Confronting Stigma From Opioid Use Disorder in Cancer Care

by Fitzgerald Jones, Ho, Sager, Rosielle and MerlinHave you ever been so distressed by a perspective piece that it kept you up at night? The type of rumination that fills you with so much angst that you have no choice but to act. This is exactly how we felt when we read theAAHPM Quarterly Winter 2020 Let ’s Think About It Again.1 (member paywall)The column, which is structured as a sort of written debate in which two authors argue a clinical question, describes a case of a 45-year-old man with severe substance use disorder (SUD) recently diagnosed with extensive-stage small-cell lung cancer. He was offered aggressive chemotherapy and a referral to a clinic to address his opioid use disorder but did not follow up in the SUD clinic and later presented to an emergency department after a heroin overdose that reversed with naloxone. At his oncology follow-up, he expresses a desire to proceed with chemotherapy but a reluctance to take medication for addiction, stating he can manage his heroin use on his own. The case  notes a history of long standing depression and recent homelessness.  The column then poses the question: Should a patient be offered chemotherapy if he does not receive appropriate care for his ongoing SUD?Two authors then wrote their different responses to that question (yes give him chemo, or no). Should a patient be offered chemotherapy if he does not receive appropriate care for his ongoing SUD? If this question does not i...
Source: Pallimed: A Hospice and Palliative Medicine Blog - Category: Palliative Care Tags: ftigerald jones ho merlin rosielle sager Source Type: blogs

Related Links:

AbstractData regarding COVID-19 vaccine efficacy and adverse events  (AE) in patients with autoimmune and inflammatory rheumatic diseases (AIIRD) have been published recently although these mostly include the mRNA vaccines (Pfizer-BioNTech and Moderna) and the ChAdOx1 nCoV-19/AZD1222 (Oxford-AstraZeneca). This research aimed to study the prevalence of AE presented with six different SARS-CoV-2 vaccines {ChadOX1 nCoV-19 (AZD1222), Ad5-nCoV2, Ad26.COV2.S, mRNA-1273, BNT162b2, and CoronaVac} in Mexican patients with AIIRD. We performed a cross-sectional study about vaccine history. Two hundred and twenty five consecutive...
Source: Rheumatology International - Category: Rheumatology Source Type: research
AbstractThis case report concerns a 51-year-old woman with a 6-month history of severe right heel pain diagnosed as plantar fasciitis (PF) treated with intra-arterial infusion of imipenem/cilastatin (IPM/CS) through a 24G indwelling needle directly inserted into the posterior tibial artery (PTA). Angiography of the indwelling needle immediately before the infusion of IPM/CS demonstrated an increased number of abnormal vessels at the calcaneal attachment of theplantar fascia. Two procedures were planned: The first procedure was performed, and the second was performed 1  month after the first. A week after the first tre...
Source: CardioVascular and Interventional Radiology - Category: Radiology Source Type: research
Biomedical Engineering Scientific Interest Group(BMESIG) seminar series: Lecture by Dr.Natalie Artzi, Assistant Professor of Medicine, Brigham and Women ’ s Hospital, Harvard Medical School; Principal Research Scientist, MIT; Associate Member, Broad Institute of Harvard and MIT. The power of leveraging the patient ’ s own immune system to fight diseases is increasingly being recognized. This talk will explore medical technologies being developed that harness lessons from biomaterial development for drug delivery systems to those that will reprogram the immune system to generate robust and long-lasting curative ...
Source: Videocast - All Events - Category: General Medicine Tags: Upcoming Events Source Type: video
ConclusionsBased on this report and the reviewed literature,Streptococcus  gallolyticus should be considered as a rare but potential causative microorganism in prosthetic right-sided valves endocarditis. The patient ’s atypical presentation emphasizes the need for a high index of suspicion for the diagnosis of infective endocarditis.
Source: Journal of Medical Case Reports - Category: General Medicine Source Type: research
ConclusionThis study found that teach-back interventions have positive health outcomes including happiness, uncertainty, self-efficacy, self-management behavior, symptom experience, distress, anxiety, and health literacy among cancer patients. However, it found no effects with regard to drug administration, functional measurements, or satisfaction. Future research should continuously examine the teach-back approach and assess its positive health outcomes for cancer patients.
Source: Supportive Care in Cancer - Category: Cancer & Oncology Source Type: research
ConclusionConducting RCTs using a state cannabis program is feasible. The addition of MC to standard oncology care was well-tolerated and may lead to improved pain control and lower opioid requirements. Conducting larger RCTs with MC in state-sponsored programs may guide oncology providers on how to safely and effectively incorporate MC for interested patients.
Source: Supportive Care in Cancer - Category: Cancer & Oncology Source Type: research
AbstractThe management of febrile neutropenia (FN) in pediatrics is evolving. Our objective was to describe current practices for the care of patients with FN in pediatric oncology centers in Latin America and identify areas for practice improvement. We used an online survey to enroll eligible healthcare providers who treat children with cancer in Latin America. The survey addressed respondents ’ characteristics, the environment of care, and FN care practices, including risk assessment, criteria for hospitalization, initial management of FN, evaluation, antibiotic administration, and discharge. From 220 surveys sent,...
Source: Supportive Care in Cancer - Category: Cancer & Oncology Source Type: research
ConclusionThis study contributes to existing literature in that it found patients who received inpatient rehabilitation services demonstrate significant improvement in their functional status despite reporting CRF upon admission to a long-term acute care hospital oncology unit.
Source: Supportive Care in Cancer - Category: Cancer & Oncology Source Type: research
ConclusionsResults suggest that psychological distress and lower HRQoL should be taken into account while promoting a healthy diet in overweight or obese CRC survivors since these factors may hinder adherence to a healthy diet.
Source: Supportive Care in Cancer - Category: Cancer & Oncology Source Type: research
ConclusionThe benefits of using antimicrobial prophylaxis were less supported. Enhancing diagnostic laboratory and medical complication surveillance and periodic evaluation of institutional data during post-chemotherapy neutropenia and NF in relation to antimicrobial prophylaxis is promising in providing insights to redefine the risk –benefit accounts of using prophylaxis.
Source: Supportive Care in Cancer - Category: Cancer & Oncology Source Type: research
More News: Addiction | Alcoholism | Anxiety | Back Pain | Blogging | Cancer | Cancer & Oncology | Chemotherapy | Chronic Pain | Depression | Emergency Medicine | Endocarditis | Environmental Health | Health Management | Infectious Diseases | Lung Cancer | Men | Methadone | Nurses | Nursing | Oral Cancer | Overdose | Pain | Palliative | Palliative Care | Post Traumatic Stress Disorder | Primary Care | Psychiatry | Psychology | Smokers | Students | Study | Suboxone | Substance Abuse | Substance Abuse Disorders | Transitional Cell Carcinoma | Universities & Medical Training | University of Minnesota | Websites