Interventions for Stomach cancer

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Public Health Function
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Age Cohort: 25 - 59 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
  • Physical exercise
  • Nutritional support
  • Home-based care with multi-disciplinary team with access to opiates and essential supportive medicines
  • 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 stomach caner
  • Prompt treatment of ulcers and infections especially H. pylori
  • Recognition of cancer signs and symptoms
  • Referral to the next level for diagnostic workup and treatment
  • Physical exercise
  • Nutritional support
  • Multi-disciplinary team with access to opiates and essential supportive medicines
  • 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
  • Health education on recognition of risk factors, signs and symptoms of stomach caner
  • Prompt treatment of ulcers and infections especially H. pylori
  • History
  • Physical examination
  • Blood chemistry tests
  • Tumour lysis syndrome panel
  • Complete blood count (CBC)
  • Disseminated intravascular coagulation (DIC) panel
  • H. Pylori test
  • X-ray (Barium swallow)
  • Upper endoscopy
  • Ultrasonography
  • Appropriate management of infections
  • Referral to the next level for diagnostic workup and treatment
  • Physical exercise
  • Nutritional support
  • Multi-disciplinary team with access to opiates and essential supportive medicines
  • 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
  • Health education on recognition of risk factors, signs and symptoms of stomach caner
  • Prompt treatment of ulcers and infections especially H. pylori
  • History
  • Physical examination
  • Blood chemistry tests
  • Tumour lysis syndrome panel
  • Complete blood count (CBC)
  • Disseminated intravascular coagulation (DIC) panel
  • H. Pylori test
  • X-ray (Barium swallow)
  • Upper endoscopy
  • Ultrasonography
  • Biopsy
  • Laparoscopy
  • Positron emission tomography (PET),
  • Computed tomography (CT) scan,
  • Magnetic resonance imaging (MRI)
  • Staging and grading
  • Chemotherapy
  • Targeted drug therapy
  • Immunotherapy
  • Surgery
  • Radiotherapy
  • Physical exercise
  • Nutritional support
  • Multi-disciplinary team with access to opiates and essential supportive medicines
  • 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
 
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
  • 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
Primary Care
  • Health education on recognition of risk factors, signs and symptoms of stomach caner
  • Prompt treatment of ulcers and infections especially H. pylori
  • 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
  • Health education on recognition of risk factors, signs and symptoms of stomach caner
  • Prompt treatment of ulcers and infections especially H. pylori
  • History
  • Physical examination
  • Blood chemistry tests
  • Tumour lysis syndrome panel
  • Complete blood count (CBC)
  • Disseminated intravascular coagulation (DIC) panel
  • H. Pylori test
  • X-ray (Barium swallow)
  • Upper endoscopy
  • Ultrasonography
  • 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
  • Health education on recognition of risk factors, signs and symptoms of stomach caner
  • Assessment of people with persistent dyspepsia for stomach cancer
  • History
  • Physical examination
  • Blood chemistry tests
  • Tumour lysis syndrome panel
  • Complete blood count (CBC)
  • Disseminated intravascular coagulation (DIC) panel
  • H. Pylori test
  • X-ray (Barium swallow)
  • Upper endoscopy
  • Ultrasonography
  • Biopsy
  • Laparoscopy
  • Positron emission tomography (PET),
  • Computed tomography (CT) scan,
  • Magnetic resonance imaging (MRI)
  • Staging and grading
  • Chemotherapy
  • Targeted drug therapy
  • Immunotherapy
  • Surgery
  • Radiotherapy
  • 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*