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Current Opinion in Supportive and Palliative Care

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https://www.readbyqxmd.com/read/29465470/opioid-addiction-diversion-and-abuse-in-chronic-and-cancer-pain
#1
Vijay Kata, Matthew B Novitch, Mark R Jones, Best O Anyama, Erik M Helander, Alan D Kaye
PURPOSE OF REVIEW: The primary cause of overdose death in the United States is related to pharmaceutical opioids. A few particular populations that struggle with adverse outcomes related to opioid abuse are those in palliative care, those with chronic pain, and those receiving pain treatments secondary to cancer or chemotherapy. RECENT FINDINGS: There have been massive efforts to decrease the use of opioid abuse in patient care in a gestalt manner, but palliative care provides unique challenges in applying these reduction tactics used by other specialties...
February 19, 2018: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/29465469/a-critical-appraisal-of-gabapentinoids-for-pain-in-cancer-patients
#2
Roberta I Jordan, Matthew R Mulvey, Michael I Bennett
PURPOSE OF REVIEW: Gabapentinoids are frequently used in the management of cancer pain. In recent Cochrane systematic reviews, although there was an abundance of evidence relating to non-cancer pain, only a few studies related to cancer pain. This review summarizes recent randomised controlled trials (RCTs) evaluating the use of gabapentinoids for tumour-related (as monotherapy or part of combination therapy) and treatment-related pain. RECENT FINDINGS: For tumour-related pain, ten out of thirteen studies showed statistically significant benefits in favour of gabapentinoids...
February 19, 2018: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/29438129/central-and-peripheral-processes-in-headache
#3
Adithya Varma, Saurabh Jain, Arshad Majid, Milena De Felice
PURPOSE OF REVIEW: Migraine is an extremely incapacitating collection of neurological symptoms that usually includes a severe, throbbing, recurring pain on one side of the head. The World Health Organization ranks migraine as the third most prevalent disease and the seventh commonest primary pain condition in the world. Trigeminovascular-mediated central sensitization has been implicated in the development of migraine symptoms including pain following light touch. This review explores the activation and sensitization of the brain systems that have emerged from recent studies and that contribute to migraine...
February 12, 2018: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/29438128/toxins-in-pain
#4
Fernanda C Cardoso, Mahadhi Hasan, Tianjiao Zhao, Richard J Lewis
PURPOSE OF REVIEW: Pain is a distressing protective sensory experience warning of actual or potential tissue damage. Natural toxins have evolved to exploit pain and related neuronal pathways to facilitate prey capture and for defence, often producing either numbness, paralysis or intense pain by selectively modulating ion channels and receptors in pain pathways. Understanding how toxins modulate pain pathways can enhance our understanding of the physiological and pathological basis of pain...
February 12, 2018: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/29438127/osteoarthritis-pain-recent-advances-and-controversies
#5
Hans-Georg Schaible
PURPOSE OF REVIEW: Osteoarthritis is one of the most frequent causes of chronic pain. Because there is no causal treatment of osteoarthritis, sufficient pain control is of uppermost importance but often not met. The review reports recent advances and controversies in our understanding of osteoarthritis pain and its treatment. RECENT FINDINGS: Osteoarthritis pain is determined by processes at different levels. An important local factor of pain generation in the joint is inflammation such as synovitis, and neuropathic components of osteoarthritis pain are being discussed...
February 12, 2018: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/29432225/nonsteroidal-anti-inflammatory-drugs-and-cancer-pain
#6
Jenny Strawson
PURPOSE OF REVIEW: This review aims to appraise the most recent evidence for the use of NSAIDS in cancer pain. RECENT FINDINGS: The Cochrane review reveals the paucity of high-quality evidence for the use of NSAIDS for cancer pain, highlighting methodological considerations for future research. There is limited evidence for the role of combined NSAIDs (celecoxib and diclofenac) alongside opioids for cancer pain. Recent retrospective data suggests NSAIDS may contribute to better pain control in hospitalized patients...
February 9, 2018: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/29278554/matters-of-the-heart-failing-better
#7
James M Beattie
No abstract text is available yet for this article.
December 22, 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/29278553/screening-for-distress-in-survivorship
#8
Afaf Girgis, Allan B Smith, Ivana Durcinoska
PURPOSE OF REVIEW: The current review provides an overview of recent research and other initiatives aimed at increasing and/or systematizing screening for distress in cancer survivors. It is timely given an increasing drive internationally to implement distress screening as part of routine cancer care. RECENT FINDINGS: Screening using brief validated tools is recommended and the single-item distress thermometer continues to be the international screening tool of choice...
December 22, 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/29251694/existential-distress-and-meaning-focused-interventions-in-cancer-survivorship
#9
Sigrun Vehling, Rebecca Philipp
PURPOSE OF REVIEW: Cancer can challenge fundamental assumptions about security, controllability and life priorities, which may lead to clinically relevant existential distress. We review recent studies on the prevalence of existential distress in cancer survivors, its distinctness from other distress concepts and interventions to address cancer-specific existential challenges. We further describe psychological mechanisms that may underlie change resulting from such interventions. RECENT FINDINGS: One-third to one-half of cancer survivors experienced existential fears and concerns related to reduced control, identity and uncertainty about the future...
December 14, 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/29251693/the-fear-of-cancer-recurrence-literature-continues-to-move-forward-a-review-article
#10
Christine Maheu, Jacqueline Galica
PURPOSE OF REVIEW: The volume of literature addressing fear of cancer recurrence (FCR) is rapidly increasing. A summary of key developments in the research and treatment of FCR was published by Sharpe et al. in 2017, and the current review focuses on works published thereafter. RECENT FINDINGS: A comprehensive literature review was conducted to provide an up-to-date summary of peer-reviewed publications focusing on FCR. The search consisted of the most recent FCR reports published between 2016 and 2017, which can be broadly categorized as: methods of assessment; associations with FCR; FCR and caregivers; and FCR interventions...
December 14, 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/29232259/the-experience-of-head-and-neck-cancer-survivorship-including-laryngectomy-an-integrated-biopsychosocial-model
#11
Marlene C Jacobson
PURPOSE OF REVIEW: The head and neck cancer (HNC) survivorship experience is unique among cancer populations. This review seeks to explore the HNC survivor experience associated with altered upper aerodigestive tract (UADT) function using principles of survivorship. RECENT FINDINGS: HNC survivors experience complex physical, functional, and psychosocial challenges related to UADT dysfunction. Interventions need to address all of these dimensions being mindful of the survivor experience...
December 9, 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/29206700/caregiver-anticipatory-grief-phenomenology-assessment-and-clinical-interventions
#12
Alexandra Coelho, Maja de Brito, António Barbosa
PURPOSE OF REVIEW: This review aims to synthesize recent findings on anticipatory grief in caregivers, referring to its phenomenology, assessment and clinical interventions. RECENT FINDINGS: Recent literature illustrates the wide scope of the current use of the term anticipatory grief, reflecting caregivers' experiences in different end-of-life trajectories. The anticipation of death is the distinctive aspect of anticipatory grief in the predeath grief continuum, encompassing several progressive losses, past and future...
December 4, 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/29206704/palliative-care-needs-assessment-in-chronic-heart-failure
#13
Daisy J A Janssen, Miriam J Johnson, Martijn A Spruit
PURPOSE OF REVIEW: The unmet palliative care needs of patients with chronic heart failure (CHF) are well known. Palliative care needs assessment is paramount for timely provision of palliative care. The present review provides an overview of palliative care needs assessment in patients with CHF: the role of prognostic tools, the role of the surprise question, and the role of palliative care needs assessment tools. RECENT FINDINGS: Multiple prognostic tools are available, but offer little guidance for individual patients...
November 27, 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/29206703/palliative-care-needs-of-heart-failure-patients-in-china-putting-people-first
#14
Ping Guo, Richard Harding, Irene J Higginson
PURPOSE OF REVIEW: Recognizing the rising prevalence of heart failure in China, patients with heart failure have substantial palliative needs. This review highlights recent evidence on the epidemic of heart failure, identifies needs and potential benefit of palliative care in heart failure, and sets future strategic policy and research directions in China. RECENT FINDINGS: Epidemiological studies demonstrate the prevalence of heart failure among women is higher than men in China and increases substantially with age...
November 27, 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/29206702/challenges-in-clarifying-goals-of-care-in-patients-with-advanced-heart-failure
#15
Patricia H Strachan, Jennifer Kryworuchko, Lin Li
PURPOSE OF REVIEW: Patients with advanced heart failure require communication about goals of care, yet many challenges exist, leaving it suboptimal. High mortality rates and advances in the use of life-sustaining technology further complicate communication and underscore the urgency to understand and address these challenges. This review highlights current research with a view to informing future research and practice to improve goals of care communication. RECENT FINDINGS: Clinicians view patient and family barriers as more impactful than clinician and system factors in impeding goals of care discussions...
November 27, 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/29206701/thirst-in-heart-failure-what-do-we-know-so-far
#16
Sabine M Allida, Christopher S Hayward, Phillip J Newton
PURPOSE OF REVIEW: Thirst is a common and burdensome symptom of heart failure, which impacts adversely on quality of life. To date, there is limited research on the prevalence of thirst, the factors associated with thirst and interventions to help manage thirst in heart failure. This review summarizes key empirical research developments of thirst. RECENT FINDINGS: Recent research shows that the heart failure syndrome, medications, self-care practice such as fluid restriction and anxiety contributes greatly to increased thirst in patients with heart failure...
November 27, 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/29324581/the-silent-struggles-of-survivorship-in-cancer
#17
Janet Ellis, Elie Isenberg-Grzeda
No abstract text is available yet for this article.
March 2018: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/29315091/supported-self-management-for-cancer-survivors-to-address-long-term-biopsychosocial-consequences-of-cancer-and-treatment-to-optimize-living-well
#18
Doris D Howell
PURPOSE OF REVIEW: As individuals are living longer with cancer as a chronic disease, they face new health challenges that require the application of self-management behaviors and skills that may not be in their usual repertoire of self-regulatory health behaviors. Increasing attention is focused on supported self-management (SSM) programs to enable survivors in managing the long-term biopsychosocial consequences and health challenges of survivorship. This review explores current directions and evidence for SSM programs that enable survivors to manage these consequences and optimize health...
March 2018: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/29303840/palliative-care-during-and-following-allogeneic-hematopoietic-stem-cell-transplantation
#19
Sandra A Mitchell
PURPOSE OF REVIEW: The purpose of this review is to synthesize recent literature regarding the provision of palliative care to patients during and following allogeneic hematopoietic stem cell transplantation (HSCT), highlighting factors which mediate impairments in health-related quality of life in this patient population, and the intervention approaches and models of care delivery that clinicians can consider to address unmet needs for palliative care and to strengthen patient and family resiliency...
March 2018: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/29068809/advances-in-managing-and-preventing-thromboembolic-disease-in-cancer-patients
#20
Anthony Maraveyas, Iqtedar Muazzam, Simon Noble, George Bozas
PURPOSE OF REVIEW: To update on new data for low-molecular weight heparins (LMWHs) and the direct oral anticoagulants (DOACs) for the treatment and prevention of cancer-associated thrombosis (CAT), to discuss progress with the risk-adaptive management scores (RAMS) and update on increased dose primary thromboprophylaxis (IDPTP). RECENT FINDINGS: In a pooled meta-analysis of 1132 cancer patients who received DOACs vs. vitamin K analogues (VKAs), recurrence of venous thromboembolism (VTE) was reduced from 6...
December 2017: Current Opinion in Supportive and Palliative Care
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