scholarly journals Collusion: The facade and its implications on total pain management in palliative care

2021 ◽  
Vol 27 (1) ◽  
pp. 176
Author(s):  
Bincy Mathew ◽  
BidhuKalyan Mohanti ◽  
Saipriya Tewari ◽  
Vedant Kabra ◽  
Pushpinder Gulia ◽  
...  
Cureus ◽  
2021 ◽  
Author(s):  
Catarina Faria ◽  
Vanessa Branco ◽  
Pedro Ferreira ◽  
Cristina Gouveia ◽  
Sara Trevas

Haigan ◽  
2011 ◽  
Vol 51 (7) ◽  
pp. 835-839
Author(s):  
Hiromichi Yamane ◽  
Takuya Yano ◽  
Shigeki Umemura ◽  
Yasuhiro Shiote ◽  
Daijiro Harada ◽  
...  

This chapter covers the theoretical and practical basis of managing patients with pain in the palliative setting. It includes a review of the common pharmacological, non-pharmacological and anaesthetic approaches to managing pain as well as emphasizing that all good care must be based on a holistic understanding. The concept of total pain has become a central tenet of palliative care practice. It recognizes that cancer pain is often a complex, chronic pain with multiple, coexisting causes. Effective management of cancer pain requires a multidisciplinary approach that addresses the patient’s concerns and fears, as well as treating the physical aspects of pain. As a result, the provision of analgesics should be combined with the provision of emotional, social, and spiritual supports.


2021 ◽  
pp. bmjspcare-2020-002638
Author(s):  
Juan Yang ◽  
Dietlind L Wahner-Roedler ◽  
Xuan Zhou ◽  
Lesley A Johnson ◽  
Alex Do ◽  
...  

BackgroundPain is one of the most common and problematic symptoms encountered by patients with cancer. Due to the multifactorial aetiology, pain management of these patients frequently requires multidisciplinary interventions including conventional support and specialty palliative care. Acupuncture has been identified as a possible adjunctive therapy for symptom management in cancer pain, and there is currently no systematic review focused solely on the evidence of acupuncture on cancer pain in palliative care.ObjectiveTo critically analyse currently available publications regarding the use of acupuncture for pain management among patients with cancer in palliative care settings.MethodsMultiple academic databases were searched from inception to 29 October 2020. Randomised controlled trials involving acupuncture in palliative care for treatment of cancer-related pain were synthesised. Data were extracted by two independent reviewers, and methodological quality of each included study was assessed using the Oxford Centre for Evidence-Based Medicine (OCEBM) 2011 Levels of Evidence.ResultsFive studies (n=189) were included in this systematic review. Results indicated a favourable effect of acupuncture on pain relief in palliative care for patients with cancer. According to OCEBM 2011 Levels of Evidence, they were level 2 in one case (20%), level 3 in two cases (40%) and level 4 in the remaining (40%). Low-level evidence adversely affects the reliability of findings.ConclusionsAcupuncture may be an effective and safe treatment associated with pain reduction in the palliative care of patients with cancer. Further high-quality, adequately powered studies are needed in the future.


2005 ◽  
Vol 19 (1) ◽  
pp. 13-26 ◽  
Author(s):  
Aaron Gilson ◽  
David Joranson ◽  
Martha Maurer ◽  
Karen Ryan ◽  
Jody Garthwaite

2012 ◽  
Vol 60 (1_suppl) ◽  
pp. 108-123 ◽  
Author(s):  
Yasmin Gunaratnam

The practice of live sociology in situations of pain and suffering is the focus of this article. An outline of the challenges of understanding pain is followed by a discussion of Bourdieu's ‘social suffering’ (1999) and the palliative care philosophy of ‘total pain’. Using examples from qualitative research on disadvantaged dying migrants in the UK, attention is given to the methods that are improvised by dying people and care practitioners in attempts to bridge intersubjective divides, where the causes and routes of pain can be ontologically and temporally indeterminate and/or withdrawn. The paper contends that these latter phenomena are the incitement for the inventive bridging and performative work of care and live sociological methods, both of which are concerned with opposing suffering. Drawing from the philosophy of total pain, I highlight the importance of (1) an engagement with a range of materials out of which attempts at intersubjective bridging can be produced, and which exceed the social, the material, and the temporally linear; and (2) an empirical sensibility that is hospitable to the inaccessible and non-relational.


2013 ◽  
Vol 30 (8) ◽  
pp. 764-767 ◽  
Author(s):  
Lindsay A. Thompson ◽  
Elizabeth Meinert ◽  
Kimberly Baker ◽  
Caprice Knapp

2006 ◽  
Vol 48 (6) ◽  
pp. 30-33 ◽  
Author(s):  
A Barnard ◽  
E Gwyther

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