Journal of pain and symptom management
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J Pain Symptom Manage · Jul 2012
Randomized Controlled TrialA pilot randomized controlled trial of an oral care intervention to reduce mucositis severity in stem cell transplant patients.
Oral mucositis remains a significant problem in autologous stem cell transplantation (ASCT). ⋯ Oral cryotherapy plus an oral care protocol appears to be beneficial in reducing severity of mucositis compared with an oral care protocol alone.
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J Pain Symptom Manage · Jul 2012
ReviewGuided imagery for non-musculoskeletal pain: a systematic review of randomized clinical trials.
Our previous review of the literature concluded that there is encouraging evidence that guided imagery alleviates musculoskeletal pain, but the value of guided imagery in the management of non-musculoskeletal pain remains uncertain. ⋯ The evidence that guided imagery alleviates non-musculoskeletal pain is encouraging but remains inconclusive.
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Therapeutic Reviews aim to provide essential independent information for health professionals about drugs used in palliative and hospice care. Additional content is available on www.palliativedrugs.com. Country-specific books (Hospice and Palliative Care Formulary USA, and Palliative Care Formulary, British and Canadian editions) are also available and can be ordered from www.palliativedrugs.com. The series editors welcome feedback on the articles (hq@palliativedrugs.com).
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This essay examines the origins, influence, and importance of service in medicine. It defines the concept, discusses its evolution from Hippocratic to modern writings, and describes the significance of service for contemporary physicians and patients.
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J Pain Symptom Manage · Jul 2012
Causal attributions for fatigue by older adults with advanced cancer.
Fatigue is a prevalent, debilitating, and often disruptive symptom for cancer patients. Yet, it remains inadequately understood and managed, especially among late middle-aged and older patients with advanced disease. Few studies have explored fatigue qualitatively, and almost none have focused on patients' attributions for this subjective and multidimensional symptom. ⋯ Patients' causal attributions for fatigue had a profound effect on their physical and psychological well-being, their communication with providers, and their integration of the symptom into their lives.