scholarly journals The Use of Massage Therapy for Reducing Pain, Anxiety, and Depression in Oncological Palliative Care Patients: A Narrative Review of the Literature

ISRN Nursing ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
Maria Falkensteiner ◽  
Franco Mantovan ◽  
Irene Müller ◽  
Christa Them
Keyword(s):  
Palliative Care ◽  
Cancer Patients ◽  
Complementary Medicine ◽  
Massage Therapy ◽  
Narrative Review ◽  
Anxiety And Depression ◽  
Literature Analysis ◽  
Review Of The Literature ◽  
Pain Anxiety

A considerable number of cancer patients use complementary medicine therapies in order to alleviate different symptoms such as pain, anxiety, and depression, occurring in connection with cancer. This paper explores the question to what extent massage therapies are able to reduce the amount of pain, anxiety, and depression. For this purpose, a systematic literature analysis was carried out in the electronic databases and specialist journals. There is already evidence that massage therapies can influence the symptoms of pain, anxiety, and depression in a positive way.

scholarly journals The pattern of change in opioid and adjuvant prescriptions for cancer pain before and after referral to a comprehensive program in the Palliative Care Center in Kuwait

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Ameena Mohammed Al-Ansari ◽  
Wafaa Mostafa Abd-El-Gawad ◽  
Sobhi Mostafa AboSerea ◽  
Eman El Sayed ElShereafy ◽  
Fatma Abdel Shakor Ali ◽  
...  
Keyword(s):  
Palliative Care ◽  
Cancer Patients ◽  
Care Center ◽  
Assessment System ◽  
Anxiety And Depression ◽  
Pain Anxiety ◽  
Comprehensive Program ◽  
Number Of Patients ◽  
Before And After ◽  
Morphine Equivalent

Abstract Background Cancer-related pain is a complicated symptom that often coincides with fatigue, depression, and anxiety. Although many safe treatments are available, inadequate control of Cancer-related pain continues to lead to suffering in cancer patients. This study’s aim is to describe pain control, and the pattern of change in opioid and adjuvant medication prescriptions, before and after referral to the Palliative Care Center. Methods We conducted a prospective cohort study in adult cancer patients the Palliative Care Center between January 1, 2016 and December 30, 2017. We measured pain intensity and other associated symptoms via the Revised Edmonton Symptom Assessment System (ESAS-r) and documented detailed analgesics and adjuvant medication history before starting any palliative care and on days 0, 3, 6, and 14. Results The analysis included 240 patients whose cancer-related pain, anxiety, and depression scores meaningfully improved by day 6. The changes in the median (interquartile ranges) of Cancer-related pain, anxiety, and depression scores from day 0 to day 6 were: 6 (4–8) to 3 (1–4); 6 (4–9) to 2 (1–4); and 3 (2–6) to 2 (1–4), respectively, with p < 0.001 for all. Morphine was the most common opioid administered; the percentage using it increased from 20.4% (n = 49) before referral to 49.6% (n = 119) on day 6 (p < 0.001). The median morphine equivalent daily dose decreased from a median (interquartile ranges) of 60(31–93) mg/day before referral to 34(22–66) mg/day on day 6 (p < 0.001). There was also a statistically significant increase in the percentage of patients taking adjuvant medications, from 38.8% before referral to 84.2% on day 6 (p < 0.001). Comparing D0 to D6, the number of patients using Gabapentinoids significantly increased from 57(23.75%) to 79(32.9%) (p < 0.001), amitriptyline dramatically increased from 14 (5.8%) to 44 (18.3%) (p < 0.001), and other antidepressant drugs increased from 15 (6.2%) to 34 (14.1%) (p < 0.001). Conclusion After referral to the Palliative Care Center, patients’ pain and other symptoms scores decreased significantly, even with lower median morphine equivalent daily doses, arguably through more appropriately directed opioid use. This is evidence for the effectiveness of the comprehensive program at the Palliative Care Center in Kuwait.

Effect of Music on Pain in Cancer Patients in Palliative Care Service: A Randomized Controlled Study

2021 ◽  
pp. 003022282110598
Author(s):  
Gönül Düzgün ◽  
Ayfer Karadakovan
Keyword(s):  
Palliative Care ◽  
Music Therapy ◽  
Cancer Patients ◽  
Functional Capacity ◽  
Classical Music ◽  
Care Service ◽  
Palliative Care Service ◽  
Palliative Care Unit ◽  
Pain Anxiety ◽  
Randomized Controlled

This study aimed to investigate the effect of music on pain, anxiety, comfort, and functional capacity of cancer patients who received care in a palliative care unit. The population of this randomized controlled trial consisted of cancer patients hospitalized in the palliative care service between July 2018 and July 2019. The study included 60 patients (30 interventions/30 controls). The patients in the intervention group were given a total of six music sessions, 10 minutes each with the Turkish classical music in maqams of their choice (Hejaz or Rast accompanied by an expert tambour (drum) player). There was a significant difference between the mean total pain scores, anxiety, comfort, and functional capacity scores of the patients in the intervention and control groups before and after music therapy. Music therapy decreased the level of pain. It is demonstrated that Turkish classical music therapy improved the pain, anxiety, comfort, and functional capacity in the palliative care unit.

Symptom distress in advanced cancer patients with anxiety and depression in the palliative care setting

2008 ◽  
Vol 17 (5) ◽  
pp. 573-579 ◽  
Author(s):  
Marvin Delgado-Guay ◽  
Henrique A. Parsons ◽  
Zhijun Li ◽  
J. Lynn Palmer ◽  
Eduardo Bruera
Keyword(s):  
Palliative Care ◽  
Cancer Patients ◽  
Advanced Cancer ◽  
Care Setting ◽  
Symptom Distress ◽  
Anxiety And Depression ◽  
Advanced Cancer Patients ◽  
Palliative Care Setting

scholarly journals Application of hypnosis in psychOncology: A review of the literature

2021 ◽  
Vol 39 (2) ◽  
pp. 263-275
Author(s):  
Sónia Remondes-Costa ◽  
Filipa Magalhães ◽  
Inês Martins ◽  
André Louro ◽  
Martim Santos ◽  
...  
Keyword(s):  
Side Effects ◽  
Cancer Patients ◽  
Web Of Science ◽  
Controlled Trials ◽  
Review Of The Literature ◽  
Inclusion Criteria ◽  
Cancer Disease ◽  
Pain Anxiety ◽  
Randomized Controlled ◽  
Anxiety Depression

Hypnosis is useful for multiple somatic and psychological disorders, particularly cancer disease-related issues. In fact, the literature points out that hypnosis is effective in helping patients deal with aspects disease related, as well as in reducing the side effects of treatment. This review of the literature aims to summarize and assess the evidence of the usefulness of hypnosis in cancer patients and was conducted based on articles published between 2012 and 2019. The databases used were: B-on, SciELO, MEDLINE, and Web of Science. Randomized controlled trials and non-randomized studies were assessed. Among 837 studies identified, nine met the inclusion criteria and were selected. The studies were consensual to the effectiveness of hypnosis in reducing a set of symptoms in cancer patients, mainly pain, anxiety, depression, fatigue, and insomnia. However, several methodological limitations were identified. The practice of hypnosis is related to a significant number of techniques and approaches that differ from each other, thus compromising the interpretation and generalization of its effects. This review updates the evidence and suggests that the study of the efficacy of hypnosis in cancer patients is still limited. Further research into the effectiveness and acceptability of hypnosis for cancer patients is recommended.

scholarly journals Uma abordagem holística ao paciente em cuidados paliativos: Revisão narrativa da literatura / A holistic approach to the patient in palliative care: A narrative review of the literature

2021 ◽  
Vol 4 (5) ◽  
pp. 20627-20637
Author(s):  
Laura Fernandes Artur ◽  
André Filardi Bernardino ◽  
Daniel Henrique de Siqueira Dornelas ◽  
Gabriela Faria Gomes ◽  
Guilherme Artur Campos ◽  
...  
Keyword(s):  
Palliative Care ◽  
Holistic Approach ◽  
Narrative Review ◽  
Review Of The Literature

Do newly diagnosed cancer patients require palliative care? An audit at a regional cancer center in India.

2014 ◽  
Vol 32 (31_suppl) ◽  
pp. 65-65
Author(s):  
Sushmita Ghoshal Chakrabarti ◽  
Raviteja Miriyala ◽  
Arun Elangovan ◽  
Bhavana RAI
Keyword(s):  
Palliative Care ◽  
Cancer Patients ◽  
Statistical Correlation ◽  
Holistic Care ◽  
Cancer Center ◽  
Newly Diagnosed ◽  
Pain Anxiety ◽  
The Difference ◽  
Loss Of Appetite ◽  
Anxiety Depression

65 Background: The present study was planned to record the distressing symptoms of newly diagnosed cancer patients and to evaluate how the symptoms were addressed by the treating oncologists. Methods: All newly diagnosed cancer patients referred to the department of Radiotherapy during the month of May 2014 were asked to fill a questionnaire after taking their consent. The ESAS-r questionnaire was used to assess the frequency and intensity of distressing symptoms. The case records of these patients were then reviewed to compare the frequency and intensity documented by the treating physician. The difference in the two sets of symptoms documented were statistically analysed by non-parametric tests using SPSS. Results: Eighty-nine patients participated in this study out of which only 19 could fill the questionnaire on their own. Anxiety was the commonest symptom (97.8%) followed by depression (89.9%), tiredness (89.9%) and pain (86.5%). The treating physicians recorded pain in 83.1% while the other symptoms were either not documented or grossly under reported. Anxiety was documented in 3/87 patients but depression was not documented in any. Tiredness was documented in 12/80 patients, loss of appetite in 54/77 patients mentioning them in the questionnaire. Significant statistical correlation could be seen between the presence of pain, anxiety, depression, tiredness and loss of appetite in the patients. Conclusions: The study reveals that the distressing symptoms experienced by newly diagnosed cancer patients are grossly under reported and inadequately addressed by treating oncologists. Sensitizing the oncologists and incorporating palliative care principles early in the management of cancer patients could improve their holistic care.

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