Interventions for Liver Cancer

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Age Cohort: 25 - 59 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Public education about dangers of alcohol use Public education on symptoms of liver disease	Ensuring that people with diagnosis of liver cancer comply with follow up regime			Psychosocial support for people who are being managed for liver cancer Ensuring that people with diagnosis of liver cancer comply with follow up regime	Non-opioid pain relief for people with advanced disease Provision of home-based end of life care
Primary Care
	Referral of people with persistent dyspepsia to hospital for assessment Referral of people with signs of liver disease to hospital for assessment Referral of people with abdominal masses to hospital for assessment Referral of people with weight loss to hospital for assessment
Referral Facility: General
	Assessment of people with signs of liver disease and weight loss for liver cancer Screening of blood and blood donors before transfusion		Liver Transplantation		Opioid pain relief for people with advanced disease Provision of end of life care
Referral Facility: Specialist
	Assessment of people with signs of liver disease and weight loss for liver cancer Screening of blood and blood donors before transfusion		Liver Transplantation		Opioid pain relief for people with advanced disease Provision of end of life care

Age Cohort: 60+ years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Community engagement and empowerment on cancer awareness and early health-seeking behaviour Community leaders and advocates engagement to address cancer stigma and identification of barriers to accessing care	Healthy life style: healthy weight, physically active, no alcoholic drink or in moderation, no smoking, eat vegetables and fruits	Recognition of cancer signs and symptoms	Referral to the next level for diagnostic workup and treatment	Family or caregiver educational training	Non-opioid analgesia for effective control of mild to moderate pain Symptomatic non-pharmacological treatment Emotional, social, spiritual assessment and support based on cultural needs, values and preferences of patients and families Linkage to address financial well-being of patients and family members End-of-life care*
Primary Care
Health education on recognition of risk factors, signs and symptoms of liver cancer and early treatment of chronic viral hepatitis	Prompt treatment of chronic viral hepatitis	Recognition of cancer signs and symptoms	Referral to the next level for diagnostic workup and treatment	Physical exercise Nutritional support	Opioid analgesia for effective control of moderate-to-severe pain Symptomatic non-pharmacological treatment Emotional, social, spiritual assessment and support based on cultural needs, values and preferences of patients and families Linkage to address financial well-being of patients and family members End-of-life care*
Referral Facility: General
	Prompt treatment of chronic viral hepatitis	History Physical examination Lipid panel Basic metabolic panel Liver function tests Renal function tests Alpha-fetoprotein (AFP) test Complete blood count (CBC) Ultrasonograph	Appropriate management of infections Referral to the next level for diagnostic workup and treatment	Physical exercise Nutritional support	Opioid analgesia for effective control of moderate-to-severe pain Symptomatic non-pharmacological treatment Emotional, social, spiritual assessment and support based on cultural needs, values and preferences of patients and families Linkage to address financial well-being of patients and family members End-of-life care*
Referral Facility: Specialist
	Assessment of people with signs of liver disease and weight loss for liver cancer Screening of blood and blood donors before transfusion	History Physical examination Complete blood count (CBC) Lipid panel Basic metabolic panel Liver function tests Renal function tests Alpha-fetoprotein (AFP) test Ultrasonography Biopsy Laparoscopy Computed tomography (CT) scan, Magnetic resonance imaging (MRI)	Surgery Ablation Embolization Radiotherapy Chemotherapy Liver transplantation	Physical exercise Nutritional support	Opioid analgesia for effective control of moderate-to-severe pain Symptomatic non-pharmacological treatment Emotional, social, spiritual assessment and support based on cultural needs, values and preferences of patients and families Linkage to address financial well-being of patients and family members End-of-life care