The Palliative Care – Promoting Assessment and Improvement of the Cancer Experience (PC-PAICE) Project: A Multi-Site International Quality Improvement Collaborative

Mentors at seven United States and Australian academic institutions partnered with seven leading Indian academic palliative care and cancer centers to undertake a program combining remote and in-person mentorship, didactic instruction, and project-based learning in quality improvement. From its inception in 2017 to 2020, the Promoting Assessment and Improvement of the Cancer Experience (PC-PAICE) Program conducted three cohorts for capacity building of 22 Indian palliative care and cancer programs.
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
Background: Aromatase Inhibitors (AIs) are recommended for the adjuvant treatment of hormone receptor positive breast cancers in the postmenopausal population. Approximately 25% of postmenopausal women on AI report arthralgia, skeletal, and muscle pain as main cause of discontinuation of therapy. OPERA ® (GAMFARMA srl, Milan, Italy) is a new dietary supplement where α-Lipoic acid (240 mg), Boswellia serrata (40 mg), Methylsulfonylmethane (200 mg) and Bromelain (20 mg) are combined together in a single hard-gelatin capsule to be taken once a day.
Source: European Journal of Cancer - Category: Cancer & Oncology Authors: Tags: POSTERS A: Supportive and Palliative Care Including End of Life Treatment Source Type: research
rio Luppi The increased recognition of the high prevalence and important burden of cancer pain and the documentation of a large proportion of patients receiving inadequate analgesic treatment should have reinforced the need for evidence-based recommendations. The World health Organization (WHO) guidelines on cancer pain management—or palliative care—are traditionally based on a sequential, three-step, analgesic ladder according to pain intensity: nonopioids (paracetamol or nonsteroidal anti-inflammatory drugs) to mild pain in step I; weak opioids (eg, codeine or tramadol) to mild-moderate pain in st...
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Commentary Source Type: research
by Nathan Riley " Can you all, please, just leave us alone? "One particular experience with the death of a newborn stands out in my mind. Moments after birth the baby was breathless, and the neonatology team could not intubate. All of the kingdom ’s pediatric surgeons and other specialists rushed to labor and delivery to no avail. The baby was born with a four centimeter gap in his trachea, an irreparable condition. The mother sat there, holding her dying baby as he took his last breaths while physicians, nurses, and residents were busy as usual. Click-clacking away on computers. Adjusting blankets. As...
Source: Pallimed: A Hospice and Palliative Medicine Blog - Category: Palliative Care Tags: gynecology obstetrics palliative care pediatrics prenatal riley Source Type: blogs
To identify sources used by patients with advanced or metastatic gynecologic cancer to learn about palliative care and to evaluate for differences in knowledge about palliative care and palliative care utilization by knowledge source.
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Tags: Brief Report Source Type: research
Authors: Southcott D, Awan A, Ghate K, Clemons M, Fernandes R Abstract Bone metastases are a significant source of morbidity and mortality for patients with breast and prostate cancer. In this review, we discuss key practical themes regarding the use of bone-targeted agents (btas) such as bisphosphonates and denosumab for managing bony metastatic disease. The btas both delay the onset and reduce the incidence of skeletal-related events (sres), defined as any or all of a need for radiation therapy or surgery to bone, pathologic fracture, spinal cord compression, or hypercalcemia of malignancy. They have more modest ...
Source: Current Oncology - Category: Cancer & Oncology Tags: Curr Oncol Source Type: research
Colorectal cancer (CRC) has a devastating effect on the quality of life, and the treatment of active intestinal bleeding in CRC is a real challenge at the end of life. This case report presents a spectacular effect of an unusual palliative treatment strategy in a middle-aged home hospice patient with severe pain and persistent duodenal bleeding secondary to its neoplastic infiltration. Palliative radiotherapy (RT) significantly improved pain control, terminated the duodenal bleeding, and allowed successful treatment of deep vein thrombosis, previously impossible due to the bleeding.
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research
Fourteen months after she was diagnosed with pancreatic cancer, Sharon, my beloved wife and partner, died at home in my arms. I knew the end was near. Maybe Sharon did as well; I was no longer certain of her level of awareness. I lay with her all night, alternately dosing and awake, deeply sad, but wanting her misery to end. I would be alone, but she would no longer suffer. My arms were around her and I talked to her hoping that she could hear me. She died before the sun rose on the morning of January 10, 2018.
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research
Fourteen months after she was diagnosed with pancreatic cancer, Sharon, my beloved wife and partner, died at home in my arms. I knew the end was near. Maybe Sharon did as well; I was no longer certain of her level of awareness. I lay with her all night, alternately dozing and awake, deeply sad, but wanting her misery to end. I would be alone, but she would no longer suffer. My arms were around her, and I talked to her hoping that she could hear me. She died before the sun rose on the morning of January 10,  2018.
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Tags: Humanities: Art, Language, and Spirituality in Palliative Care Source Type: research
Authors: Hashimoto M, Aogaki K, Numata C, Moriwaki K, Matsuda Y, Ishii R, Tanaka I, Okamoto Y Abstract The dose of opioids prescribed for cancer pain does not always correlate with the actual pain severity. However, there is little evidence to explain this observation. In the present study, we sought to determine factors that influence the dose of opioid analgesics. A total of 227 patients who were administered opioids between August 2012 and May 2016 and later expired within the Department of Palliative Care at Ashiya Municipal Hospital were included, and the following variables were examined: age, sex, type of ca...
Source: Journal of Opioid Management - Category: Addiction Tags: J Opioid Manag Source Type: research
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