Nausea and vomiting
Nausea and vomiting are symptoms commonly experienced in advanced disease, especially the cancer population. Clear understanding of the different concepts surrounding nausea and vomiting is essential and will aid in screening, preventing, assessing, and treating symptoms as well as improve understanding of the incidence and severity of patient distress. The cause of nausea and vomiting is often multifactorial and requires a thorough assessment and understanding of the emetic pathway and neurotransmitters involved in order to aid treatment decisions. Pharmacologic and nonpharmacologic interventions should be used to manage the distressful symptoms of nausea and vomiting. Nurses play a vital role in helping patients and family members manage and cope with nausea and vomiting.