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Tonsil cancers account for 0,3% of all cancers and 6,7% of head and neck cancers. However, metastasis to tonsil is extremely rare. The kidney, skin, lung and breast are most common sites of primary tumor. Different histological types of lung cancer can metastase to tonsil. We present a case with left tonsil metastasis of lung adenocarcinoma. The most important point with our case is that the patient had his complaints for 1 year and received irrelevant treatments. As in our case, tonsil neoplasms may present with peritonsillar abscess. However, patients with history of cancer and prolonged complaints need a thorough evaluation of suspicious tonsil enlargement. Metastases may be synchronous with the lung tumor or may be observed before or after the treatment of primary tumor. Careful examination and radiological evaluation are very important in cancer patients and biopsy must be performed in all cases with clinical suspicion.
Purpose: The aim of this study was to evaluate the effect of psychoeducation on caregivers' coping with stress and quality of life in patients receiving palliative care treatment. Materials and Methods: This study was conducted as a quasi-experimental study with a pre- and post-test design. The population of the study comprised the relatives of the patients (N = 40) monitored in the Palliative Care Unit of the Manisa State Hospital during a period of 6 months. All the people in the study population were included in the sample. The data were collected through face-to-face interviews by the researcher using a structured questionnaire. The questionnaire consisted of three parts: "Caregiver Information Form", "Quality of Life Form (SF-36)", "Ways of Coping Questionnaire (WCQ)". Results: Psychoeducation given to caregivers participating in the study significantly increased their physical and mental health status and quality of life. The analysis of the average scores revealed that the participants' physical health improved by 12.2%, mental health status by 20.6% and quality of life by 15.9%. In addition, the difference between their average pre- and post-test scores was significant. The average pre-test score (58.83) increased by 15.7% to 69.76 at the posttest. Conclusion: In the present study, psychoeducation given to the caregivers improved the quality of life and skills for coping with stress.
Field : Sağlık Bilimleri
Journal Type : Uluslararası
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