Cannabis: A New Addition to the Palliative Care Toolkit (P11)

Increasing numbers of patients living with serious illness are requesting access to medical cannabis as well as guidance about its use for pain and symptom management, as a disease-modifying drug for cancer and other diseases, and as a strategy to avoid chronic opioid and benzodiazepine use. Select palliative care clinics have incorporated cannabis into their therapeutic toolkit, and “cannabis consultations” have become an entry point for accessing palliative care for some patients. In many states, physicians and advance practice providers are responsible for counseling and registering patients for medical cannabis, though medical decision-making about the benefits and harms of cannabis is challenging given the relative paucity of guidelines and evidence.
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research

Related Links:

Many people experience pain that lasts more than three months that is neither cancer ÔÇÉrelated nor a headache. The search for a diagnosis and pain relief is often long and can be discouraging.  In this interview, lead author of the recently updated Cochrane ReviewPsychological therapies for the management of chronic pain (excluding headache) in adults  Amanda C de C Williams discusses the findings of this review.Can you tell us about this Cochrane Review and what is new about this update?This review is the third in Cochrane, and the fourth overall, attempting to answer the question of efficacy of psychological i...
Source: Cochrane News and Events - Category: Information Technology Authors: Source Type: news
Authors: Bhaskar A Abstract Invasive interventional procedures for managing pain in cancer patients are often under-utilised following the popularisation of the WHO analgesic ladder. The procedures that were successfully used until then were relegated away from mainstream palliative care practice, with the advent of newer opioids and adjuvants. Even though nerve blocks, intrathecal pumps and spinal cord stimulation were re-introduced as the fourth step of the WHO ladder, often referrals for these procedures are too late to produce a meaningful effect on quality of life. At this point most patients have advanced dis...
Source: Postgraduate Medicine - Category: Internal Medicine Tags: Postgrad Med Source Type: research
With perpetual research, management refinement, and increasing survivorship, cancer care is steadily evolving into a chronic disease model. Rehabilitation physicians are quite accustomed to managing chronic conditions, yet, in Australia, cancer rehabilitation remains underexplored.Palliative care physicians, along with rehabilitationists, are true generalists, who focus on the whole patient and their social context, in addition to the diseased organ system. This, together with palliative care's expertise in managing the panoply of troubling symptoms that beset patients with malignancy, makes them natural allies in the comp...
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Tags: Special Article Source Type: research
With perpetual research, management refinement and increasing survivorship, cancer care is steadily evolving into a chronic disease model. Rehabilitation Physicians are quite accustomed to managing chronic conditions, yet, in Australia, Cancer Rehabilitation remains under-explored.Palliative Care Physicians, along with Rehabilitationists, are true Generalists, who focus on the whole patient and their social context, in addition to the diseased organ system. This, together with Palliative Care ’s expertise in managing the panoply of troubling symptoms that beset patients with malignancy, makes them natural allies in t...
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research
Constipation occurs in over 60% of persons with cancer during treatment and in palliative care. Constipation leads to physical and psychological distress and impacts quality of life; however, the evidence on prevention and resolution of symptoms is limited.
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research
Hepatocellular carcinoma (HCC), the most common type of liver cancer, develops as a complication of chronic liver disease. While palliative care has been shown to reduce rates of healthcare utilization in other populations, little is known of the impact of inpatient palliative care consultation for people with HCC.
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research
This article provides an overview of the evidence on the risks and benefits of using medical cannabis for the indications of chronic pain, cancer-related pain, cancer cachexia, dementia, and Alzheimer's disease. Currently, there is insufficient evidence to determine the effectiveness and safety of cannabinoids for most reviewed indications, with the exception of chronic pain. Future research is required before palliative care clinicians can make evidence-based decisions on the integration of medical cannabis as adjunct therapies. PMID: 32312410 [PubMed - in process]
Source: The Medical Clinics of North America - Category: General Medicine Authors: Tags: Med Clin North Am Source Type: research
This article provides an overview of the evidence on the risks and benefits of using medical cannabis for the indications of chronic pain, cancer-related pain, cancer cachexia, dementia, and Alzheimer ’s disease. Currently, there is insufficient evidence to determine the effectiveness and safety of cannabinoids for most reviewed indications, with the exception of chronic pain. Future research is required before palliative care clinicians can make evidence-based decisions on the integration of m edical cannabis as adjunct therapies.
Source: Medical Clinics of North America - Category: Primary Care Authors: Source Type: research
The objective of our study was to estimate the healthcare expenditures associated with persistent opioid use among adults with CNCP from both payer and patient perspectives. A retrospective cohort study using data from the Medical Expenditure Panel Survey (2012-2015) was undertaken. Patients with persistent, intermittent, and no opioid use in the baseline year were identified and their healthcare expenditures in the follow-up year were examined after controlling for potential confounders. In all, 7,286 adults with CNCP matching our inclusion criteria were identified: 14%, 16%, and 70% reported persistent, intermittent, and...
Source: Journal of Pain and Palliative Care Pharmacotherapy - Category: Palliative Care Tags: J Pain Palliat Care Pharmacother Source Type: research
AbstractPurpose of ReviewOpioids are the only class of drug with the proven ability to control severe pain. The introduction of stringent opioid prescribing restrictions has inevitably impacted upon the ability of those prescribing opioids for advanced life-limited disease to practice as previously and could limit the supply of adequate pain relief to patients with cancer. This review considers the evidence that symptom management of patients with advanced cancer contributes to the “opioid problem” and whether there is adequate recognition of the risks involved.Recent FindingsThe literature suggests that the ri...
Source: Current Oncology Reports - Category: Cancer & Oncology Source Type: research
More News: Cancer | Cancer & Oncology | Chronic Pain | Pain | Pain Management | Palliative | Palliative Care