Journal of pain and symptom management
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J Pain Symptom Manage · Feb 2021
Randomized Controlled TrialNephrologist views regarding cannabinoid use in advanced chronic kidney disease and dialysis: a survey.
The efficacy and safety of cannabinoids to treat symptoms in individuals with kidney disease is uncertain. ⋯ Nephrologists broadly support the use and study of cannabinoids for symptoms in patients with kidney disease.
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J Pain Symptom Manage · Feb 2021
ReviewExploring Factors Associated with Long-Term Opioid Therapy in Cancer Survivors:An Integrative Review.
The prevalence of chronic pain in cancer survivors is double that of the general U.S. ⋯ The studies in this review shed light on the factors associated with LTOT in cancer survivors. LTOT was common in certain populations of cancer survivors and those with a collection of patient-specific characteristics. This review suggests that there is a critical need for specialized research on chronic cancer pain and opioid safety in cancer survivors.
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J Pain Symptom Manage · Feb 2021
Observational StudyCommunication and behavior of palliative care physicians of cancer patients near end-of-life in three East Asian countries.
The characteristics of physician communication with patients at the end of life (EOL) in East Asia have not been well studied. We investigated physicians' communications with imminently dying patients with cancer and their families in palliative care units (PCUs) in Japan, South Korea, and Taiwan. ⋯ Physicians in Taiwan communicated about patient's impending death most frequently, and physicians in all three countries generally provided assurance to families that the patients would remain comfortable. Further studies should explore the reasons for these differences and the effects of such communications in East Asia.
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J Pain Symptom Manage · Feb 2021
Enhancing palliative care with mindful touch: Impact of a manual and movement therapy training program in an international multi-disciplinary integrative oncology setting.
Manual and movement therapies (MMTs) play a central role in the integrative oncology setting, significantly improving patients' quality of life (QOL). Despite research supporting the effectiveness and safety of these modalities, most oncology health care providers (HCPs) lack any MMT training. ⋯ An MMT training program for oncology HCPs for QOL-related indications is both feasible and likely to be implemented in palliative and supportive cancer care. Nonspecific effects of MMTs were also recognized for their ability to facilitate patient-centered care.
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J Pain Symptom Manage · Feb 2021
Association between pre-treatment sleep disturbance and radiation therapy-induced pain in 573 women with breast cancer.
Pain can be a debilitating side effect of radiation therapy (RT). Data from the general population have shown that sleep disturbance can influence pain incidence and severity; however, less is known about this relationship in patients with breast cancer receiving RT. ⋯ These findings suggest that moderate/severe disturbed sleep before RT is associated with increased pain from pre-to-post-RT in patients with breast cancer.