Managing Cancer Pain in the Era of an Opioid Crisis Managing Cancer Pain in the Era of an Opioid Crisis
An expert panel discussed management and strategies for caring for patients and avoiding misuse of opioids, and also touched on growing concerns of limited access.Medscape Medical News
AbstractGenomic medicine provides opportunities to personalize cancer therapy for an individual patient. Although novel targeted therapies prolong survival, most patients with cancer continue to suffer from burdensome symptoms including pain, depression, neuropathy, nausea and vomiting, and infections, which significantly impair quality of life. Suboptimal management of these symptoms can negatively affect response to cancer treatment and overall prognosis. The effect of genetic variation on drug response—otherwise known as pharmacogenomics—is well documented and directly influences an individual patient's resp...
DiscussionDraft guidelines will be developed in the form of action statements based on the strength of evidence and grades of recommendations. The draft guidelines will be reviewed internally by two independent reviewers using AGREE II and externally by a methodological expert from Evidence-Based Care – Cancer Care Ontario and will be sent to the Canadian Physiotherapy Association (CPA) for feedback from physiotherapists.Systematic review registrationPROSPEROCRD42017064056
ConclusionThe findings suggest that the ASCUS are not always precursors of SIL, but they need periodical follow-up after every 6 months. This will be ideal management of ASCUS under low-resource settings.
ConclusionsThis case highlights the importance of recognizing gastrointestinal complications following chemotherapy and the need to be aware of the possibility of bowel perforation. Prompt surgical review and intervention must be requested in patients with acute abdominal pain and persistent gastrointestinal symptoms such as diarrhea and vomiting.
Two public health crises, the epidemics of chronic pain and of opioid misuse, are creating challenges for cancer pain management.
Condition: Therapy-Associated Cancer Interventions: Other: Pain Squad+ with Nurse Support; Other: Pain Squad+ Sponsor: The Hospital for Sick Children Not yet recruiting
Conclusion: the results show that nursing professionals must contextualize their care relationships, by putting value on the aspects that transcend the biological dimension of hospitalized children with chronic cancer pain.
Are you frustrated that you dropped only a few pounds following a new diet, but your best friend lost almost 30? Why did the probiotics that helped your sister’s bloating sensation do nothing for you? Your coworker swears that going gluten-free made his joint pain disappear, but you just came away craving more bread and pasta. In a world where we expect personalized products and services delivered promptly to our screens and doors, medicine is not even close to bringing this level of experience. Why does precision medicine in the 21st century remain so elusive? We are using an old framework to resolve the most common...
Authors: Schera F, Schäfer M, Bucur A, van Leeuwen J, Ngantchjon EH, Graf N, Kondylakis H, Koumakis L, Marias K, Kiefer S Abstract Clinical decision support systems can play a crucial role in healthcare delivery as they promise to improve health outcomes and patient safety, reduce medical errors and costs and contribute to patient satisfaction. Used in an optimal way, they increase the quality of healthcare by proposing the right information and intervention to the right person at the right time in the healthcare delivery process. This paper reports on a specific approach to integrated clinical decision suppor...
An increasing number of oral cancer treatments require patient adherence and symptom self-management.