasherah Mohd Ibrahim
Dental Update ◽  
2019 ◽  
Vol 46 (9) ◽  
pp. 817-824
Author(s):  
Stephanie Hackett ◽  
Oliver Jones ◽  
Despoina Chatzistavrianou ◽  
David Newsum

This is the second paper in a three-part series to discuss head and neck cancer diagnosis, treatment and rehabilitation. Following a confirmed diagnosis of head and neck cancer, patients will begin a long and often challenging pathway that will involve clinicians from a multidisciplinary team (MDT). This paper will summarize the role of individual MDT members involved in patient care, diagnostic and treatment phases for head and neck cancer and common side-effects encountered. By gaining an insight into this part of the patient's journey, dental practitioners should feel more comfortable and confident engaging in the care and support for head and neck cancer patients. CPD/Clinical Relevance: This paper aims to provide readers with an insight into the journey that patients will undertake after being diagnosed with head and neck cancer.


Dental Update ◽  
2020 ◽  
Vol 47 (10) ◽  
pp. 867-870
Author(s):  
Jocelyn Harding

A proactive approach to the mouth care of head and neck cancer patients, from their initial visit to their discharge, is vitally important. This area of care is complicated by many factors, of which some patients will not be aware when they start their difficult journey. This article is written to give the reader an insight into the dental hygienist's perspective of mouth care before, during and after treatment and then graduating the patient back into primary care. The treatment for each head and neck cancer patient is varied, therefore the process of healing post-surgery and therapy can be complicated. Balancing patient's expectations before and after diagnosis is a difficult task and may be impossible to predict, which makes this area of care complicated and involved for the dental hygienist. CPD/Clinical Relevance: The diagnosis and treatment of head and neck cancer takes place in hospitals and involves a team of clinicians, including dental hygienists. Once patients treated for such cancers return to general dental practice, it is essential that general dental practitioners (GDPs) and their teams have a clear understanding of how they have been treated and how GDPs and their teams can contribute to the patients' aftercare.


Author(s):  
Leonid Bardenshtein ◽  
Valeriy Leontiev ◽  
Aleksey Drobyshev ◽  
Aleksandr Tsimbalistov ◽  
Nikolay Malginov ◽  
...  

The review focuses on depressive disorders in cancer patients. The article summarizes the findings of domestic and foreign studies on depression prevalence, clinical symptoms and treatment in head and neck cancer patients. Early detection of affective disorder and timely administration of antipsychotic drug treatment is shown to be important for this patient category.


2019 ◽  
Vol 2 (2) ◽  
Author(s):  
Piyush Kumar ◽  
Bhavya P Pateneedi ◽  
Dharam P Singh ◽  
Arvind K Chauhan

INTRODUCTION: Head and neck cancer patients are frequently malnourished at the time of diagnosis and prior to the beginning of treatment. Deterioration of the nutritional status results in an increase in chemo radiotherapy related toxicity and this may increase the prolonged treatment time, which has been associated with poor clinical outcome. The present study aims to do nutritional assessment before and after chemo radiotherapy in head and neck cancer patients. MATERIAL AND METHODS: The present study was undertaken at the Department of Radiation Oncology, Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly. In this study, 50 patients of Head and neck tumours were enrolled and their nutrition was assessed before and after chemoradiotherapy. Nutrition assessment was done using different laboratory parameters like haemoglobin, total leukocyte count, blood urea, serum creatinine and serum bilirubin. Anthropometric parameters used are Body mass index, Skin fold thickness, and Mid-arm circumference. Nutritional risk indicator and PG-SGA score is measured before and after chemoradiotherapy. All the parameters were assessed and analysed using different statistical tests- Chi-square test, Fisher Exact test and paired t test.RESULTS: Haemoglobin decrease was statistically significant during treatment (p less than 0.001) and the decrease in total leukocyte count during treatment was showing trend towards significance (p value-0.056). There was deterioration in other parameters like blood urea, serum creatinine and serum bilirubin but was not statistically significant. Anthropometric parameters- Body mass index, mid-arm circumference and skin fold thickness and percent body fat showed a significant change (p less than 0.00001). Nutritional risk indicator and PG-SGA class has decreased for majority of patients during treatment, the change is statistically significant (p less than 0.00001 and p=0.0251) respectively.CONCLUSION: The nutrition has important role to play in the management of head and neck cancers by chemo radiotherapy. It helps to reduce the complications and improve the tolerance of chemo radiotherapy, thus avoiding treatment breaks which may lead to failure of treatment.


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