Complementary and Alternative Medicine in Hospice and Palliative Care: A Systematic Review

The aim of palliative care is to improve quality of life for patients with serious illnesses by treating their symptoms and adverse effects. Hospice care also aims for this for patients with a life expectancy of six months or less. When conventional therapies do not provide adequate symptom management or produce their own adverse effects, patients, families and caregivers may prefer complementary or alternative approaches in their care.
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research

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CONCLUSION: while the evidence from the studies evaluating the use of massage therapy or the use of progressive muscle relaxation and guided imaging for the management of cancer pain in these patients demonstrated significant benefits, the other two studies that evaluated the use of acupuncture as a complementary therapy showed contradictory results, therefore, needing more research studies to elucidate such findings. PMID: 33027406 [PubMed - as supplied by publisher]
Source: Revista Latino-Americana de Enfermagem - Category: Nursing Authors: Tags: Rev Lat Am Enfermagem Source Type: research
Clinical aromatherapy is an alternative medicine therapy that can be beneficial in the inpatient or outpatient setting for symptom management for pain, nausea, general well-being, anxiety, depression, stress, and insomnia. It is beneficial for preoperative anxiety, oncology, palliative care, hospice, and end of life. Essential oils can be dangerous and toxic, with some being flammable, causing skin dermatitis, being phototoxic with risk of a chemical burn, or causing oral toxicity or death. The article investigates history, supporting theories, guidelines, plant sources, safety, pathophysiologic responses, and clinical nur...
Source: Nursing Clinics of North America - Category: Nursing Authors: Source Type: research
Authors: Olela B, Mbaria J, Wachira T, Moriasi G Abstract Inflammation and pain are devastating conditions characterizing many diseases. Their manifestation ranges from mild body discomfort, to a debilitating experience, which may culminate in organ failure or death. In conventional medicine, corticosteroids, nonsteroidal anti-inflammatory drugs, opioids, and adjuvants are utilized to manage symptoms related to pain and inflammation. Despite their reported successes, these agents are only palliative, debatably inaccessible, unaffordable, and cause many undesirable side effects. As a result, the search for alternati...
Source: Evidence-based Complementary and Alternative Medicine - Category: Complementary Medicine Tags: Evid Based Complement Alternat Med Source Type: research
Arif Ahmed, Raghu S Thota, Sushma Bhatnagar, Parmanand Jain, Raghavendra Ramanjulu, Naveen Salins, Aparna Chatterjee, Dipasri BhattacharyaIndian Journal of Palliative Care 2020 26(2):198-202 The Indian Society for Study of Pain (ISSP), cancer pain Special Interest Group (SIG) guidelines on complementary therapies for cancer pain in adults provides a structured, stepwise approach which will help to improve the management of cancer pain and to provide the patients with a minimally acceptable quality of life. The guidelines have been developed based on the available literature and evidence, to suit the needs, patient populat...
Source: Indian Journal of Palliative Care - Category: Palliative Care Authors: Source Type: research
Abstract Sickle cell disease (SCD) is a highly complex inherited disorder of hemoglobin structure. Although the molecular lesion is a single-point mutation, the sickle gene is pleiotropic in nature causing multiple phenotypic expressions that constitute the various complications of the disease. Its manifestations could be acute, chronic, nociceptive, neuropathic that could occur singly or in various combinations. Pain continues to be the major factor of SCD phenotypic complications and the most common cause of admissions to the Emergency Department and/or the hospital. Although progress has been made in understand...
Source: Complementary Therapies in Medicine - Category: Complementary Medicine Authors: Tags: Complement Ther Med Source Type: research
CONCLUSIONS: It is feasible to run a multidisciplinary clinic focused on pain management, coping skills, and healthy living with SCD. Providers benefited from the opportunity to collaborate with other disciplines. Patient and family feedback was positive, highlighted benefits of being introduced to new modalities, and reported advantages of meeting other patients/families in a new setting. PMID: 32147065 [PubMed - in process]
Source: Complementary Therapies in Medicine - Category: Complementary Medicine Authors: Tags: Complement Ther Med Source Type: research
The heartbeat project is a specialized form of legacy building for patients and families utilizing innovative technology in which the heartbeat of a patient, adult or neonate is recorded with a Bluetooth stethoscope and blended with a song that the patient and/or family indicates is meaningful. This innovative form of integrative and complementary therapy utilizes a board-certified music therapist who guides the patient and/or family through the therapeutic process of choosing the song(s) for this project.
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research
CONCLUSION: Interventions commonly recommended by guidelines are not always supported by a robust evidence base. Research is required to evaluate the efficacy of non-steroidal anti-inflammatory drugs, anti-convulsants, anti-depressants, corticosteroids, some invasive anaesthetic techniques, complementary therapies and transcutaneous electrical nerve stimulation. PMID: 31980005 [PubMed - as supplied by publisher]
Source: Palliative Medicine - Category: Palliative Care Authors: Tags: Palliat Med Source Type: research
This study was a quasi-experimental research with a pretest posttest control group designed to investigate the effect of Dharma Creative Art Therapy Program on the quality of life among cancer patients receiving palliative care. The participants included female and male cancer patients receiving palliative care at Arokayasal Kampramong Temple (AKT), Sakon Nakhon Province, Thailand. It is a hospice care center that uses Thai traditional medicine and complementary medicine. Eighteen participants were in the control group and 15 participants in the experimental group.
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research
According to the WHO, Complementary and Alternative Medicine is, ‘a comprehensive term used to refer both to traditional medical systems such as traditional Chinese medicine, Indian Ayurveda and Arabic Unani medicine, and to various forms of indigenous medicine.’
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research
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