Journal of pain and symptom management
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J Pain Symptom Manage · Jun 2021
An Integrated Approach to Selecting a Prepared Medical Decision Maker.
We implemented a systematic multidisciplinary process to engage new outpatients with cancer in selecting and preparing a medical decision-maker. ⋯ This systematic multidisciplinary approach did not engage new outpatients with cancer in preparing a medical decision-maker. More active physician involvement and varied ways of engagement are needed.
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J Pain Symptom Manage · Jun 2021
Review Case ReportsTopical Management of Bleeding from Malignant Wounds caused by Breast Cancer: A Systematic Review.
Topical management is the main form of control of signs and symptoms regarding malignant wounds (MWs) arising from tumor progression on the skin. Nevertheless, few studies have explored this theme and evidence on the effectiveness of the methods used to control bleeding is unknown, leading to a lack of consensus to support clinical practice. ⋯ Although studies have promoted positive results of topical hemostasis, scientific evidence is still weak and arises from studies with poor methodological quality. Randomized controlled trials were not identified. The results highlight the crucial need for pilot studies to evaluate effect size, study procedures, and measurable results.
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J Pain Symptom Manage · Jun 2021
Randomized Controlled TrialTherapeutic Ultrasound for Chemotherapy-related Pain and Sensory Disturbance in the Hands and Feet in Patients with Colorectal Cancer: A Pilot Randomized Controlled Trial.
This proof-of-concept trial was undertaken as a first step in exploring the clinical benefit of therapeutic ultrasound for pain and sensory disturbance in patients with colorectal cancer. ⋯ The findings of this proof-of-concept study support the feasibility of the therapeutic ultrasound in addition to standard care as an intervention for colorectal cancer patients with oxaliplatin-related pain and sensory disturbance in the hands and feet. The findings warrant a large-scale placebo-controlled trial.
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J Pain Symptom Manage · Jun 2021
Randomized Controlled TrialYoga Practice Predicts Improvements in Day-to-Day Pain in Women With Metastatic Breast Cancer.
Women with metastatic breast cancer (MBC) experience a significant symptom burden, including cancer pain. Yoga is a mind-body discipline that has shown promise for alleviating cancer pain, but few studies have included patients with metastatic disease or examined the acute effects of yoga practice. ⋯ Findings suggest that yoga practice (meditation practice in particular) is associated with acute improvements in cancer pain, and that yoga interventions may be more impactful if tested in a sample of patients with advanced cancer in which pain is relatively elevated.