Oncology Supportive Care
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Transcript of Oncology Supportive Care
8/7/2019 Oncology Supportive Care
http://slidepdf.com/reader/full/oncology-supportive-care 1/27
Ailacafx \w~~apthzg Ldpg
¨ 0>4> Degphldi Laccgfg aj Lchihldc ^bdpedlx
AILACAFX
\W^^AP_HZG LDPG
CHIOD P) @PG\\CGP# ^BDPE)O)# @LA^
WIHZGP\H_X AJ HCCHIAH\
LBHLDFA# HCCHIAH\
4
8/7/2019 Oncology Supportive Care
http://slidepdf.com/reader/full/oncology-supportive-care 2/27
Ailacafx \w~~apthzg Ldpg
¨ 0>4> Degphldi Laccgfg aj Lchihldc ^bdpedlx
Cgdpihif A`kglthzg|;
4) Hogihjx# d||g||# dio pglaeegio d~~pa~phdg ~bdp%
edlabgpd~x jap edidfhif laeeai lae~chldhai|
aj ldilgp lbgeabgpd~x# hilcwohif idw|gd dio zae%hhif= exgca|w~~pg||hai dio bg d~~pa~phdg w|g aj
fpavb jdlap|= hijglhai= digehd dio jdhfwg= ldp%
ohaarhlhx= dio grpdzd|dhai hikwpx)
0) D||g|| dio pglaeegio d~~pa~phdg ~bdpedla%
bgpd~x jap edidfhif ldilgp%pgcdgo ~dhi)
<) D||g|| dio pglaeegio d~~pa~phdg ~bdpedlabgp%
d~x jap edidfhif ailacafhl gegpfgilhg|# hilcwo%
hif bx~gpldclgehd# bx~gpwphlgehd# dio |~hidc lapo
lae~pg||hai)
\gcj%D||g||egit Twg|thai|;
Di|vgp| a bg|g twg|hai| edx `g jawio d bg
gio aj bh| lbd~gp)
4) D 7>%xgdp%aco edi h| hi bg lchihl aodx a pglghzg
bh| bhpo lxlcg aj lxlca~ba|~bdehog# oarapw`hlhi#
zhilph|hig# ~pgoih|aig# dio phwrhed` jap iai%
Baofmhi cxe~baed) Bg h| zgpx dirhaw| dio lae%
~cdhi| aj idw|gd dio zaehhif cd| hif jap d`aw 40
bawp| djgp bh| ~pgzhaw| lxlcg aj lbgeabgpd~x) _bg
dihgeghl pgfhegi bg pglghzgo jap bh| ~pgzhaw| lx%
lcg aj lbgeabgpd~x vd| fpdih|gpai r 4 oa|g ~cw|
ogrdegbd|aig r 4 oa|g doehih|gpgo <> ehiwg|
`gjapg lbgeabgpd~x) Vbhlb aig aj bg jaccavhif
pgfhegi| |bawco bg pglghzg ai odx 4 aj bg igr
lxlcg aj lbgeabgpd~x1
D) Fpdih|gpai r 4 oa|g - ogrdegbd|aig r 4
oa|g doehih|gpgo <> ehiwg| `gjapg lbgea%
bgpd~x)
@) Oacd|gpai r 4 oa|g - ogrdegbd|aig r c
oa|g doehih|gpgo <> ehiwg| `gjapg lbgea%
bgpd~x)
L) ^dcaia|gpai r c oa|g - ogrdegbd|aig r c
oa|g# - capd{g~de r c oa|g doehih|gpgo <>
ehiwg| `gjapg lbgeabgpd~x)
O) Egalca~pdehog r c oa|g - ogrdegbd|aig r4 oa|g - d~pg~hdi r 4 oa|g doehih|gpgo <>
ehiwg| `gjapg lbgeabgpd~x)
0) D :7%xgdp%aco edi vhb egd|dhl iai%|edcc lgcc
cwif ldilgp h| `pawfb a bg lchihl `x bh| jdehcx
`gldw|g aj dc gpdhai| hi bh| egidc |dw |) ^gp higi
cd`apdapx zdcwg| hilcwog d |gpwe ldclhwe lailgi%
pdhai aj 40)> ef!oC dio di dc`wehi lailgipdhai
aj 0)> f!oC) Vbhlb aig aj bg jaccavhif bgpd~hg| h|
`g| j ap bh | ~d hgi &| dc gpgo egidc |dw|1
D) Ldclhaihi ? wih|!mf gzgpx 40 bawp|)
@ ) Jwpa|gehog 0> ef apd ccx)
L) Ogrdegbd|aig 4> ef apdccx 0 heg|!odx)
O) [acgopaihl dlho ? ef hipdzgiaw|cx)
<) D 0>%xgdp%aco edi vd| pglgicx fhzgi d ohdfia%
|h| aj dlwg iai‟cxe~balxhl cgwmgehd) Bh| vbhg
`caao lgcc lawi( V@L( h| <7#>>>!ee<# dio bg
vhcc pglghzg lbgeabgpd~x aeappav) Vbhlb aig
aj bg jaccavhif h| bg `g| ~pgzgihai |pdgfx jap
weap cx|h| |xiopaeg1
D) Bxopdhai vhb 7' ogrpa|g O7V(# 4 C
`gjapg lbgeabgp d~x# ~ cw| d cca~wphiac <>> ef!
odx)
@) Bxop dhai vh b O\V# 4>> eC!bawp |dphif d
cgd| 0? bawp| `gjapg lbgeabgpd~x# ~cw| dc%
ca~wphiac <>> ef!odx)
L) Iapedc |dchig 4>> eC!bawp |dphif d cgd|
0? bawp| `gjapg lbgeabgpd~x ~cw| dcca~wphiac<>> ef!odx)
O) Bxopdhai vhb iapedc |dchig 4>> eC!bawp
|dphif d cgd| 0? bawp| `gjapg lbgeabgpd~x
~cw| |aohwe `hldp`aidg 7>> ef apdccx g zgpx
: bawp|)
?) Di 42%xgdp%aco edi h| d`aw a `gfhi lbgeabgpd~x
jap dlwg cxe~ba`cd|hl cgwmgehd) Ai aodx&| lae%
~cg g `caao lgc c lawi L@ L(# bh| bgeafca`hi h| 6 f!
oC# dio bg lae~cdhi| aj jdhfwg) Vbhlb aig aj bg
jaccavhif h| bg lappgl pgdegi1
D) Hih hdg g~ag hi)
@) _pdi|jw|g vhb ~dlmgo pgo `caao lgcc| P@L|()L) Ogcdx lbgeabgpd~x pgdegi wihc bgeafca%
`hi pglazgp|)
O) Pgowlg lbgeabgpd~x oa|g| a ~pgzgi jwpbgp
oglpgd|g| hi bgeafca`hi)
7) D ~dhgi pglghzgo bgp jawpb lxlcg aj lbgeabgp%
d~x vhb ~dlchdrgc%ldp`a~cdhi jap azdphdi ldilgp
40 odx| dfa) \bg pg~ap| a bg lchihl aodx lae%
~cd hihif aj d ge~gp dwpg bh | eapihif aj 4><¾J)
Bgp L@L h| V@L 7>>!ee<= |gfegigo igwpa~bhc|
77'= `dio igwpa~bhc| 7'= `d|a~bhc| 47'= ga%
|hia~bhc| 7'= eaialxg| 47'= dio ~cdgcg lawi
88#>>>!ee<) \bg ogihg| dix |hfi| dio |xe~ae|
aj hijglhai) Bgp `caao ~pg||wpg @^( h| 447!:> eeBf= ~wc|g pdg h| 2> `gd|!ehiwg= dio pg|~hpdapx
pdg h| 47 `pgdb|!ehiwg) Vbd h| bgp d`|acwg igw%
pa~bhc lawi DIL(1
D) 067)
@) <>>)
L) 07)
O) 7>>)
0
8/7/2019 Oncology Supportive Care
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Ailacafx \w~~apthzg Ldpg
¨ 0>4> Degphldi Laccgfg aj Lchihldc ^bdpedlx
:) Vbhlb aig aj bg jaccavhif h| bg lappgl lawp|g aj
dlhai jap bg ~dhgi hi bg ~pgzhaw| twg|hai1
D) Doeh a bg ba|~hdc jap hipdzgiaw| dih`h%
ahl opwf|)
@) _pgd d| di aw~dhgi vhb dih`hahl opwf|)
L) Hihhdg d lacaix%|hewcdhif jdlap L\J()
O) Oh|laihiwg lbgeabgpd~x)
6) Vbhlb aig aj bg jaccavhif |dgegi| d`aw bg
d`azg ~dhgi h| lappgl1
D) @d|go ai bgp eaialxg lawi# bgp igwpa~gihd
h| gr~glgo a cd| jap diabgp vggm)
@) _bh| h| d idohp igwpa~bhc lawi# dio igwpa%
~bh c| vawco `g gr~gl go a | dp h ilpgd| hif
|aai)
L) _bg gcgzdgo d`|acwg ga|hia~bhc lawi hioh%
ldg| di dccgpfhl pgdlhai a ldp`a~cdhi)
O) H h| wiw|wdc jap bg DIL a `g bh| cav hi bg
jdlg aj di gcgzdgo ~cdgcg lawi)
2) D :>%xgdp%aco edi bd| bgdo dio iglm ldilgp vhb
grgi|hzg hizaczgegi aj jdlhdc igpzg|) Bh| ~dhi
egohldhai| hilcwog pdi|ogpedc jgidixc 4>> egf!
bawp gzgpx 60 bawp| dio apdc eap~bhig |acwhai ?>
ef gzgpx ? bawp|) Bg h| |hcc bdzhif ~pa`cge| vhb
igwpa~dbhl ~dhi) Vbhlb aig aj bg jaccavhif pgd%
egi| ch|go `gcav h| `g| a pglaeegio1
D) @gfhi fd`d~gihi dio oglpgd|g bg oa|g aj
jgidixc)
@) Hilpgd|g bg oa|g aj jgidixc dio hilpgd|g bg
oa|g aj eap~bhig)
L) @gfhi ohd{g~de dio hilpgd|g bg oa|g aj
jgidixc)
O) @gfhi fd`d~gihi dio laihiwg jgidixc dio
eap~bhig)
8) D ~dhgi h| pglghzhif lbgeabgpd~x jap chehgo%
|dfg |edcc lgcc cwif ldplhiaed) Djgp bg bhpo
lxlcg aj lbgeabgpd~x# |bg vd| ba|~hdch{go vhb
jg`phcg igwpa~gihd) \bg pglazgpgo dio h| |lbgowcgo
a pglghzg bg jawpb lxlcg aj lbgeabgpd~x aodx)
Vbhlb aig aj bg jaccavhif |dgegi| h| lappgl1
D) _bg ~dhgi |bawco pglghzg jhcfpd|he 07> elf!
e0!odx |w`lwdigaw|cx jap 4> odx|)
@) _bg ~dhgi |bawco pglghzg jhcfpd|he 7 elf!
mf!odx |w`lwdigaw|cx# |dphif aodx)L) _bg ~dhgi |bawco pglghzg ~gfjhcfpd|he 4 ef!
odx |w`lwdigaw|cx jap : odx|)
O) _bg ~dhgi |bawco pglghzg jh cfpd|he 7 elf!
mf!odx |w`lwdigaw|cx jap 6 odx|# `gfhiihif
aeappav)
4>) D :>%xgdp%aco vaedi vhb `pgd| ldilgp h| a `g%
fhi lbgeabgpd~x vhb DL oarapw`hlhi dio lx%
lca~ba|~bdehog() Cd`apdapx zdcwg| aodx hilcwog
|aohwe 4?>= ~ad||hwe <)2= fcwla|g 4>>= |gpwe lpg%
dhihig 4)4= d|~dpdg dehiapdi|jgpd|g := dcdihig
dehiapdi|jgpd|g <7= dio adc `hc hpw`hi 0) Vbhlb
aig aj bg jaccavhif |dgegi| h| lappgl1
D) _bg oa|g aj oarapw`hlhi |bawco ̀ g oglpgd|go)
@) _bg oa|g aj lxlca~ba|~bdehog |bawco `goglpgd|go)
L) @ab lbgeabgpd~x opwf| |bawco `g fhzgi d
|diodpo oa|g|)
O) @ab lbgeabgpd~x opwf| |bawco `g fhzgi d
oglpgd|go oa|g|)
44) Cdpfg lgcc cxe~baed h| lai|hogpgo higpegohdg
`gvggi hioacgi dio bhfbcx dffpg||hzg( hi weap
fpavb dio `hacafx) Cdpfg lgcc cxe~baed h| |gi|h%
hzg a lbgeabgpd~x dio ~agihdccx lwpd`cg) Egd%
|dhl lacapgldc ldilgp h| lai|hogpgo |cav fpavhif)
Dcbawfb pg|~ai|g| a lbgeabgpd~x laeeaicx
allwp dio lbgeabgpd~x ldi ~pacaif |wpzhzdc `xeaib|(# egd|dhl lacapgldc ldilgp h| ia fgigp%
dccx lai|hogpgo lwpd`cg vhb lbgeabgpd~x) @d|go
ai bg|g ohjjgpgilg| `gvggi cdpfg lgcc cxe~baed
dio egd|dhl lacapgldc ldilgp# vbhlb aig aj bg
jaccavhif |dgegi| h| lappgl1
D) ^dhgi| vhb cdpfg lgcc cxe~baed |bawco
pglghzg dcca~wphiac `gfhiihif `gjapg bg jhp|
lxlcg aj lbgeabgpd~x `gldw|g bgx dpg d
di hilpgd|go ph|m aj ogzgca~hif weap cx|h|
|xiopaeg)
@) ^dhgi| vhb egd|dhl lacapgldc ldilgp
|bawco pglghzg dcca~wphiac `gfhiihif `gjapg
bg jhp| lxlcg aj lbgeabgpd~x `gldw|g bgx
dpg d di hilpgd|go ph|m aj ogzgca~hif weap cx|h| |xiopaeg)
L) ^dhgi| vhb cdpfg lgcc cxe~baed |bawco
pglghzg ~dehopaidg `gfhiihif `gjapg bg jhp|
lxlcg aj lbgeabgpd~x `gldw|g bgx dpg d di
hilpgd|go ph|m aj ogzgca~hif bx~gpldclgehd)
O) ^dhgi| vhb egd|dhl lacapgldc ldilgp
|bawco pglghzg ~dehopaidg `gfhiihif ` gjapg
bg jhp| lxlcg aj lbgeabgpd~x `gldw|g bgx
dpg d di hilpgd|go ph|m aj ogzgca~hif bx~gp%
ldclgehd)
40) Lai|hogp bg hijapedhai ~pazhogo d`azg d`aw
cdpfg lgcc cxe~baed dio egd|dhl lacapgldc
ldilgp) ^dhgi 4 vhb cdpfg lgcc cxe~baed h| pg%
lghzhif LBA^%P lxlca~ba|~bdehog# oarapw`h%
lhi ]bxoparxodwiaexlhiU# zhilph|hig ]AilazhiU#
~pgoih |aig# dio ph wrhed`( lbgeabgpd~x) ^d hgi
0 vhb egd|dhl lacapgldc ldilgp h| pglghzhif
JACJHPH 7%jcwapawpdlhc%cgwlazaphi# hphiagldi(
lbgeabgpd~x) Ai bg odx lxlcg 0 h| owg# `ab ~d%
hgi| bdzg di DIL aj 2>>!ee<) Vbhlb aig aj bg
jaccavhif |dgegi| h| lappgl1
<
8/7/2019 Oncology Supportive Care
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Ailacafx \w~~apthzg Ldpg
¨ 0>4> Degphldi Laccgfg aj Lchihldc ^bdpedlx
D) ^dhgi 4 |bawco fg lbgeabgpd~x a mgg~ bhe
ai |lbgowcg `gldw|g bg bd| d lwpd`cg oh|gd|g)
@) ^dhgi 0 |bawco fg lbgeabgpd~x a mgg~ bhe
ai |lbgowcg `gldw|g bg bd| d lwpd`cg oh|gd|g)
L) _bg lbgeabgpd~x jap ~dhgi 4 |bawco `g bgco
jap iav# dio bg |bawco pglghzg jhcfpd|he djgp
bg igr heg bg bd| lbgeabgpd~x)
O) _bg lbgeabgpd~x jap ~dhgi 0 |bawco `g bgco
jap iav# dio bg |bawco pglghzg jhcfpd|he djgp
bg igr heg bg bd| lbgeabgpd~x)
4<) \aegheg|# grpdzd|dhai h| ia heegohdgcx gzh%
ogi vbgi h allwp|) Heegohdgcx djgp doehih|gp%
hif LBA^%P a ~dhgi 4 d`azg# di grpdzd|dhai h|
|w|~glgo) Vbhlb aig aj bg jaccavhif |bawco `g
hihhdgo1
D) D~~chldhai aj d vdpe ~dlm jap |w|~glgo
grpdzd|dhai aj oarapw`hlhi)
@) D~~chldhai aj d laco ~dlm jap |w|~glgo gr%pdzd|dhai aj zhilph|hig)
L) D~~chldhai aj ohegbxc |wcjarhog dio hipdzg%
iaw| ogrpd{ardig jap |w|~glgo grpdzd|dhai
aj oarapw`hlhi)
O) D~~chldhai aj |aohwe bha|wcjdg jap |w|~glgo
grpdzd|dhai aj lxlca~ba|~bdehog)
?
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Ailacafx \w~~apthzg Ldpg
¨ 0>4> Degphldi Laccgfg aj Lchihldc ^bdpedlx
H) DI_HGEG_HL\
D) Ogjhi hhai|
4) Idw|gd h|%og|lph`go d| di dvdpgig|| aj oh|laejap bd edx ap edx ia ~pglgog zaehhif=
idw|gd h| dllae~dihgo `x oglpgd|go fd|phl aig dio oglpgd|go ~gph|dc|h|)0) Pglbhif h| bg cd`apgo eazgegi aj d`oaehidc dio bapdlhl ew|lcg| d||alhdgo vhb zaehhif)
<) Zaehhif geg|h|( h| bg gkglhai ap gr~wc|hai aj fd|phl laigi| bpawfb bg eawb)
d) Dlwg zaehhif h| zaehhif allwpphif >%0? bawp| djgp lbgeabgpd~x doehih|pdhai)
`) Ogcdxgo zaehhif h| zaehhif allwpphif eapg bdi 0? bawp| djgp lbgeabgpd~x
doehih|pdhai)
h) _bg oh|hilhai `gvggi dlwg dio ogcdxgo |xe~ae| vhb pgfdpo a heg aj ai|g h|
|aegvbd dp`hpdpx# dio h `glaeg| `cwppgo vbgi lbgeabgpd~x h| doehih|gpgo jap
ewch~cg odx|)
hh) Ogcdxgo |xe~ae| dpg `g| og|lph`go vhb lh|~cdhi# dcbawfb bgx dpg laeeaicx
pg~apgo hi d||alhdhai vhb abgp dfgi| d| vgcc)
hhh) _bg he~apdilg aj bg oh|hilhai `gvggi dlwg dio ogcdxgo dio dihlh~dapx(|xe~ae| h| bd bgx chmgcx bdzg ohjjgpgi eglbdih|e| dio bgpgjapg ohjjgpgi
edidfgegi |pdgfhg|)
?) Dihlh~dapx zaehhif ap idw|gd( h| phffgpgo `x |hfb|# |egcc|# ap |awio| dio h| d
laiohhaigo pg|~ai|g= h h| eapg chmgcx a allwp hi ~dhgi| vba|g ~a|lbgeabgpd~x idw|gd!
zaehhif bd| ia `ggi vgcc laipaccgo)
@) Ph|m Jdlap| jap Lbgeabgpd~x%Hiowlgo Idw|gd dio Zaehhif
4) ^dhgi jdlap|
d) ^aap laipac aj idw|gd dio zaehhif owphif ~pgzhaw| lxlcg| aj lbgeabgpd~x
`) Jgedcg |gr
l) Xawif dfg
o) ^a||h`cg ~paglhzg pacg aj dclabac
g) Bh|apx aj eahai |hlmig||
j) Bh|apx aj idw|gd ap zaehhif owphif ~pgfidilx
0) Gegafgihlhx aj dihldilgp dfgi|
d) \gzgpdc |lbgeg| jap d||g||hif gegafgihlhx bdzg `ggi ~pa~a|go) Bh|aphldccx# gegafgihl
ph|m vd| lcd||hjhgo d| "iaig#" "ehco#" "eaogpdg#" dio "|gzgpg)" Hi 4886# d lcd||hjhldhai
~pa~a|hif jhzg cgzgc| aj gegafgihlhx vd| ~w`ch|bgo) Eapg pglgi cx# bg jhzg cgzgc|
vgpg ailg dfdhi laccd~|go hia bpgg) Cgzgc| g)f)# cav# eaogpdg# bhfb gegafgihl ph|m(
dpg ogjhigo `x bg ~gplgidfg aj ~dhgi| gr~glgo a gr~gphgilg dix geg|h|) Idw|gd h|
di he~apdi |awplg aj oh|laejap jap ~dhgi|# `w gegafgihl ph|m cgzgc| hilcwog aicx
zaehhif) Bhfb ph|m h| dp`hpdphcx ogjhigo d| eapg bdi 8>' ph|m aj zaehhif) Eaogpdg
ph|m hilcwog| edix opwf| dio pg~pg|gi| d `pado pdifg <>'%8>' ph|m aj zaehhif()Cav ph|m h| cg|| bdi <>' ph|m aj zaehhif) Lh|~cdhi h| bg ~paax~g bhfb%ph|m dfgi)
_bg lae`hidhai aj oarapw`hlhi ap g~hpw`hlhi vhb lxlca~ba|~bdehog DL ap GL( h| dc|a
ajgi lai|hogpgo bhfb ph|m) Oarapw`hlhi ap g~hpw`hlhi dcaig h| lai|hogpgo eaogpdg ph|m)
Oalgdrgc h| di grde~cg aj di dfgi vhb d cav ph|m aj gegafgihlhx) \aeg dfgi| ldw|g
dcea| ia idw|gd ap zaehhif g)f)# `cgaexlhi# zhilph|hig()
<) Pdohdhai bgpd~x ldi dc|a ldw|g idw|gd dio zaehhif) _bg hilhogilg dio |gzgphx aj
pdohdhai%hiowlgo idw|gd dio zaehhif zdpx `x |hg aj pdohdhai dio |h{g aj pdohdhai jhgco)
Pdohdhai a bg bgdo dio iglm ap a bg grpgehhg| h| lai|hogpgo ehcocx gegafgihl=
7
8/7/2019 Oncology Supportive Care
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Ailacafx \w~~apthzg Ldpg
¨ 0>4> Degphldi Laccgfg aj Lchihldc ^bdpedlx
pdohdhai a bg w~~gp d`oaegi dio ~gczh| dio lpdiha|~hidc pdohdhai dpg lai|hogpgo
eaogpdgcx gegafgihl= dio adc `aox hppdohdhai# adc iaodc hppdohdhai# dio w~~gp %bdcj%
`aox h ppdohdhai dpg lai|hogpgo b hfbcx gegafgihl)
L) Fgigpdc ^philh~cg| jap Edidfhif Lbgeabgpd~x%Hiowlgo Idw|gd dio Zaehhif dio Pdohdhai%Hiowlgo Idw|gd dio Zaehhif
4) ^pgzgihai h| mgx) ^pa~bxcdlhl dihgeghl| |bawco `g doehih|gpgo `gjapg eaogpdgcx ap
bhfbcx gegafgihl dfgi| dio `gjapg eaogpdgcx dio bhfbcx gegafgihl pdohdhai) Zhilph|hig
dio `cgaexlhi fhzgi d| |hifcg dfgi| oa ia pgtwhpg ~pa~bxcdlhl dihgeghl|)
0) Dihgeghl| |bawco `g |lbgowcgo jap ogcdxgo idw|gd dio zaehhif jap |gcgl lbgeabgpd~x
pgfhegi| g)f)# lh|~cdhi# DL( dio |bawco `g dzdhcd`cg hj ~pacaifgo dlwg |xe~ae| ap
higjjglhzg dihgeghl ~pa~bxcdrh| allwp|)
<) @gfhi vhb di d~~pa~phdg dihgeghl pgfhegi `d|go ai bg gegafgihlhx aj bg
lbgeabgpd~x opwf|()
d) Igvgp apdc xpa|hig mhid|g hibh`hap| g)f)# |apdjgih`# |wihhih̀ ( dpg d||alhdgo vhb d cav
gegafgihl ph|m `w edx ldw|g hiacgpd`cg |xe~ae| `gldw|g bg opwf| dpg doehih|gpgojap |gzgpdc vggm| hi d pav ap gzgi laihiwaw|cx)
`) Jaccav%w~ h| dc|a g||gi hdc ) Vbdgzgp bg gegafgihlhx dio di hgeghl pgfhegi# bg
pg|~ai|g |bawco fwhog bg lbahlg aj dihgeghl pgfhegi jap |w`|gtwgi lawp|g| aj bgpd~x)
l) Idw|gd dio zaehhif dpg oh|hil ~bgiaegid) Zaehhif eglbdih|e| dpg `ggp
wiogp|aao dio bdzg `ggi `ggp |wohgo) Ea| dihgeghl |wohg| hilap~apdg zaehhif
~phedpx gio ~ahi|# dio hi |wohg| bd gzdcwdg idw|gd# idw|gd awlaeg| dpg fgigpdccx
vap|g bdi zaehhif awlaeg|)
o) _bg ea| laeeai dihgeghl pgfhegi jap bhfbcx gegafgihl lbgeabgpd~x!pdohdhai h|
bg lae`hidhai aj d |gpaaihi pglg~ap didfaih| dio ogrdegbd|aig) _bg doohhai aj
d laphla|gpaho a d |gpaaihi pglg~ap didfaih| jap bhfbcx ap eaogpdgcx( gegafgihl
dihldilgp bgpd~x hilpgd|g| gjjhldlx `x 4>'‟0>')
g) D~pg~hdi edx `g doogo a bg d`azg dihgeghl pgfhegi jap bhfbcx gegafgihl
lbgeabgpd~x dio!ap a ~pgzgi ogcdxgo idw|gd dio zaehhif)
j) _bg lae`hidhai aj egalca~pdehog dio ogrdegbd|aig vd| bg ea| laeeai
pgfhegi a ~pgzgi ogcdxgo idw|gd dio zaehhif `gjapg bg dzdhcd`hchx aj d~pg~hdi)
_bh| lae`hidhai h| |hcc w|go vbgi d~pg~hdi bd| ia `ggi hilap~apdgo hia bg hihhdc
pgfhegi jap lbgeabgpd~x%hiowlgo idw|gd dio zaehhif)
f) \hifcg%dfgi ~bgiabhd{hig# `wxpa~bgiaig# ap |gpaho dpg w|go jap ehcocx a
eaogpdgcx gegafgihl pgfhegi| dio jap "d|%iggogo" w|g jap ~pacaifgo |xe~ae| h)g)#
`pgdmbpawfb |xe~ae|()
b) Ldiid`hiaho| dpg fgigpdccx w|go djgp bg jdhcwpg aj abgp pgfhegi| ap a |hewcdg d~~ghg)
h) Dfgi| vba|g ~phedpx hiohldhai h| abgp bdi pgdegi aj idw|gd dio zaehhif dpg
`ghif hizg|hfd go) Lchihldccx# bg|g dfgi| edx `g w|go jap ~dhgi| vba|g |xe~ae| oa
ia pg|~aio a "|diodpo" dihgeghl|)
O) Di hgeghl|
4) \gpaaihi 7%B_<( pglg~ap didfaih|| oacd|gpai# fpdih|gpai# aiodi|gpai# dio
~dcaia|gpai(
d) _bg|g opwf| `calm |gpaaihi pglg~ap| ~gph~bgpdccx hi bg fd|pahig|hidc pdl dio
lgipdccx hi bg egowccd)
`) _bg ea| laeeai dozgp|g gzgi| hilcwog bgdodlbg dio lai|h~dhai# allwpphif hi 4>'%
47' aj ~dhgi|)
:
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Ailacafx \w~~apthzg Ldpg
¨ 0>4> Degphldi Laccgfg aj Lchihldc ^bdpedlx
l) Dcc opwf| bdzg |hehcdp gjjhldlx |gg `gcav(# dio lbahlg aj opwf h| ajgi `d|go ai la| dio
apfdih{dhaidc laipdl|)
o) ^dcaia|gpai h| d~~pazgo jap bg ~pgzgihai aj `ab dlwg dio ogcdxgo lbgeabgpd~x %
hiowlgo idw|gd dio zaehhif) H h| pg~apgocx oh|hil jpae bg abgp |gpaaihi pglg~ap
didfaih||# `d|go ai pglg~ap `hiohif dio bdcj%chjg) ^dcaia|gpai h| lai|hogpgo bg ~pgjgppgo |gpaaihi pglg~ap didfaih| hi |aeg id haidc fwhogchig|# `w b h| h | ia
wihzgp|dccx dllg~go)
0) Laphla|gpaho| ogrdegbd|aig= egbxc~pgoih|acaig(
d) Grdl eglbdih|e h| wimiavi= bawfb a dl `x hibh`hhif ~pa|dfcdiohi |xibg|h| hi bg
lapgr
`) Dozgp|g gzgi| d||alhdgo vhb |hifcg oa|g| dio |bap lawp|g| aj |gpaho| dpg hijpgtwgi=
bgx edx hilcwog gw~baphd# dirhgx# hi|aeihd# hilpgd|go d~~ghg# dio ehco jcwho
pggihai= pd~ho hipdzgiaw| doehih|pdhai edx `g d||alhdgo vhb pdi|hgi dio higi|g
~gp higdc# zdf hidc# a p didc `wpihif)
l) Ogrdegbd|aig bd| `ggi |wohgo eapg ajgi hi lchihldc phdc| bdi egbxc~pgoih|acaig)
<) Igwpamhihi%4 pglg~ap didfaih|| d~pg~hdi ap ja|d~pg~hdi(d) D~pg~hdi h| d~~pazgo jap w|g hi lae`hidhai vhb abgp dihgeghl opwf| jap ~pgzgihif
dlwg dio ogcdxgo idw|gd dio zaehhif d||alhdgo vhb hihhdc dio pg~gd lawp|g| aj
lbgeabgpd~x miavi a ldw|g bg|g ~pa`cge|# hilcwohif bhfb%oa|g lh|~cdhi)
`) D~pg~hdi he~pazgo bg azgpdcc lae~cgg pg|~ai|g ogjhigo d| ia geghl g~h|aog| dio ia
w|g aj pg|lwg bgpd~x( `x d`aw 0>' vbgi doogo a d |gpaaihi pglg~ap didfaih| dio
ogrdegbd|aig)
l) Egd`ach{go ~phedphcx `x lxalbpaeg ̂ LX^( ?7> <D? vhb ehiap egd`ach|e `x
LX^4D0 dio LX^0L48= bg ~agihdc grh|| jap opwf higpdlhai|# hilcwohif vhb
ogrdegbd|aig
?) @gi{dehog didcaf| egalca~pdehog(
d) Egalca~pdehog edx grgp di dihgeghl gjjgl `x ` calmdog aj oa~dehig pglg~ap| hi
bg lbgeapglg~ap phffgp {aig= |hewcdhai aj lbachigpfhl dlhzhx hi bg fw# hilpgd|hif
japvdpo( fw eahchx= dio didfaih|e aj ~gph~bgpdc |gpaaihi pglg~ap| hi bg hig|hig|)
_bg|g gjjgl| dpg oa|g pgcdgo)
`) Dozgp|g gzgi| hil cwog ehco |godhai dio ohdppbgd# d| vgcc d| grpd~xpdehodc pgdlhai|
g)f)# ox|aihd# dmdbh|hd()
7) ^bgiabhd{hig| ~palbcap~gpd{hig# lbcap~paed{hig(
d) ^bgiabhd{hig| `calm oa~dehig pglg~ap| hi bg lbgeapglg~ap phffgp {aig)
`) Laeeai dozgp|g gzgi| d||alhdgo vhb bh| lcd|| aj dihgeghl| hilcwog opav|hig|| #
bx~agi|hai# dmdbh|hd# dio ox|aihd)
l) Lbcap~paed{hig h| ajgi ~pgjgppgo hi lbhcopgi `gldw|g h h| d||alhdgo vhb jgvgp
grpd~xpdehodc pgdlhai| bdi ~palbcap~gpd{hig)
:) @wxpa~bgiaig| bdca~gphoac# opa~gphoac(d) _bg eglbdih|e aj dlhai dio dlhzhx aj bg|g va opwf| dpg |hehcdp a bg ~bgiabhd{hig|)
`) _bgx dpg d cgd| d| gjjglhzg d| bg ~bgiabhd{hig| # dio |aeg |wohg| hiohldg bgx
dpg |w~gphap= bgx ajjgp d ohjjgpgi lbgehldc |pwlwpg bd edx `hio ohjjgpgicx a bg
oa~dehig pglg~ap dio ajjgp di hihhdc dcgpidhzg vbgi d ~bgiabhd{hig jdhc|)
l) _bg ea| laeeai dozgp|g gzgi h| |godhai= bx~agi|hai h| cg|| jpgtwgi bdi vhb bg
~bgiabhd{hig| = grpd~xpdehodc |xe~ae| dpg dc|a |ggi)
o) _bg w|g aj opa~gphoac d| di dihgeghl bd| jdccgi aw aj jdzap `gldw|g aj bg ph|m aj T_
~pacaifdhai ap ap|dog| og ~ahig|)
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Ailacafx \w~~apthzg Ldpg
¨ 0>4> Degphldi Laccgfg aj Lchihldc ^bdpedlx
6) @gi{aohd{g~hig| capd{g~de(
d) Capd{g~de d| d |hifcg dfgi bd| ehihedc dihgeghl dlhzhx) Bavgzgp# |gzgpdc ~pa~gphg|
edmg capd{g~de w|gjwc hi lae`hidhai vhb ap d| di dokwil a abgp dihgeghl|)
h) Digpafpdog deig|hd bgc~| ~pgzgi dihlh~dapx idw|gd dio zaehhif)
h h) Pgc hgj aj dirhgx
hhh) Edidfgegi aj dmdbh|hd ldw|go `x ~bgiabhd{hig|# `wxpa~bgiaig|# ap
egalca~pdehog
`) Dozgp|g gzgi| hilcwog deig|hd# |godhai# bx~agi|hai# ~gplg~wdc oh| wp`dilg| # dio
wphidpx hilaihigilg) Iag bd deig|hd dio |godhai edx# hi jdl# `g og|hpd`cg)
2) Ldiid`hiaho| opaid`hiac# id`hcaig(
d) _bg grh|gilg aj ldiid`hiaho pglg~ap| bd| pglgicx `ggi oh|lazgpgo) Ldiid`hiaho
pglg~ap| edx egohdg d cgd| |aeg aj bg dihgeghl dlhzhx aj bh| lcd|| aj dfgi|)
Doohhaidc dihgeghl eglbdih|e| bd bdzg `ggi ~pa~a|go hilcwog hibh`hhai aj
~pa|dfcdiohi| dio `calmdog aj dopgigpfhl dlhzhx)
`) Dozgp|g gzgi| hilcwog opav|hig||# oh{{hig||# gw~baphd# ox|~bap hd# apba|dhl
bx~agi|hai# ddrhd# bdccwlhidhai|# dio heg oh|aphgidhai) D~~ghg |hewcdhai h| dc|a
|ggi vhb ldiid`hiaho| dio edx# hi jdl# `g og|hpd`cg)
B) ^DHI EDIDFGEGI_
D) ^philh~cg| aj Ldilgp ^dhi Edidfgegi
4) _bg apdc pawg h| ~pgjgppgo vbgi dzdhcd`cg) Dcbawfb bg pdha aj apdc a ~dpgigpdc ~agilx aj
eap~bhig h| laeeaicx iago a `g 4;:# lchihldc a`|gpzdhai aj lbpaihl eap~bhig w|g hiohldg|
bh| pdha h| lca|gp a 4;< apdc%a%~dpgigpdc ~agilx( jap dcc a~haho|)
0) Lbaa|g bg didcfg|hl opwf dio oa|g a edlb bg ogfpgg aj ~dhi |wjjgpgo `x bg ~dhgi)
<) ^dhi egohldhai| |bawco dcvdx| ̀ g doehih|gpgo ai d |lbgowcgo `d|h|# IA_ D\ IGGOGO)d) H h| dcvdx| gd|hgp a ~pgzgi ~dhi jpae pglwpphif bdi a pgd h ailg h bd| pglwppgo)
`) D|%iggogo oa|hif |bawco `g w|go jap `pgdmbpawfb ~dhi# vbhlb h| ~dhi bd "`pgdm|
bpawfb" bg pgfwcdpcx |lbgowcgo a~haho= di heegohdg%pgcgd|g# |bap%dlhif a~haho |bawco
dcvdx| dllae~dix d caif%dlhif a~haho)
?) Jap ~gp|h|gi# |gzgpg ~dhi# w|g d ~paowl vhb d caif owpdhai aj dlhai)
^dthgit Ld|g|
4) D :>%xgdp%aco vaedi vd| pglgicx fhzgi d ohdfia|h| aj dozdilgo iai%|edcc lgcc cwif ldilgp) \bg h| fahif
a `gfhi pgdegi vhb lh|~cdhi 4>> ef!e0
~cw| zhiapgc`hig <> ef!e=) Vbhlb aig aj bg jaccavhif h| di
d~~pa~phdg dihgeghl pgfhegi jap ~pgzgihif dlwg geg|h|1
D) D~pg~hdi ~cw| oacd|gpai ~cw| ogrdegbd|aig)
@) D~pg~hdi ~cw| ~palbcap~gpd{hig ~cw| ogrdegbd|aig)
L) D~pg~hdi ~cw| fpdih|gpai ~cw| aiodi|gpai)
O) Capd{g~de ~cw| aiodi|gpai ~cw| egalca~pdehog)
0) Vbhlb aig aj bg jaccavhif h| di d~~pa~phdg pgfhegi jap ogcdxgo idw|gd| dio zaehhif1
D) D~pg~hdi ~cw| ogrdegbd|aig)
@) D~pg~hdi ~cw| egalca~pdehog)
L) Aiodi|gpai ~cw| ogrdegbd|aig)
O) Aiodi|gpai ~cw| capd{g~de)
2
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Ailacafx \w~~apthzg Ldpg
¨ 0>4> Degphldi Laccgfg aj Lchihldc ^bdpedlx
7) @gjapg doohif di doohhaidc opwf ap lbdifhif a diabgp opwf# edrheh{g bg oa|g dio
|lbgowcg aj bg lwppgi didcfg|hl opwf)
:) ^pazhog opwf| a ~pgzgi dozgp|g gzgi| |wlb d| lai|h~dhai dio |godhai)
6) Pggzdcwdg ~dhi dio ~dhi%pgchgj ajgi# g|~glhdccx owphif bg hihhdhai aj ~dhi bgpd~x= hj eapg
bdi va d|%iggogo oa|g| dpg pgtwhpgo jap `pgdmbpawfb ~dhi hi d 0?%bawp ~gphao# lai|hogp eaohjxhif bg pgfhegi)
2) W|g d~~pa~phdg dokwzdi didcfg|hl| dio iaiopwf egd|wpg| a edrheh{g ~dhi laipac)
@) ^dhi Pdhif \ldcg|
4) W|g ~dhi d||g||egi aac| a gzdcwdg ~dhi higi|hx d `d|gchig dio a d||g|| bav vgcc d ~dhi
egohldhai pgfhegi h| vapmhif)
d) Iwegphl pdhif |ldcg aj >%4># vhb > 5 ia ~dhi dio 4> 5 vap| ~dhi hedfhid`cg
`) ^gohdphl ~dhgi| ; Jdlg|%aj%^dhi \ldcg# ~amgp%lbh~ egbao
0) @gldw|g ~dhi h| |w`kglhzg# h h| `g| gzdcwdgo `x bg ~dhgi h)g)# ia d ldpgfhzgp dio ia bg
bgdcb ~pajg||haidc()
L) _pgdegi aj ^dhi‟_bg Didcfg|hl Cdoogp 4) Jap ehco a eaogpdg ~dhi ~dhi pdhif aj 4%< ai d 4>%~ahi |ldcg()# bg jhp| |g~ h| d
iaia~haho didcfg|hl opwf; iai|gpahodc dih%hijcdeedapx opwf I\DHO(# d|~hphi# ap
dlgdehia~bgi D^D^(
0) Jap ~gp|h|gi ap jap eaogpdg a |gzgpg ~dhi ~dhi pdhif aj ?%: ai bg 4>%~ahi |ldcg(# doo d
vgdm a~haho; laoghig ap bxopalaoaig# dzdhcd`cg hi lae`hidhai vhb iaia~haho didcfg|hl opwf|)
<) Jap ~gp|h|gi ap jap |gzgpg ~dhi ~dhi pdhif aj 6%4> ai bg 4>%~ahi |ldcg(# pg~cdlg bg vgdm
a~haho vhb d |paif a~haho; eap~bhig# arxlaoaig# ap |hehcdp opwf)
O) Iaia~haho Didcfg|hl|
4) Eglbdih|e; Dl ~gph~bgpdccx a hibh`h bg dlhzhx aj ~pa|dfcdiohi| hi bg ~dhi ~dbvdx
0) _bgpg h| d lghchif gjjgl a bg didcfg|hd ~pazhogo `x I\DHO|)
<) Dozgp|g gzgi|; Lai|hogp hibh`hhai aj ~cdgcg dffpgfdhai dio bg gjjgl| aj hibh`hhai aj
pgidc ~pa|dfcdiohi|)
?) Pgege`gp# I\DHO| dpg fgigpdccx w|go hi doohhai a# ia hi|gdo aj# a~haho|)
G) Iaia~haho%A~haho Lae`hidhai|
4) D|~hphi ap D^D^ ap h`w~pajgi ~cw| laoghig ap bxopalaoaig ap arxlaoaig dpg bg ea|
laeeaicx w|go lae`hidhai|)
0) @g dvdpg aj bg ph|m aj D^D^ azgpoa|g vhb bg|g ~paowl|) D| vhb dix lae`hidhai
~paowl# oa|g g|ldcdhai aj aig lae~aigi iglg||hd g| g|ldcd hai a j bg a bgp|() Jap ~dhgi|
pgtwhphif bhfb oa|g|# ~wpg a~haho| dpg ~pgjgppgo)
<) Arxlaoaig%D^D^ h| dzdhcd`cg hi |gzgpdc |pgifb|= bavgzgp# bg deawi aj D^D^ hilpgd|g|
vhb hilpgd|hif arxlaoaig)
J) A~haho Didcfg| hl|
4) Eglbdih|e; A~haho| dl lgipdccx hi bg `pdhi ~gphdtwgowldc fpdx pgfhai( dio d bg cgzgc aj
bg |~hidc lapo oap|dc bapi( d |~glhjhl a~haho pglg~ap|)
0) _bg a~haho| bdzg ia didcfg|hl lghchif)
<) Eap~bhig
d) Eap~bhig h| bg |diodpo a vbhlb dcc abgp opwf| dpg lae~dpgo= a~haho| edx ohjjgp hi
owpdhai aj dlhai# pgcdhzg ~agilx# apdc gjjglhzgig||# dio dozgp|g gzgi ~pajhcg|# `w
iaig h| lchihldccx |w~gphap a eap~bhig)
8
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Ailacafx \w~~apthzg Ldpg
¨ 0>4> Degphldi Laccgfg aj Lchihldc ^bdpedlx
`) Jcgrh` hchx hi oa|dfg jape| dio doehih|pdhai pawg| ; apd c |w|dhigo pgcgd|g ]\PU #
heegohdg pgcgd|g(# |w`chifwdc# hipdzgiaw|# hipdbgldc!g~howpdc# |w`lwdigaw|# dio pgldc
l) Caif owpdhai aj dlhai; \P ~paowl| cd| 2%40 bawp| ap# jap |aeg ~pg~dpdhai|# 0? bawp|)
o) Eap~bhig h| aig aj bg ea| higr~gi|hzg a~haho|)
?) Arxlaoaig
d) Dzdhcd`cg d| d |hifcg opwf h)g)# ia hi lae`hidhai( hi `ab d caif%dlhif dio |bap%dlhif
japewcdhai
`) Grlgccgi dcgpidhzg a eap~bhig
7) Jgidixc
d) Jgidixc h| dzdhcd`cg d| d pdi|ogpedc ~pg~dpdhai# di apdc pdi|ewla|dc ~pg~dpdhai# dio d
`wlldc d`cg ) _pdi|ewla|dc dio `wlldc jgidixc dpg w|go jap `pgdmbpawfb ~dhi)
`) Gdlb pdi|ogpedc ~dlb ~pazhog| |w|dhigo pgcgd|g aj opwf dio ldi ~pazhog ~dhi pgc hgj jap
?2%60 bawp|)
l) Lai|hogp he~chldhai| jap oa|hif pdi|ogpedc jgidixc hi ldlbglhl ~dhgi|; _bg jgidixc
hihhdccx jape| d og~a hi |w`lwdigaw| h||wg# dio ~dhgi| vhb chcg ap ia jd edx ia
dlbhgzg ~dhi pgchgj)o) \cav ai|g# caif gchehidhai djgp ~dlb d~~chldhai dio pgeazdc# pg|~glhzgcx
g) @hadzdhcd`hchx h| fpgdgp vhb `wlldc d`cg| bdi vhb bg pdi|ewla|dc ~pg~dpdhai= bw|#
gtwhzdcgi oa|g| dpg bhfbgp jap pdi|ewla|dc dio cavgp jap `wlldc d`cg|)
F) Dozgp|g Gzgi|
4) \godhai; acgpdilg w|wdccx ogzgca~| vhbhi |gzgpdc odx|= pgege`gp bd eapg |godhai
edx `g gr~glgo hi d ~dhgi vba bd| `ggi wid`cg a |cgg~ `gldw|g aj wilaipaccgo ~dhi)
Jap ~dhgi| vba oa ia ogzgca~ acgpdilg a |godhai dio bdzg faao ~dhi laipac# d oa|g
pgowlhai edx `g lai|hogpgo) Hj oa|g pgowlhai lae~paeh|g| ~dhi laipac# bg doohhai aj
d |hewcdi g)f)# ogrpade~bgdehig# egbxc~bgihodg( edx `g lai|hogpgo) Abgp lgipdc
igpzaw| |x|ge dozgp|g gzgi| hilcwog ox|~baphd dio bdccwlhidhai|)
0) Lai|h~dhai h| zgpx laeeai# dio acgpdilg oag| IA_ ogzgca~ a bh| gjjgl) Oglpgd|go
hig|hidc ~gph|dc|h| h| ldw|go `x oglpgd|go hig|hidc aig= ogcdxgo fd|phl ge~xhif edx dc|a
allwp) Pgfwcdp w|g aj |hewcdi cdrdhzg| h| ajgi pgtwhpgo a edidfg lai|h~dhai)
<) Idw|gd dio zaehhif dpg laeeai) D| h| |ggi vhb |godhai# acgpdilg ogzgca~| vhbhi d`aw
d vggm) Idw|gd dio zaehhif edx bdzg d zg|h`wcdp lae~aigi# ogzgca~hif d| ~dhi pgchgj
~paeag| hilpgd|go ea`hchx) Di hzgphfa dfgi| g)f)# eglch{hig# ohegibxophidg( edx `g
w|gjwc hi edidfhif bg zg|h`wcdp lae~aigi) Idw|gd dio zaehhif edx dc|a allwp `gldw|g
aj |hewcdhai aj bg lbgeapglg~ap phffgp {aig) Opwf| bd `calm oa~dehig pglg~ap| g)f)#
~bgiabhd{hig|( ~pazhog pgchgj aj bh| lae~aigi aj idw|gd dio zaehhif wi hc acgpdilg
ogzgca~|)
?) Wphidpx pggihai!`cdoogp |~d|e h| eapg laeeai hi bg gcogpcx dio hi ~dhgi| dmhif caif%
dlhif japewcdhai|)
B) @h|~ba|~baidg|
4) @h|~ba|~baidg| bdzg `ggi |bavi a oglpgd|g ~dhi dio iwe`gp aj |mgcgdc%pgcdgo gzgi|
hi ~dhgi| vhb `pgd| ldilgp dio ewch~cg exgcaed vbgi fhzgi jap 4 xgdp) \mgcgdc%pgcdgo
gzgi| hilcwog ~dbacafhldc jpdlwpg# iggo jap pdohdhai bgpd~x a `aig# |wpfgpx a `aig# dio
|~hidc lapo lae~pg||hai)
0) Hi 0>>># bg Degphldi \alhgx aj Lchihldc Ailacafx ~w`ch|bgo hihhdc fwhogchig| jap bg w|g aj
`h|~ba|~baidg| hi `pgd| ldilgp w~odgo hi Iazge`gp 0>><()
4>
8/7/2019 Oncology Supportive Care
http://slidepdf.com/reader/full/oncology-supportive-care 11/27
Ailacafx \w~~apthzg Ldpg
¨ 0>4> Degphldi Laccgfg aj Lchihldc ^bdpedlx
d) Jap ~dhgi| vhb `pgd| ldilgp vba bdzg gzhogilg aj `aig egd|d|g| ai ~cdhi
pdohafpd~b|# h h| pglaeegiogo bgx pglghzg ghbgp ~dehopaidg 8> ef ogchzgpgo azgp 0
bawp| ap {acgopaihl dlho ? ef azgp 47 ehiwg| gzgpx <%? vggm|)
`) Vaegi vhb d`iapedc `aig |ldi dio d`iap edc lae~wgph{go aeafpd~bhl |ldi ap
edfighl pg|aidilg hedfhif |bavhif `aig og|pwlhai `w d iapedc pdohafpd~b |bawco
dc|a pglghzg bg d`azg pglaeegiogo `h|~ba|~baidg|)
l) W|hif `h|~ba|~baidg| hi vaegi vba dpg d|xe~aedhl dio vba bdzg di d`iapedc `aig
|ldi vhb iapedc pdohafpd~b h| ia pglaeegiogo)
o) _bgpd~x |bawco laihiwg wihc bgpg h| gzhogilg aj d |w`|dihdc oglchig hi d ~dhgi&|
~gp japedilg |dw| )
g) @h|~ba|~baidg| edx `g w|go hi lae`hidhai vhb abgp ~dhi bgpd~hg| hi ~dhgi| vhb
~dhi ldw|go `x a|gacxhl oh|gd|g)
<) Hi 0>>0# bg Degphldi \alhgx aj Lchihldc Ailacafx ~w`ch|bgo fwhogchig| jap bg w|g aj
`h|~ba|~baidg| hi ewc h~cg exgcaed)
d) ^dhgi| vhb cxhl `aig og|pwlhai |ggi ai ~cdhi pdohafpd~b| |bawco pglghzg ghbgp
~dehopaidg 8> ef hi pdzgiaw|cx azgp d cgd| 0 bawp| ap {acgopaihl dlho ? ef azgp 47ehiwg| gzgpx <%? vggm|)
`) _bgpd~x |bawco laihiwg wihc bgpg h| gzhogilg aj |w`|dihdc oglchig hi d ~dhgi&|
~gp japedilg |dw| )
l) ^dhgi| vhb a|ga~gihd `w ia pdohacafhl gzhogilg aj `aig egd|d |g| ldi pglghzg
`h|~ba|~baidg|)
o) @h|~ba|~baidg| dpg ia pglaeegiogo jap bg jaccavhif fpaw~| aj ~dhgi|; ~dhgi| vhb
|achdpx ~cd|edlxaed# |eacogphif ap hioacgi exgcaed# dio eaialcaidc fdeea~dbx
aj wioggpehigo |hfihjhldilg)
g) @h|~ba|~baidg| edx `g w|go hi ~dhgi| vhb ~dhi ldw|go `x a|gacxhl oh|gd|g)
?) Dozgp|g gzgi| d||alhdgo vhb ~dehopaidg ap {acgopaihl dlho hilcwog cav%fpdog
jgzgp|# idw|gd# diapgrhd# zaehhif# bx~aedfig|gehd# bx~aldclgehd# bx~amdcgehd# dio
ig~bpaarhlhx)
d) \gpwe lpgdhihig |bawco `g eaihapgo `gjapg gdlb oa|g |gg ~dlmdfg hi|gp jap |~glhjhl
pglaeegiodhai|()
`) ^dlmdfg hi|gp pglaeegio| hi hhdhif ~dhgi| ai apdc ldclhwe 7>> ef ~cw| zhdehi O
?>> HW!odx a ~pgzgi bx~aldclgehd)
l) Iwegpaw| pg~ap| aj a|gaiglpa|h| aj bg kdv allwpphif hi ~dhgi| pglghzhif
`h|~ba|~baidg| bdzg d~~gdpgo hi bg chg pdwpg) A|gaiglpa|h| aj bg kdv ea| ajgi
jaccav| d ogidc ~palgowpg ap ogidc ~dbacafx) _bg caif bdcj%chjg aj `h|~ba|~baidg hi
`aig edmg| b h| dozgp|g gzgi ohj jhlwc a ~pgzgi dio edi dfg) ^dhgi gowldhai dio
gowldhai aj ogih|| dpg he~apdi)
H) Dokwzdi didcfg|hl| dpg opwf| vba|g ~phedpx hiohldhai h| abgp bdi ~dhi= bgx dpg w|go a
edidfg |~glhjhl ~dhi |xiopaeg|) Ea| ajgi# dokwzdi didcfg|hl| dpg w|go hi doohhai a# pd bgp
bdi hi|gdo aj# a~haho|)
4) Dihog~pg||di| g)f)# dehph~xchig( dio dihlaizwc|di| g)f)# fd`d~gihi# ldp`ded{g~hig( dpg
w|go jap igwpa~dbhl ~dhi g)f)# ~bdiae che` ~dhi# igpzg lae~pg||hai ldw|go `x weap(
0) _pdi|ogpedc choaldhig h| w|gjwc hi caldch{go igwpa~dbhl ~dhi)
<) Laphla|gpaho| dpg w|gjwc hi ~dhi ldw|go `x igpzg lae~pg||hai ap hijcdeedhai#
cxe~bgoged# `aig ~dhi# ap hilpgd|go hipdlpdihdc ~pg||wpg)
?) @gi{aohd{g~hig|; ohd{g~de# capd{g~de; w|gjwc jap ew|lcg |~d|e|= ̀ dlcajgi h| diabgp
dcgpidhzg jap hipdld`cg ew|lcg |~d|e|
44
8/7/2019 Oncology Supportive Care
http://slidepdf.com/reader/full/oncology-supportive-care 12/27
Ailacafx \w~~apthzg Ldpg
¨ 0>4> Degphldi Laccgfg aj Lchihldc ^bdpedlx
7) \paihwe%28; pdohaiwlchog jap pgdegi aj `aig ~dhi ldw|go `x a|ga`cd|hl cg|hai|= d |hifcg
oa|g edx ~pazhog pgchgj jap |gzgpdc vggm| ap gzgi eaib|= bavgzgp# h h| exgca|w~~pg||hzg
:) Iai|gpahodc dih%hijcdeedapx opwf| dpg pglaeegiogo jap bg pgdegi aj ~dhi ldw|go ̀ x
`aig egd|d|g|) ^pa|dfcdiohi| |gi|hh{g ialhlg~ap| ~dhi pglg~ap|( a ~dhijwc |hewch # bw|
~pazhohif d pdhaidcg jap w|hif I\DHO|)
HHH) _PGD_EGI_ AJ JG@PHCG IGW_PA^GIHD
D) ^philh~cg| aj Lbgeabgpd~x%Hiowlgo @aig Edppav \w~~pg||hai
4) @aig edppav |w~~pg||hai h| bg ea| laeeai oa|g%chehhif arhlhx d||alhdgo vhb
pdohhaidc lxaarhl lbgeabgpd~x)
0) Vbhg `caao lgcc lawi( 5 d iapedc pdifg aj ?)2%4>)2 r 4>< lgcc|!ee<
vhb d lhplwcdhif chjg
|~di aj :‟40 bawp|= oglpgd|go V@L 5 igwpa~gihd# cgwla~gihd# ap fpdiwcalxa~gihd= bg ph|m
h| chjg%bpgdgihif hijglhai|= bg ph|m hilpgd|g| vhb DIL cg|| bdi 7>>!ee<# dio bg ph|m h|
fpgdg| vhb DIL cg|| bdi 4>>!ee<) @gldw|g igwpa~bhc| bdzg bg jd|g| wpiazgp# bg gjjgl|
aj lxaarhl lbgeabgpd~x dpg fpgdg| ai igwpa~bhc| lae~dpgo vhb ~cdgcg| ap P@L|()
d) _bg idohp w|wdccx og|lph`go `x bg DIL( h| bg cavg| zdcwg a vbhlb bg `caao lawi
jdcc| djgp lxaarhl lbgeabgpd~x) W|wdccx allwp| 4>%4? odx| djgp lbgeabgpd~x
doehih|pdhai# vhb lawi| w|wdccx pglazgphif `x <%? vggm| djgp lbgeabgpd~x=
grlg~hai| hilcwog ehaexlhi dio ihpa|awpgd| ldpew|hig dio caew|hig(# vbhlb bdzg
idohp| aj 02%?0 odx| djgp lbgeabgpd~x dio pglazgpx aj igwpa~bhc| :%2 vggm| djgp
pgdegi
`) D`|acwg igw pa~bhc lawi 5 V@L r ' fpdiwcalxg| ap igwpa~bhc| |gfegigo
igwpa~bhc| ~cw| `dio igwpa~bhc|()
Grde~cg; ~dhgi&| V@L 5 ?)7 r 4>< lgcc|!ee<
vhb 4>' |gfegigo igwpa~bhc| dio 7'
`dio igwpa~bhc|) Vbd h | bg DIL1 ?7>> r ">)4 - >)>7( 5 :67)
l) _a doehih|gp lbgeabgpd~x# d ~dhgi |bawco bdzg V@L fpgdgp bdi <>>>!ee<
AP DIL fpgdgp bdi 47>>!ee
<DIO ~cdgcg lawi aj 4>>#>>>!ee
<ap fpgdgp) _bg|g dpg
fgigpdc fwhogchig|= |aeg ~paalac| |~glhjx ohjjgpgi cavgp( bpg|baco| jap doehih|gphif
lbgeabgpd~x= hj lxa~gihd h| dph`wd`cg a oh|gd|g hi bg `aig edppav# lbgeabgpd~x
jwcc oa|g( edx ldw|g he~pazgegi= |aeg opwf| dpg iaiexgca|w~~pg||hzg g)f)#
zhilph|hig# `cgaexlhi# eaialcaidc dih`aohg|()
o) _bg ~agihdc lwpd`hchx aj bg oh|gd|g hijcwgilg| vbd dlhai vhcc `g dmgi owphif bg
igr lxlcg aj lbgeabgpd~x‟ghbgp oa|g pgowlhai aj exgca|w~~pg||hzg lbgeabgpd~x ap
|w~~ap vhb d L\J)
<) Egfdmdpxalxg| ~cdgcg|( 5 d iapedc pdifg aj 4?>#>>>%??>#>>> lgcc|!ee<
vhb d lhplwcdhif
chjg |~di aj 7%4> odx|= oglpgd|go ~cdgcg lawi 5 bpae`alxa~gihd= bg ph|m h| `cggohif= bg
ph|m h| fpgdg| vhb ~cdgcg lawi cg|| bdi 4>#>>>!ee<
?) Pgo `caao lgcc| 5 d iapedc pdifg aj ?):%:)0 r 4>:
lgcc|!ee<
vhb d lhplwcdhif chjg |~di aj 40>
odx|= oglpgd|go P@L| 5 digehd# vhb bg ~agihdc jap bx~arhd# jdhfwg# dio grdlgp`dhai aj
laifg|hzg bgdp jdhcwpg
7) Abgp jdlap| djjglhif exgca|w~~pg||hai hilcwog ~pgzhaw| lbgeabgpd~x# ~pgzhaw| pdohdhai
bgpd~x# dio ohpgl `aig edppav hizaczgegi `x weap)
40
8/7/2019 Oncology Supportive Care
http://slidepdf.com/reader/full/oncology-supportive-care 13/27
Ailacafx \w~~apthzg Ldpg
¨ 0>4> Degphldi Laccgfg aj Lchihldc ^bdpedlx
@) Igwpa~gihd dio Jg`phcg Igwpa~gihd
4) _bg lwppgi zgp|hai aj bg Hijglhaw| Oh|gd|g| \alhgx aj Degphld fwhogchig| jap bg w|g aj
dih`hahl| hi ~dhgi| vhb ldilgp dio igwpa~gihd vd| h||wgo hi 0>>0) D| aj bh| vphhif# bg
igr gohhai h| |lbgowcgo jap pgcgd|g hi 0>%4>)
0) Igwpa~gihd h| ogjhigo d| di DIL aj 7>>!ee<
ap cg|| ap d lawi aj cg|| bdi 4>>>!ee<
vhb
d ~pgohlgo oglpgd|g a cg|| bdi 7>>!ee<
owphif bg igr ?2 bawp|)
<) Jg`phcg igwpa~gihd h| ogjhigo d| igwpa~gihd dio d |hifcg apdc ge~gpdwpg aj 4>4 ¾J ap eapg
ap d ge~gpdwpg aj 4>>)?¾J ap eapg jap d cgd| 4 bawp)
?) Igwpa~gihl ~dhgi| dpg d di hilpgd|go ph|m aj ogzgca~hif |gphaw| dio chjg %bpgdgihif
hijglhai|)
7) _bg w|wdc |hfi|!|xe~ae| aj hijglhai g)f)# d`|lg||# ~w|# hijhcpdg| ai lbg| pdohafpd~b( dpg
d`|gi# vhb jgzgp ajgi `ghif bg aicx hiohldap) Hi doohhai# lwcwpg| dpg igfdhzg eapg ajgi
bdi ia) _bw|# ~pae~ hizg|hfdhai dio pgdegi aj jg`phcg igwpa~gihd dpg g||gihdc)
:) _bg hihhdc d||g||egi aj ~dhgi| vhb jg`phcg igwpa~gihd hilcwog| d ph|m d||g||egi jap
lae~chldhai|!|gzgpg hijglhai)
d) Lbdpdlgph|hl| aj cav%ph|m igwpa~gihd hilcwog DIL aj 4>>!ee<
ap eapg dio d`|acwgeaialxg lawi aj c>>!ee
<ap eapg= iapedc lbg| pdohafpd~b= dcea| iapedc pgidc dio
bg~dhl jwilhai= owpdhai aj igwpa~gihd cg|| bdi 6 odx| dio pg|acwhai gr~glgo hi cg||
bdi 4> odx|= ia hipdzgiaw| dllg|| |hg ap ldbggp |hg hijglhai= gdpcx gzhogilg aj `aig
edppav pglazgpx= edchfidilx hi pgeh||hai= ~gdm apdc ge~gpdwpg aj cg|| bdi 4>0¾J= ia
igwpacafhl ap egidc |dw| lbdifg|= ia d~~gdpdilg aj hccig||= d`|gilg aj d`oaehidc ~dhi=
ia laeap`ho lae~chldhai| g)f)# |balm# bx~arhd# ~igweaihd# abgp ogg~ apfdi hijglhai#
zaehhif# ohdppbgd()
`) _bg Ewchid haidc D||alhdhai jap \w~~aphz g Ldpg hi Ldilgp bd| ogzgca~go d |laphif
hiogr a bgc~ hogihjx ~dhgi| vhb cav%ph|m jg`phcg igwpa~gihd) \lapg| dpg d||g||go ai
bg `d|h| aj jdlap| |wlb d| ba|g ch|go d`azg)
l) Jg`phcg igwpa~gihd bd h| lai|hogpgo d cav ph|m aj lae~chldhai| edx `g pgdgo vhb
ghbgp apdc ap hipdzgiaw| dih`hahl| hi di aw~dhgi ap hi~dhgi |ghif)
o) ^dhgi| vhb bhfb%ph|m jg`phcg igwpa~gihd h)g)# ~dhgi| vba oa ia bdzg cav%ph|m
lbdpdlgph|hl| d| iago d`azg( |bawco pglghzg hipdzgiaw| dih`hahl| hi bg ba|~hdc)
6) Lai|hogpdhai| hi bg hihhdc |gcglhai aj di dih`hahl hilcwog bg ~agihdc hijglhif apfdih|e#
~agihdc |h g|( dio |awplg aj hijglhai# caldc di hehlpa`hdc |w|lg~h`hc hhg|# apfdi ox|jwilhai
~agihdccx djjgl hif dih`hahl lcgdpdilg ap arhl hx# dio opwf d ccgpfx) _bg ea| laeeai
|awplg aj hijglhai h| gioafgiaw| jcapd# vbhlb lawco `g fpde%igfdhzg ap fpde%~a|hhzg
`dlgphd= bg eapg ~pacaifgo bg igwpa~gihd dio bg eapg ~pacaifgo bg doehih|pdhai aj
dih`dlgphdc dih`hahl|(# bg fpgdgp lbdilg aj jwifh ~cdxhif d pacg hi bg hijglhai)
2) Dcc ~dhgi| |bawco `g pgd||g||go djgp <%7 odx| aj dih`hahl bgpd~x# dio dih`hahl| |bawco
`g dokw|go dllapohifcx)
4<
8/7/2019 Oncology Supportive Care
http://slidepdf.com/reader/full/oncology-supportive-care 14/27
Ailacafx \w~~apthzg Ldpg
¨ 0>4> Degphldi Laccgfg aj Lchihldc ^bdpedlx
^dthgit Ld|g|
<) D ?7%xgdp%aco vaedi bd| egd|dhl `pgd| ldilgp) _bg edhi |hg| aj egd|dhl oh|gd|g dpg pgfhaidc cxe~b
iaog| dio `aig |gzgpdc ph` cg|hai|() \bg lae~cdhi| aj dlbhif ~dhi vhb alld|haidc |baahif ~dhi|) _bg cdgp
dpg bawfb a `g bg pg|wc aj igpzg lae~pg||hai `x gicdpfgo cxe~b iaog|) \bg bd| `ggi dmhif arxlaoaig%D^D^ 7 ef 0 d`cg| gzgpx ? bawp| dio h`w~pajgi ?>> ef gzgpx 2 bawp|) Bgp lwppgi ~dhi pdhif h| 2 ai d
|ldcg aj 4># dio |bg |dg| bd bgp ~dhi ldiia `g laipaccgo) Vbhlb aig aj bg jaccavhif lbahlg| h| `g| a
edidfg bgp ~dhi d bh| heg1
D) Hilpgd|g arxlaoaig%D^D^ a 6)7 ef# 0 d`cg| gzgpx ? bawp|)
@) Hilpgd|g arxlaoaig%D^D^ a 4> ef# 0 d`cg| gzgpx ? bawp|)
L) Oh|laihiwg h`w~pajgi dio doo eap~bhig \P gzgpx 40 bawp|)
O) Oh|laihiwg arxlaoaig%D^D^ dio doo eap~bhig \P gzgpx 40 bawp|)
?) Vbhlb aig aj bg jaccavhif ehfb `g di doohhaidc lbdifg jap bh| ~dhgi&| ~dhi pgfhegi1
D) I d~pargi)
@) \hifcg%dfgi |hifcg hifpgohgi( D^D )̂
L) Fd`d~gihi)
O) @dlcajgi)
HZ) W\G AJ L\J| HI IGW_PA^GIHD DIO JG@PHCG IGW_PA^GIHD
D) Lacaix%|hewcdhif jdlap| gibdilg `ab bg ~paowlhai dio jwilhai aj bghp dpfg lgcc|= bpgg
~paowl| dpg lwp pgicx dzdhcd`cg hi bg Wihgo \dg|; F %L\J jhcfpd|he(= ~gfxcdgo F %L\J
~gfjhcfpd|he ap ^GF F%L\J(= dio FE%L\J |dpfpdea|he()
@) ^gfjhcfpd|he h| d~~pazgo jap w|g hi ~dhgi| vhb iaiexgcaho edchfidilhg| vba dpg pglghzhif
exgca|w~~pg||hzg lbgeabgpd~x d||alhdgo vhb d bhfb hilhogilg aj jg`phcg igwpa~gihd)
L) F%L\J dio FE%L\J bdzg `ggi ~pazgo a pgowlg bg hilhogilg# edfihwog# dio owpdhai aj
igwpa~gihd djgp lbgeabgpd~x dio `aig edppav pdi|~cdidhai)
O) Fwhogchig| jap bg w|g aj L\J| vgpg g|d`ch|bgo `x bg Degphldi \alhgx aj Lchihldc Ailacafx hi
488?= bg ea| pglgi w~odg vd| ~w`ch|bgo hi 0>>:)
G) Lacaix%|hewcdhif jdlap| bdzg `ggi |bavi a pgowlg bg hilhogilg aj jg`phcg igwpa~gihd `x
d`aw 7>'# dio bghp w|g jap ~phedpx ~pa~bxcdrh| h| pglaeegiogo vhb lbgeabgpd~x pgfhegi|
d||alhdgo vhb d 0>' ap fpgdgp ph|m aj jg`phcg igwpa~gihd)
4) _bg L\J dio FE%L\J dpg fhzgi `x odhcx |w`lwdigaw| hikglhai)
0) _a odg# ia cdpfg phdc| bdzg lae~dpgo F%L\J dio FE%L\J) _bgpgjapg# dcbawfb h ldiia
`g |dgo wigtwhzaldc cx bd bg va dpg bgpd~gwhldccx gtwhzdcgi# bgx dpg ajgi w|go
higplbdifgd`cx)
<) ^gfjhcfpd|he h| fhzgi d| d |hifcg :%ef |w`lwdigaw| oa|g# fgigpdccx doehih|gpgo 0? bawp|
djgp lbgeabgpd~x)
?) D |hifcg oa|g aj ~gfjhcfpd|he h| d| gjjglhzg d| 44 odhcx oa|g| aj F%L\J 7 elf!mf hi
pgowlhif bg jpgtwgilx dio owpdhai aj |gzgpg igwpa~gihd# ~paeahif igwpa~bhc pglazgpx#
dio pgowlhif bg jpgtwgilx aj jg`phcg igwpa~gihd)
7) _bg lbahlg aj L\J ~gfjhcfpd|he z|) jhcfpd|he ap |dpfpdea|he( |bawco `g `d|go ai bg gr~glgo
owpdhai aj igwpa~gihd dio bg |~glhjhl dihldilgp pgfhegi g)f)# |bap lawp|g| aj d odhcx L\J
pdbgp bdi aig oa|g aj ~gfjhcfpd|he vhb lbgeabgpd~x doehih|gpgo ai d vggmcx |lbgowcg()
4?
8/7/2019 Oncology Supportive Care
http://slidepdf.com/reader/full/oncology-supportive-care 15/27
Ailacafx \w~~apthzg Ldpg
¨ 0>4> Degphldi Laccgfg aj Lchihldc ^bdpedlx
:) Dozgp|g gzgi| d||alhdgo vhb dcc bpgg ~pg~dpdhai| d~~gdp |hehcdp= bgx hilcwog `aig ~dhi
ea| laeeai( dio jgzgp)
6) _bg L\J |bawco `g hihhdgo `gvggi 0? dio 60 bawp| djgp bg lae~cghai aj lbgeabgpd~x)
2) _bg ~dlmdfg chgpdwpg pglaeegio| laihiwgo doehih|pdhai aj F %L\J wihc bg ~a|%
idohp DIL h| fpgdgp bdi 4>#>>>!ee<= bavgzgp# `ab F%L\J dio FE%L\J dpg laeeaicx
oh|laihiwgo vbgi "dogtwdg igwpa~bhc pglazgpx" h| gzhogi) _a o glpgd|g la| vhbaw
lae~paeh|hif ~dhgi awlaeg# edix lgigp| laihiwg bg L\J wihc DIL h| fpgdgp bdi 0>>>%
7>>>!ee<) Iag bd bg DIL vhcc oglpgd|g d`aw 7>' ~gp odx djgp bg L\J h| oh|laihiwgo hj
bg edppav bd| ia pglazgpgo h)g)# hj bg L\J h| oh|laihiwgo `gjapg bg DIL idohp h| pgdlbgo()
8) Dzaho bg lailaehdi w|g aj L\J hi ~dhgi| pglghzhif lbgeabgpd~x dio pdohdhai bgpd~x=
bg ~agihdc grh|| jap vap|gihif exgca|w~~pg||hai)
J) Pgjgp a bg Degphldi \alhgx aj Lchihldc Ailacafx Fwhogchig| jap bg jaccavhif hiohldhai|;
hilpgd|hif lbgeabgpd~x oa|g higi|hx= w|hif d| dokwil| a ~pafgihap%lgcc pdi|~cdidhai=
doehih|gphif a ~dhgi| vhb exgcaho edchfidilhg|= dio w|hif hi ~gohdphl ~a~wcdhai|
F) Degphldi \alhgx aj Lchihldc Ailacafx Fwhogchig| jap \glaiodpx L\J Doehih|pdhai
4) Hj lbgeabgpd~x doehih|pdhai bd| ̀ ggi ogcdxgo ap bg oa|g pgowlgo `gldw|g aj ~pacaifgo
igwpa~gihd# bgi L\J w|g ldi `g lai|hogpgo jap |w`|gtwgi lbgeabgpd~x lxlcg|=
doehih|gphif d L\J hi bh| |ghif h| lai|hogpgo |glaiodpx ~pa~bxcdrh|)
0) Oa|g pgowlhai aj lbgeabgpd~x |bawco `g lai|hogpgo bg jhp| a~hai h)g)# hi|gdo aj d L\J (
djgp di g~h|aog aj igwpa~gihd hi ~dhgi| `ghif pgdgo vhb bg higi a ~dcchdg h)g)# ia d
lwpdhzg higi()
B) W|g aj L\J| jap _pgdegi aj G|d`ch|bgo Igwpa~gihd
4) Doehih|gphif L\J| hi ~dhgi| vba dpg igwpa~gihl# ̀ w ia jg`phcg# h| ia pglaeegiogo)
0) Doehih|gphif L\J| hi ~dhgi| vba dpg igwpa~gihl dio jg`phcg edx ̀ g lai|hogpgo hi
bg ~pg|gilg aj ph|m jdlap| jap lae~chldhai| g)f)# DIL cg|| bdi 4>>!ee<# ~igweaihd#
bx~agi|hai# ewchapfdi ox|jwilhai# hizd|hzg jwifdc hijglhai(= L\J| edx `g w|go hi
doohhai a dih`hahl| a pgd igwpa~gihd hi ~dhgi| vhb bg|g ph|m jdlap|)
^dthgit Ld|g|
7) D 7>%xgdp%aco vaedi h| pglghzhif dokwzdi lbgeabgpd~x jap |dfg HH `pgd| ldilgp) \bg pglghzgo bgp bhpo
lxlcg aj oarapw`hlhi dio lxlca~ba|~bdehog DL( 4> odx| dfa) Bgp L@L aodx hilcwog| V@L :>>!ee<#
|gfegigo igwpa~bhc| :>'# `dio igwpa~bhc| 4>'# eaialxg| 40'# `d|a~bhc| 2'# dio ga|hia~bhc| 4>')
Vbhlb aig aj bg jaccavhif pg~pg|gi| bh| ~dhgi&| DIL1
D) :>>!ee<)
@) <:>!ee<
)L) 0?>!ee
<)
O) ?0>!ee<)
:) @d|go ai bh| DIL# vbhlb aig aj bg jaccavhif |dgegi| h| ea| lappgl1
D) _bg ~dhgi |bawco `g hihhdgo ai d L\J)
@) _bg ~dhgi |bawco `gfhi ~pa~bxcdlhl pgdegi vhb ghbgp d twhiacaig dih`hahl ap phegba~phe%
|wcjdegbard{acg)
L) _bg ~dhgi# vba h| igwpa~gihl# |bawco `g eaihapgo lca|gcx jap |hfi| dio |xe~ae| aj hijglhai)
O) Oglpgd|g bg oa|g| aj oarapw`hlhi dio lxlca~ba|~bdehog vhb bg igr lxlcg aj p gdegi)
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Ailacafx \w~~apthzg Ldpg
¨ 0>4> Degphldi Laccgfg aj Lchihldc ^bdpedlx
Z) _BPAE@ALX_A^GIHD
D) Ogjhigo d| d ~cdgcg lawi cg|| bdi 4>>#>>>!ee<= bavgzgp# bg ph|m aj `cggohif h| ia |w`|dihdccx
hilpgd|go wihc bg ~cdgcg lawi h| 0>#>>> ap cg||) ^pdlhlg| jap ~cdgcg pdi|jw|hai zdpx vhogcx
jpae hi|hwhai a hi|hwhai) Edix hi|hwhai| oa ia pdi|jw|g ~cdgcg| wihc bg ~dhgi `glaeg|
|xe~aedhl gllbxea|h|# ~gglbhdg# bgea~x|h|# ap bgedgeg|h|() Abgp hi|hwhai| vhcc pdi|jw|g
vbgi bg ~cdgcg lawi h| 4>#>>>!ee<
ap cg||# gzgi hi bg d`|gilg aj `c ggohif)
@) A~pgczgmhi higpcgwmhi%44( h| d~~pazgo jap bg ~pgzgihai aj |gzgpg bpae`alxa~gihd hi ~dhgi|
wiogpfahif lbgeabgpd~x jap iaiexgcaho edchfidilhg|)
4) A~pgczgmhi h| doehih|gpgo d| d odhcx |w`lwdigaw| hikglhai# `gfhiihif :%0? bawp| djgp
lae~cghai aj exgca|w~~pg||hzg lbgeabgpd~x)
0) _pgdegi h| laihiwgo wihc d ~a|%idohp ~cdgcg lawi aj 7>#>>> lgcc|!ee<
ap fpgdgp h|
dlbhgzgo= oa|hif `gxaio 04 odx| h| ia pglaeegiogo# dio a~pgczgmhi ew| `g oh|laihiwgo
d cgd| 0 odx| `gjapg bg igr lxlcg aj( lbgeabgpd~x)
<) _bg lwppgi pacg aj a~pgczgmhi h| a edhidhi bg oa|g higi|hx aj lbgeabgpd~x# dcbawfbh h| ia igdpcx d| vhogcx w|go d| bg L\J| jap igwpa~bhc|) D ~bdpedlaglaiaehl didcx|h|
jpae bg ~dxgp&| ~gp|~glhzg( oho ia |bav a~pgczgmhi a `g d la|%|dzhif |pdgfx
lae~dpgo vhb pawhig ~cdgcg pdi|jw|hai| jap ~dhgi| vhb |gzgpg lbgeabgpd~x %hiowlgo
bpae`alxa~gihd)
?) Laeeai dozgp|g gzgi| d||alhdgo vhb a~pgczgmhi hilcwog goged# |bapig|| aj `pgdb#
dlbxldpohd# dio laikwilhzdc pgoig||)
ZH) DIGEHD!JD_HFWG
D) Ldw|g| aj Digehd dio Jdhfwg hi Dowc ^dhgi| vhb Ldilgp
4) Wiedidfgo ~dhi ap abgp |xe~ae| ldi hilpgd|g jdhfwg)
0) Oglpgd|go P@L ~paowlhai `gldw|g aj dihldilgp bgpd~x# ghbgp pdohdhai ap lbgeabgpd~x
<) Oglpgd|go ap hid~~pa~phdg gioafgiaw| gpxbpa~ahghi ~paowlhai ap oglpgd|go
pg|~ai|hzgig|| a gioafgiaw| gpxbpa~ahghi
?) Oglpgd|go `aox |apg| aj zhdehi @40
# hpai# ap jachl dlho
7) @caao ca||
:) Dcbawfb digehd ldi lgpdhicx laiph`wg a ap vap|gi jdhfwg# bgpg dpg chmgcx abgp
~gpbd~| edix( eglbdih|e| aj jdhfwg g)f)# lxamhig|( bd dpg hiog~giogi aj bgeafca`hi
lailgipdhai)
@) ^philh~cg| aj Digehd dio Jdhfwg4) Jdhfwg h| g|hedgo a djjgl :>'%2>' aj dcc ~dhgi| vhb ldilgp)
0) Jdhfwg edx `g `gldw|g aj bg oh|gd|g ap pgdegi)
<) Jdhfwg ldi `g d||g||go vhb d iwegphl pdhif |ldcg# > 5 ia jdhfwg dio 4> 5 vap| jdhfwg
hedfhid`cg# ap vhb dix aj |gzgpdc twg|haiidhpg| g)f)# JDL_%Di()
?) Opwf| w|go hi bg pgdegi aj digehd dio jdhfwg
d) G~aghi dio odp`g~aghi dcjd dpg d~~pazgo jap bg pgdegi aj lbgeabgpd~x%hiowlgo
digehd# bg gio ~ahi aj pgdegi `ghif oglpgd|go iggo jap pdi|jw|hai)
4:
8/7/2019 Oncology Supportive Care
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Ailacafx \w~~apthzg Ldpg
¨ 0>4> Degphldi Laccgfg aj Lchihldc ^bdpedlx
`) Hi pglgi xgdp|# pg~ap| aj d og phegidc gjjgl aj gpx bpa~ahg|h| %|hewcdhif ~paghi|
g)f)# hilpgd|go ogdb|# ~aapgp lbgeabgpd~x awlaeg|( bdzg cgo a lbdifg| hi bg
pghe`wp|gegi jap bg|g dfgi| dio a lbdifg| hi ~pdlhlg fwhogchig|) Bgeafca`hi dpfg|
dpg cavgp bdi ~pgzhaw|cx# dio bgeafca`hi h| ldpgjwccx eaihapgo)
l) H h| he~apdi a oh|hifwh|b `gvggi bg w|g aj bg|g dfgi| jap lbgeabgpd~x%d||alhdgo
digehd dio ldilgp%d||alhdgo digehd) _bg cdgp h| ia di d~~pazgo w|g)
^dthgit Ld|g
6) D ?7%xgdp%aco edi h| `gfhiihif bh| bhpo lxlcg aj lbgeabgpd~x jap grgi|hzg%|dfg |edcc lgcc cwif ldilgp)
D ohdfia|h|# bh| bgeafca`hi vd| 4> f!oC= bavgzgp# aodx# bh| bgeafca`hi h| cg|| bdi 4> f!oC) _bg ~dhgi
lae~cdhi| aj lai|hogpd`cg jdhfwg bd h| higpjgphif vhb bh| dlhzhhg| aj odhcx chzhif) Vbhlb aig aj bg jac %
cavhif |dgegi| h| pwg1
D) _pgdegi vhb g~aghi |bawco ̀ g lai|hogpgo)
@) _pgdegi vhb odp`g~aghi |bawco `g lai|hogpgo vbgi bgeafca`hi jdcc| a cg|| bdi 8 f!oC)
L) Grgi|hzg%|dfg |edcc lgcc cwif ldilgp h| di hilwpd`cg oh|gd|g# dio gpxbpa~ahg|h|%|hewcdhif ~pa%
ghi| |bawco ia `g w|go)
O) _bg ~dhgi |bawco ia pglghzg P@L pdi|jw|hai| `gldw|g bg h| |xe~aedhl)
ZHH) LBGEA^PA_GL_DI_\
D) ^pa~gphg| aj di Hogdc ^pagldi Opwf jap Lbgeabgpd~x dio Pdohdhai%Hiowlgo _arhlhhg|
4) Gd|x a doehih|gp
0) Ia dozgp|g gzgi|
<) ^pgzgi| dcc arhlhhg|# hilcwohif iai%chjg bpgdgihif dca~glhd( arhlhhg|# hppgzgp|h`cg
eap`hohhg| igwpa~dbhg|# aaarhlhx(# dio eapdchx |gzgpg exgca|w~~pg||hai#ldpohaarhlhx(
?) Oag| ia higpjgpg vhb bg gjjhldlx aj bg ldilgp pgdegi
7) _a odg# ia |wlb opwf bd| `ggi hogihjhgo)
@) Ogrpd{ardig
4) _bg dibpdlxlchig| odwiapw h̀lhi# oarapw`hlhi# hodpw`hlhi# dio g~hpw`hlhi( ldi ldw|g
ldpohaexa~dbx bd h| pgcdgo a bg adc chjgheg lwewcdhzg oa|g)
0) Ogrpd{ardig dl| d| di hipdlgccwcdp lbgcdhif dfgi= hpai lbgcd hai cgdo| a d oglpgd|g hi
dibpdlxlchig%hiowlgo jpgg pdohldc odedfg)
d) Ogrpd{ardig h| d~~pazgo jap w|g hi ~dhgi| vhb egd|dhl `pgd| ldilgp) H edx `g
lai|hogpgo jap ~dhgi| vba bdzg pglghzgo <>> ef!e0
ap eapg aj oarapw`hlhi dio vba
edx `gigjh jpae laihiwgo oarapw`hlhi# lai|hogphif bg ~dhgi&| ph|m aj ldpohaarhlhxvhb laihiwgo oarapw`hlhi w|g)
`) Ogrpd{ardig edx hilpgd|g bg bgedacafhl arhlhx aj lbgeabgpd~x)
l) Di gdpcx |wox |wffg|go bd ogrpd{ardig oglpgd|g| bg pg|~ai|g pdg a lbgeabgpd~x )
Eapg pglgi odd |wffg| bh| h| ia bg ld|g# `w ogrpd{ardig h| |hcc ia hiohldgo jap
~d hgi| vhb gdpcx lwpd`cg( `pgd| ldilgp )
<) Ogrpd{ardig bd| pglgicx dc|a `ggi d~~pazgo jap w|g d| di dihoag jap bg grpdzd|dhai aj
dibpdlxlchig lbgeabgpd~x)
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Ailacafx \w~~apthzg Ldpg
¨ 0>4> Degphldi Laccgfg aj Lchihldc ^bdpedlx
hhh) _bhd{hog ohwpghl| dpg laipdhiohldgo hi bx~gpldclgehd `gldw|g aj bg hilpgd|g hi
pgidc w`wcdp ldclhwe d`|ap~hai)
hz) @h|~ba|~baidg| `hio a bxoparxd~dhg hi ldclhjhgo `aig# vbhlb ~pgzgi| oh||acwhai
`x ~ba|~bdd|g| dio hibh`h| `ab iapedc dio d`iapedc `aig pg|ap~hai) _bg ai|g aj
dlhai h| <%? odx|)
z) Ldclhaihi hibh`h| bg gjjgl| aj ~dpdbxpaho bapeaig dio bd| d pd~ho%ai|g bawfb
|bap%chzgo( bx~aldclgehl gjjgl)
zh) \gpaho| edx `g w|go a cavgp ldclhwe hi ~dhgi| vhb |gpaho %pg|~ai|hzg weap|
cxe~baed dio exgcaed()
zhh) ^ba|~bdg h| pg|gpzgo jap ~dhgi| vba dpg ̀ ab bx~a~ba|~bdgehl dio
bx~gpldclgehl) ^ba|~bdg h| |gcoae w|go `gldw|g aj bg ~a||h`hchx aj ldclhwe dio
~ba|~bdg ~pglh~hdhai hi |aj h||wg)
zhhh) Ohdcx|h| edx `g pgtwhpgo hi ~dhgi| vhb bx~gpldclgehd dio pgidc jdhcwpg)
hr) Lxlcaarxfgid|g hibh`hap| g)f)# hioaegbdlhi( edx bdzg |aeg gjjgl# `w bgx
|bawco `g w|go aicx hi ~dhgi| vba bdzg ia pg|~aiogo a ap acgpdgo abgp opwf|)
?) Hi ~pdlhlg# lailgipdhai| jap lappglgo ldclhwe ap haih{go ldclhwe edx ia dcvdx| `g
eaihapgo) Hj bg adc ldclhwe h| bhfb dio bg lchihldc |dw| h| lai|h|gi vhb bx~gpldclgehd#
pgdegi edx `g hihhdgo ap bg ~pafpg|| aj pgdegi eaihapgo( vhbaw ldclwcdhif ap
egd|wphif lappglgo ap haih{go ldclhwe)
@) \~hidc Lapo Lae~pg||hai
4) \hfi| dio |xe~ae| hilcwog `dlm ~dhi# vgdmig||# ~dpg|bg|hd|# dio ca|| aj `avgc dio
`cdoogp jwilhai)
0) _pgdegi lai|h|| aj ogrdegbd|aig dio pdohdhai bgpd~x ap |wpfgpx)
L) _weap Cx|h| \xiopaeg
4) Allwp| |glaiodpx a bg pd~ho lgcc ogdb bd jaccav| bg doehih|pdhai aj lbgeabgpd~x
hi ~dhgi| vhb cgwmgehd ap cxe~baed ap hi ~dhgi| vhb bhfb weap `wpogi| jpae abgp
oh|gd|g| bd dpg dc|a bhfbcx lbgea|gi|hhzg
0) Edihjg|dhai| hilcwog bx~gpwphlgehd# bx~gpmdcgehd# bx~gp~ba|~bdgehd# dio |glaiodpx
bx~aldclgehd) Wphl dlho edx ~pglh~hdg hi bg mhoigx dio ldi cgdo a pgidc jdhcwpg)
<) _bg ~phedpx edidfgegi |pdgfx h| ~pgzgihai vhb hipdzgiaw| bxopdhai dio dcca~wphiac)
?) Pd|`wphld|g h| d pglae`hidi wpdg arhod|g bd laizgp| wphl dlho hia dccdiahi# vbhlb
h| 7%4> heg| eapg |acw`cg hi wphig bdi wphl dlho) Pd|`wphld|g |bawco `g lai|hogpgo jap
~d hgi| d bhfb p h|m aj ogzgca~hif weap cx| h| |xiopaeg# |wlb d| ba|g vhb d |gpwe wphl
dlho lailgipdhai eapg bdi 4> ef!oC# cdpfg weap `wpogi# ~pggrh|hif pgidc ox|jwilhai# ap
hid`hchx a dmg dcca~wphiac) _bg opwf h| gr~gi|hzg# dio lwppgicx# h h| ia pglaeegiogo jap
~pa~bxcdrh| hi dcc ~d hgi|)
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Ailacafx \w~~apthzg Ldpg
¨ 0>4> Degphldi Laccgfg aj Lchihldc ^bdpedlx
^dthgit Ld|g|
2) D <2%xgdp%aco vaedi bd| pglwppgi Baofmhi cxe~baed) _va xgdp| dfa# |bg lae~cggo |hr lxlcg| aj D@ZO
lbgeabgpd~x h)g)# oarapw`hlhi# `cgaexlhi# zhi`cd|hig# dio odldp`d{hig() Gdlb lxlcg hilcwogo oarapw`hlhi
7> ef!e0) @gldw|g bgp hihhdc pg|~ai|g a D@ZO cd|go jap 0 xgdp|# bg ~cdi h| a pg%pgd bgp vhb bg |deg
pgfhegi) Vbhlb aig aj bg jaccavhif |dgegi| h| bg ea| lappgl1
D) _bg ~dhgi bd| ia pgdlbgo bg d~~pa~phdg lwewcdhzg oa|g aj oarapw`hlhi a lai|hogp ogrpd{ardig)
@) _bg ~dhgi bd| pgdlbgo bg d~~pa~phdg lwewcdhzg oa|g aj oarapw h̀lhi a lai|hogp ogrpd{ardig)
L) _bg ~dhgi |bawco ia pglghzg dix eapg oarapw`hlhi `gldw|g |bg h| d di hilpgd|go ph|m aj ldpohaar%
hlhx)
O) _bg ~dhgi |bawco ia pglghzg ogrpd{ardig `gldw|g aj bg ~a||h`hchx aj hilpgd|go exgca|w~~pg||hai)
8) Vbhlb aig aj bg jaccavhif h| bg lappgl |gtwgilg jap doehih|gphif eg|id dio hja|jdehog1
D) Eg|id `gjapg hja|jdehog dio bgi d ? dio 2 bawp| djgp hja|jdehog)
@) Hja|jdehog `gjapg eg|id dio bgi d ? dio 2 bawp| djgp eg|id)
L) Eg|id dio hja|jdehog `gfhiihif dio giohif d bg |deg heg)
O) Eg|id ai odx 4 dio hja|jdehog ai odx| 0‟7)
HR) EH\LGCCDIGAW\ DI_HIGA^CD\_HL ^BDPEDLA_BGPD^X
D) Cgwlazaphi "pg|lwg" edx `g w|go djgp egbapgrdg oa|g| eapg bdi 4>> ef!e0= hi fgigpdc#
egbapgrdg oa|g| fpgdgp bdi 7>> ef!e0
pgtwhpg cgwlazaphi pg|lwg)
@) Jdlap| bd hilpgd|g bg chmgchbaao aj egbapgrdg arhlhx hilcwog pgidc ox|jwilhai ldw|hif
ogcdxgo gchehidhai(# bhpo%|~dlg jcwho g)f)# ~cgwpdc gjjw|hai# d|lhg|(# dio doehih|pdhai aj
abgp opwf| bd edx ogcdx egbapgrdg gchehidhai) _arhl pgdlhai| hilcwog ewlaw| ege`pdig
arhlhx g)f)# apdc ewla|hh|( dio exgca|w~~pg||hai)
L) _bg oa|g aj cgwlazaphi og~gio| ai bg egbapgrdg oa|g ap cgzgc dio bg heg |hilg bg
lae~cghai aj egbapgrdg) Egbapgrdg cgzgc| dpg w|wdccx a`dhigo 0?%?2 bawp| djgp
"higpegohdg" ap "bhfb" oa|g egbapgrdg# dio cgwlazaphi h| laihiwgo wihc bg egbapgrdg
cgzgc jdcc| a cg|| bdi >)4 eE cg|| bdi 4 + 4>%6
E()
O) Hi laipd| a h| w|g vhb egbapgrdg# cgwlazaphi h| fhzgi hi lae`hidhai vhb 7%jcwapawpdlhc a
gibdilg dlhzhx# ia a "pg|lwg" iapedc lgcc|)
G) Grpdzd|dhai Hikwphg|
4) D zg|hldi h| di dfgi bd# ai grpdzd|dhai# ldi ldw|g h||wg iglpa|h|) Zg|hldi dihiga~cd|hl
opwf| hilcwog oarapw`hlhi# odwiapw`hlhi# g~hpw`hlhi# eglbcapgbdehig# ehaexlhi#
zhilph|hig# zhi`cd|hig# zhiapgc`hig# dio |pg~a{alhi# ´ ardch~cdhi# ´ ~dlc hdrgc)
0) Dibpdlxlchig| ldw|g bg ea| |gzgpg h||wg odedfg ai grpdzd|dhai)
<) _bg chgpdwpg fgigpdccx pglaeegio| doehih|gphif zg|hldi| ̀ x hipdzgiaw| hikglhai pdbgp
bdi hijw|hai# `w |aeg grlg~hai| grh|;
d) \aeg hi|hwhaidc ~achlhg| pgtwhpg hijw|hai| jap gzgpx opwf)
`) Zhilph|hig bd| `ggi hilappglcx doehih|gpgo `x hi pdbgldc hi kglhai vhb jddc
lai|gtwgilg|) Ohcwhai aj zhilph|hig jap doehih|pdhai d| d |bap hipdzgiaw| hijw|hai
bd| `ggi pglaeegiogo a ~pgzgi bh| gppap jpae allwpphif)
l) ^dlchdrgc h| doehih|gpgo d| di hijw|hai 4# <# ap 0? bawp|# og~giohif ai bg ~paalac()
0>
8/7/2019 Oncology Supportive Care
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Ailacafx \w~~apthzg Ldpg
¨ 0>4> Degphldi Laccgfg aj Lchihldc ^bdpedlx
?) Edidfgegi aj grpdzd|dhai
d) Laco jap oarapw`hlhi# odwiapw`hlhi# dio g~hpw`hlhi
`) Bgd jap zhilph|hig# zhi`cd|hig# dio zhiapgc`hig
l) \aohwe bha|wcjdg jap eglbcapgbdehig
o) _a~hldc ohegbxc |wcjarhog bd| ̀ ggi pglaeegiogo jap dibpdlxlchig|) H| w|g h| ia
d| vgcc g|d`ch|bgo d| bg dihoag| d`azg) Bxdcwpaihod|g h| pglaeegiogo jap zhild
dcmdcaho|# `w bxdcwpaihod|g h| aj chehgo dzdhcd`hchx) Dihoag| jap ehaexlhi#
|pg~a{alhi# ~dlchdrgc# dio ardch~cdhi dpg ia vgcc oalwegigo hi bg chgpdwpg)
g) Ogrpd{ardig jap oarapw`hlhi# odwiapw`hlhi# hodpw`hlhi dio g~hpw`hlhi
j) Edix hi|hwhai| oa ia dccav bg doehih|pdhai aj zg|hldi| bpawfb d ~gph~bgpdc zghi#
`w pdbgp# pgtwhpg bd zg| hldi| `g doehih|gpgo bpawfb d lgipdc chig vhb d zgiaw|
dllg|| ogzhlg) Dcbawfb doehih|gphif zg|hldi| bpawfb d lgipdc chig ehiheh{g| bg
chmgchbaao aj di grpdzd|dhai hikwpx# grpdzd|dhai edx |hcc allwp) _bg edidfgegi
aj grpdzd|dhai h| higiogo jap |w|~glgo ap dlwdc grpdzd|dhai jpae d ~gph~bgpdc ap
lgipdc zghi)
J) Edidfgegi aj Ohdppbgd
4) Higi|hzg ca~gpdehog bgpd~x w|hif oa|g| bhfbgp bdi bg pglaeegiogo oa|g vd| hihhdccx
og|lph`go jap hphiagldi%hiowlgo ohdppbgd)
0) Higi|hzg dih%ohdppbgd pgdegi h| dc|a w|go jap abgp dfgi| g)f)# 7%jcwapawpdlhc# g~hogpedc
fpavb jdlap pglg~ap hibh`hap|(
F) Oa|g Dokw|egi jap Apfdi Ox|jwilhai
4) Laijchlhif pglaeegiodhai| jap oa|g dokw|egi bdzg `ggi pg~apgo) Edix opwf| bdzg ia
`ggi | wohgo hi ~dhgi| vhb apfdi ox|jwilhai)
0) Oa|g dokw|egi jap pgidc ox|jwilhai edx `g lai|hogpgo jap egbapgrdg# ldp`a~cdhi#
lh|~cdhi ga~a|hog# `cgaexlhi# a~agldi# dio cgidchoaehog)
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04
8/7/2019 Oncology Supportive Care
http://slidepdf.com/reader/full/oncology-supportive-care 22/27
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00
8/7/2019 Oncology Supportive Care
http://slidepdf.com/reader/full/oncology-supportive-care 23/27
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8/7/2019 Oncology Supportive Care
http://slidepdf.com/reader/full/oncology-supportive-care 24/27
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8/7/2019 Oncology Supportive Care
http://slidepdf.com/reader/full/oncology-supportive-care 25/27
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07
8/7/2019 Oncology Supportive Care
http://slidepdf.com/reader/full/oncology-supportive-care 26/27
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2) Di|vgp; O
A~haho| edx ~pazhog |aeg pgchgj jpae igwpa~dbhl ~dhi#
`w ajgi# bg pg|~ai|g a a~haho| h| cg|| bdi a~hedc)
Hi fgigpdc# bhfbgp oa|g| aj a~haho| ~pazhog fpgdgp ~dhi
pgchgj= bw|# hilpgd|hif bg oa|g aj jgidixc dio eap~bhig
h| di a~hai jap bh| ~dhgi) @w bh| d||weg| bd d
cavgp oa|g ~pgzhaw|cx ~pazhogo |aeg `gigjh) Iabhif
hi bg bh|apx |wffg|| bd bg ~dhgi h| ogphzhif ewlb#
hj dix# `gigjh d bg ~pg|gi a~haho oa|g|) Dokwzdi
didcfg|hl opwf|# hilcwohif phlxlchl dihog~pg||di| dio
dihlaizwc|di|# dpg w|go a bgc~ edidfg igwpa~dbhl
~dhi) Fd`d~gihi # vhb d pgcd hzgcx faao dozgp|g gzgi ~pajhcg# h| d pgd|aid`cg a~hai) Iag# bavgzgp# bd
dokwzdi didcfg|hl opwf| |bawco ia `g fhzgi a oglpgd|g
bg a~haho oa|g ap oh|laihiwg bg w|g aj a~haho opwf|) "H
edx `g ~a||h`cg a oglpgd|g bg oa|g cdgp hj fd`d~gihi
~pazhog| dogtwdg ~dhi pgchgj)( Ohd{g~de h| eapg
gjjglhzg jap ew|lcg |~d|e| bdi jap igwpa~dbhl ~dhi#
dio bh| a~hai dc|a hilcwogo oglpgd|hif bg jgidixc
oa|g d bg |deg heg bg igv opwf vd| hihhdgo)
0:
8/7/2019 Oncology Supportive Care
http://slidepdf.com/reader/full/oncology-supportive-care 27/27
Ailacafx \w~~apthzg Ldpg
8) Di|vgp; O
Chehgo%|dfg |edcc lgcc cwif ldilgp h| ~agihdccx
lwpd`cg= bgpgjapg# bg ~dhgi |bawco laihiwg ai bg
~cd iigo oa|g| aj lbgeabgpd~x) _bg lappgl oa|g aj
jhcfpd|he h| 7 elf!mf!odx |w`lwdigaw|cx# ia 07> elf!
e0 "bh| h| bg oa|g jap |dpfpdea|he() _bg lappgl oa|g
jap ~gfjhcfpd|he h| d |hifcg :%ef hikglhai) Jhcfpd|he
|bawco ia `g fhzgi ai bg |deg odx d| lbgeabgpd~x=
bgpgjapg# Di|vgp O h| lappgl)
4>) Di|vgp; D
Oarapw`hlhi wiogpfag| bg~dhl lcgdpdilg# dio bgpg
dpg pglaeegiodhai| jap oa|dfg pgowlhai `d|go
ai `hchpw`hi) _bgpg h| ia pgd|ai a pgowlg bg oa|g aj
lxlca~ba|~bdehog)
44) Di|vgp; D
Cdpfg lgcc cxe~baed h| jd|gp fpavhif dio eapg
lbgea|gi|hhzg bdi egd|dhl lacapgldc ldilgp) _bw|#
~d hgi| vhb cdpfg lgc c cxe~baed dpg eapg chmgcx
a ogzgca~ bx~gpwphlgehd ap weap cx|h| |xiopaeg
jpae pd~ho lgcc wpiazgp# `ab `gjapg pgdegi dio
djgp lbgeabgpd~x) Bx~gpldclgehd h| ia d laeeai
lae~chldhai aj ghbgp aj bg|g oh|gd|g|) \aeg dffpg||hzg
cxe~baed| edx `g d||alhdgo vhb bx~gpldclgehd#
`w ~dehopaidg h| w|go a pgd # ia ~pgzgi# bh|
lae~chldhai)
40) Di|vgp; L
Ighbgp ~dhgi |bawco wiogpfa lbgeabgpd~x vhb diDIL aj 2>>!ee<) @ab ldi `g pgdgo vbgi igwpa~gihd
pg|aczg| "chmgcx vhbhi 4 vggm() H h| he~apdi a mgg~
~d hgi 4 ai |lbgowcg `gldw|g bh| oh|gd|g h| ~a gihdccx
lwpd`cg= bgpgjapg# ~dhgi 4 |bawco pglghzg jhcfpd|he
djgp bg igr lbgeabgpd~x pgdegi a ~pgzgi diabgp
oa|g ogcdx) Vbgi ~dhgi 0 pg|weg| lbgeabgpd~x#
bh| oa|g| ldi `g oglpgd|go a ~pgzgi d pglwppgilg aj
igwpa~gihd) _bg oa|g oglpgd|g h| ia chmgcx a bdzg d
|w`|dihdccx igfdhzg gjjgl ai bg pgdegi awlaeg
`gldw|g bg fadc aj pgdegi h| w|wd ccx ia lwpg)
4<) Di|vgp; L
Hikwpx djgp grpdzd|dhai aj di dibpdlxlchigh| ~agihdccx bg ea| |gzgpg) _bw|# vbgi bg
pglaeegiogo dihoag| jap ohjjgpgi zg|hldi| laijchl
"g)f)# bgd z|) laco(# pgdegi |bawco `g ohpglgo d
bg dibpdlxlchig) Ogrpd{ardig h| iav hiohldgo jap
oarapw`hlhi grpdzd|dhai) Laco pdbgp bdi bgd vawco
dc|a `g d~~pa~phdg) Lxlca~ba|~bdehog h| ia lai|hogpgo
d zg|hldi)