Complementary therapies for symptom management in cancer patients

Aanchal Satija, Sushma BhatnagarIndian Journal of Palliative Care 2017 23(4):468-479Cancer patients are often poly-symptomatic which distressingly affects their quality of lives (QOLs). Alhough, conventional management provides adequate symptom control, yet is coupled with some limitations. Complementary therapies (CTs) have shown beneficial effects in cancer patients for symptomatic relief. The aim of this article is to provide evidence-based review of commonly used CTs for symptom management in cancer care. Hypnosis has promising evidence to be used for managing symptoms such as pain, chemotherapy-induced nausea/vomiting, distress, fatigue, and hot flashes. Guided imagery increases comfort and can be used as a psycho-supportive therapy. Meditation substantially improves psychological function, mental health, and QOL. Cognitive behavioral therapies effectively reduce pain, distress, fatigue, anxiety, and depression; and improve subjective sleep outcomes along with mood and QOL. Yoga has short term beneficial effects for anxiety, depression, fatigue, perceived stress, QOL, and well-being. T'ai Chi and qigong are beneficial adjunctive therapies for supportive cancer care, but their role in reducing cancer pain is not well proven. Acupuncture is effective for reducing treatment related side-effects, pain and fatigue. Other therapies such as massage techniques, energy therapies, and spiritual interventions have also demonstrated positive role in managing cancer-related sympt...
Source: Indian Journal of Palliative Care - Category: Palliative Care Authors: Source Type: research

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The story began a year ago, as did my divorce, but I will try my best to explain my relationship with Blake Chadick, as it was a major impact on me this past year, waiting for my divorce to be finalized.  I realize my blog is reading backwards at the moment, but should only be several entries or so.First of all, he's married.  He said his wife Melissa was very sick from the radiation treatment she received when she had colon (among other) cancers in 2011.  She slept half of the day, was in the the bathroom for the other half, and had a medication the constipated her for about 2 hours a day so she could be ac...
Source: bipolar.and.me - Category: Psychiatry Tags: @drinkbodyarmor @mamacof3 anxiety betrayal blake chadick depression lies Source Type: blogs
ConclusionsFew clinical trials of acupuncture, and complementary medicine interventions generally, document details of the process by which they ensured the model validity of their trial intervention. It is recommended that researchers in acupuncture, and other forms of complementary medicine, adopt appropriate methodological approaches to ensure model validity.
Source: European Journal of Integrative Medicine - Category: Complementary Medicine Source Type: research
“The real meditation practice is how we live our lives from moment to moment to moment.” – Jon Kabat-Zinn As someone who strives daily to be the best I can be, to be present in the moment, minimize stress and appreciate the beauty and preciousness of life, I’m always keen to learn about scientifically-proven new health benefits of mindfulness meditation. Get better sleep. Anyone who’s suffered the lingering mental and physical effects of a poor night’s sleep on a regular basis, as I have on numerous occasions in the past, can appreciate this all-important benefit from mindfulness meditat...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Mindfulness Research Self-Help Stress Source Type: blogs
ConclusionsFew clinical trials of acupuncture, and complementary medicine interventions generally, document details of the process by which they ensured the model validity of their trial intervention. It is recommended that researchers in acupuncture, and other forms of complementary medicine, adopt appropriate methodological approaches to ensure model validity.
Source: European Journal of Integrative Medicine - Category: Complementary Medicine Source Type: research
Background: Pain, depression, anxiety, sleep disturbances, and constipation were reported in different symptom clusters at different stages of breast cancer. Managing symptom clusters rather than individual symptoms can improve performance status. Aim: The study examined the effect of pain symptom cluster (pain and constipation) on performance when mediated by the psychoneurological symptom cluster (depression, anxiety, and sleep disturbances) using age as a moderator. Design: A secondary analysis.
Source: Pain Management Nursing - Category: Nursing Authors: Tags: Original Article Source Type: research
Conclusions: Patients who completed this interdisciplinary palliative consult service appeared to experience a reduction in their most severe symptoms. Visits to patients during existing appointments or having them attend a half-day clinic appears to have reached those referred. With interdisciplinary integration, clinicians are able to collaborate to address patient care needs. Considerations include how to further integrate palliative and psychosocial care to achieve additional benefits and ongoing monitoring of changes in symptom burden. PMID: 29891523 [PubMed - in process]
Source: Journal of the National Comprehensive Cancer Network : JNCCN - Category: Cancer & Oncology Tags: J Natl Compr Canc Netw Source Type: research
Abstract Purpose The Society for Integrative Oncology (SIO) produced an evidence-based guideline on use of integrative therapies during and after breast cancer treatment that was determined to be relevant to the American Society of Clinical Oncology (ASCO) membership. ASCO considered the guideline for endorsement. Methods The SIO guideline addressed the use of integrative therapies for the management of symptoms and adverse effects, such as anxiety and stress, mood disorders, fatigue, quality of life, chemotherapy-induced nausea and vomiting, lymphedema, chemotherapy-induced peripheral neuropathy, pain, and sleep ...
Source: Clinical Genitourinary Cancer - Category: Cancer & Oncology Authors: Tags: J Clin Oncol Source Type: research
Conclusion Sleep duration was associated with symptom burden and poorer survival and IL-2 was found to mediate the association between sleep and survival. Screening and treatment of sleep problems in patients diagnosed with cancer are warranted.
Source: Psychosomatic Medicine - Category: Psychiatry & Psychology Tags: Original Articles Source Type: research
CONCLUSION: Monitoring for abnormal physical and psychosocial issues after cancer treatment is essential to maintain or improve psychosocial well-being during survivorship. When developing survivorship care plans for patients residing in regional centres, health professionals should consider availability of high-quality and accessible support services in regional areas of Australia. PMID: 29799149 [PubMed - as supplied by publisher]
Source: The Australian Journal of Rural Health - Category: Rural Health Authors: Tags: Aust J Rural Health Source Type: research
Abstract Severe fatigue occurs in one in four breast cancer survivors (BCS). Quality of life (QOL) and psychological factors are important in fatigue-oriented interventions for BCS, but an up-to-date overview is lacking. The aims of this review were to (i) provide a comprehensive overview of the relationship of fatigue with QOL and factors that can be addressed in psychological interventions for fatigue in BCS and (ii) determine the strength of evidence for these relationships. A systematic literature search was conducted to find studies on fatigue in BCS who had completed curative breast cancer treatment. Fatigue...
Source: Clinical Psychology Review - Category: Psychiatry & Psychology Authors: Tags: Clin Psychol Rev Source Type: research
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