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Ministry of health of ukraine

Kharkiv National Medical University



on the methodical meeting Department of Oncology

Head of Department

MD, Professor VI Starikov


"30" August 2012



A methodical DEVELOPMENT

For teachers with practical lessons   Number 3


Course 6

Faculty of Medicine (specialty "General Medicine", "Pediatrics", "Prophylactic medicine")

Study Subject: Oncology


Number of hrs

Theme 8. Keeping of documentation in clinical oncology


Theme 9.Deontology in Oncology


Topic 10. Treatment of chronic pain syndromes





Kharkiv 2012



I. Background.

The diagnosis of cancer has a high moral and legal responsibility for health workers removing cancer diagnosis with particular disease sometimes causing irreparable psychological trauma.

Cancer patients felt symptoms of the disease, choose a specialist on your own. Therefore medechni workers in any specialty should have the knowledge that at the first examination will help him suspected cancer process. You can not neglect any of the elements of diagnosis - history of life and disease, patient examination, according to palpation and percussion. So before you apply modern aggressive diagnostic methods, we must make full use of classical methods of questioning, examination and physical examination of the patient.

It is important to determine the prognosis and planning the most effective treatment. This requires an objective assessment of the anatomical distribution of disease. It is therefore advisable to know the classification, the basic principles which can be applied in all localizations of malignant tumors. This is the TNM system.

Age tradition regarded cancer as a fatal disease. Therefore, from the doctors involved in the treatment of cancer patients requires special tact and ability to find a contact with a patient, calm him and convince him of the necessity of treatment. Medical personnel should find proper and adequate approach to the patient. Especially suitable require so-called inkurabelni sick. Famous Italian oncologist Zh.H.Hardini said incurable does not mean nekurabelnosti. Helping cancer patients in the most severe stage of the disease for them is a major deontological principles. The objective of this period is the elimination of pain, insomnia, complications caused by the growth of tumors, and other paraneoplastic conditions. More N.N.Petrov (1945) pointed out the need for such patients symptomatic therapy with careful regulation of frequency and time taking medicines explaining the importance of regular and prolonged course of treatment, even if these drugs can not make strong actions.


II. Study objective: Deepen the theoretical and practical knowledge of students from deontological aspects of working with cancer patients.

2.1. Know:

1.       Features of the physical examination for suspected malignancy.

2.       Features instrumental and laboratory examination of patients with malignant neoplasms.

3.       Anatomical classification of tumors with elements of clinical morphology.

4.       Principles of classification of tumors in stages.

5.       Work plan and examination of the patient, based on survey data, formulate clinical diagnosis.

6.       Analyze the causes of abandonment of malignant tumors.

7.       Principles of ethics in oncology.

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