Patterns of knowledge and use of medical cannabis among Brazilian oncologists and palliative care physicians.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e24099-e24099
Author(s):  
Júlia Maria Mathias Pedreira de Freitas ◽  
Daniela Oliveira de Almeida ◽  
Luciana Castro G. Landeiro ◽  
Tércia Vilasboas Reis ◽  
Thomas Azevedo de Carmo ◽  
...  
Keyword(s):  
Palliative Care ◽  
Online Survey ◽  
Scientific Evidence ◽  
Complementary Therapy ◽  
Medical Cannabis ◽  
Patients With Cancer ◽  
Brazilian Legislation ◽  
Oncological Diseases ◽  
Care Outcomes ◽  
Lack Of Knowledge

e24099 Background: Medical cannabis (MC) emerged as an important complementary therapy in the context of oncological diseases. In 2019, the Brazilian Health Regulatory Agency (Anvisa) approved use of MC, which can be produced in the country and sold in pharmacies under medical prescription. Previous investigations have extensively correlated MC effectiveness, over management and support of symptoms caused by the disease and/ or its treatment. However, studies evaluating knowledge and patterns of MC use in oncology patients MC are lacking. In the present study, we assessed the perception of oncologists and palliative care physicians on MC as a complementary therapy for cancer patients, and their personal experiences in clinical practice in Brazil. Methods: In October 2020 an online survey was sent via e-mail by the Brazilian Society of Clinical Oncology and the National Academy of Palliative Care for physicians with expertise in oncology and/or palliative care. Outcomes measured included knowledge and opinions about MC, prescription experience and impressions about the Brazilian legislation. Data analysis was performed with descriptive statistics, comparison tests and the Poisson regression model with robust variance, using the IBM Statistical Package for the Social Sciences software, version 25. Results: A total of 124 physician participated in the study and, of those, 58.1% were oncologists, and 82.3% believed that MC has application as a complementary therapy in cancer. In contrast, only 52.4% of the participants felt comfortable recommending its use and only 15.3% have ever prescribed MC for their patients with cancer. Further, among those who have never prescribed, 71% have already referred patients to other professionals to prescribe, and 61% indicated lack of knowledge as the main factor for not prescribing. In addition, more than half of participants claimed not knowing Brazilian legislation regarding MC use. Nausea and vomiting were mentioned by 73.4% of physicians as the major indication for MC. Conclusions: Oncologists and palliative care physicians agree with the applicability of MC use for the management of symptoms related with or caused by cancer. However, our findings infer that factors such as lack of knowledge, legislation barriers and lack of robust scientific evidence, lead to its limited use among Brazilian oncologists and palliative care physicians.

scholarly journals Therapeutic approach for COVID-19: The power of herbal medicine

2020 ◽  
Vol 9 (10) ◽  
pp. e6789108907
Author(s):  
Danilo José Machado de Abreu ◽  
Hanna Elisia Araújo de Barros ◽  
Caio Vinicius Lima Natarelli ◽  
Alice Pereira Zanzini ◽  
Eduardo Valério de Barros Vilas Boas ◽  
...  
Keyword(s):  
Medicinal Plants ◽  
Therapeutic Strategy ◽  
Web Of Science ◽  
Scientific Evidence ◽  
Herbal Medicines ◽  
Complementary Therapy ◽  
Brazilian Legislation ◽  
Medicinal Use ◽  
Potential Use ◽  
Sciverse Scopus

The objective of this work was to evaluate whether medicinal plants as active ingredients of herbal, homeopathic and floral medicines marketed in Brazil, had potential use as a therapeutic strategy for prevention, treatment and cure for COVID-19. This study took into account products marketed and regulated by Brazilian legislation with claims such as: immunomodulators, antivirals and improvement of symptoms related to respiratory system deficiency, which were calculated the absolute (n) and relative (%) frequencies. In addition, PubMed®, Web of Science® and SciVerse Scopus® databases were used to search the literature in order to obtain the scientific claims of plants found in the formulations of the evaluated products, taking into account the typical symptoms of COVID-19. 113 products were found, of which 65% were herbal medicines, 27% homeopathic medicines and 7% floral. There were 13 medicinal plants with an absolute frequency ≥ 5, in which scientific evidence was found regarding their medicinal use, as a complementary therapy in the treatment of symptoms related to COVID-19.

scholarly journals ASSESSMENT OF QUALITY OF RENDERING PALLIATIVE CARE TO THE ONCOLOGY PATIENTS

2017 ◽  
Vol 20 (7) ◽  
pp. 177-187
Author(s):  
E.P. Gladunova
Keyword(s):  
Palliative Care ◽  
Malignant Neoplasms ◽  
Medical Assistance ◽  
Oncology Patients ◽  
Patients With Cancer ◽  
The World ◽  
Oncological Diseases ◽  
Prevalence Of Cancer ◽  
Palliative Patients

The analysis of prevalence of cancer in the world, in Russia and on the territory of the Samara Region. The results of analysis of neglect of oncological diseases in the Samara region; the results of regression analysis of growth of oncological diseases are presented. The organization of rendering palliative care in the Samara Region is studied and assessment of provision of palliative patients with berths is carried out. The estimate of provision of patients with malignant neoplasms with drugs for pain management. Factors that reduce the quality of rendering of medical assistance to the oncology patients are revealed. Directions of improving the quality of pharmaceutical care of patients with cancer are suggested.

scholarly journals Hypnotherapy in Palliative Care

1996 ◽  
Vol 89 (9) ◽  
pp. 493-496 ◽  
Author(s):  
I G Finlay ◽  
O L Jones
Keyword(s):  
Palliative Care ◽  
Complementary Therapies ◽  
Care Setting ◽  
Complementary Therapy ◽  
Negative Effects ◽  
Patients With Cancer ◽  
Formal Evaluation ◽  
Retrospective Questionnaire ◽  
Pleasant Experience ◽  
Evaluation Sheet

Complementary therapies have found increasing vogue in the management of patients with cancer, although little formal evaluation has been undertaken. We report on our experience of offering hynotherapy to palliative care outpatients in a hospice day care setting. During 2½ years, 256 patients had hypnotherapy, all singly; two-thirds (n=104) were women. Only 13% (n=21) had four or more treatment sessions. At the time of survey, the 52 patients still alive were mailed an evaluation sheet, of whom 41 responded. 61 % reported improved coping with their illness. 7% (n=3) reported harmful or negative effects from hypnotherapy. Amongst those whose coping was unchanged, many found the therapy a pleasant experience. 35 respondents (85%) appended positive comments to their questionnaire returns. Despite the limitations of a retrospective questionnaire, our findings suggest that hypnotherapy, used within strict guidelines in patients with advanced cancer, is a safe complementary therapy to enhance coping.

The science behind medical cannabis

2021 ◽  
Author(s):  
Gloabl Rheumatology By PANLAR
Keyword(s):  
Palliative Care ◽  
Scientific Evidence ◽  
Important Change ◽  
Evidence Based ◽  
Medical Cannabis ◽  
Use Patterns ◽  
Founding Member ◽  
Current State ◽  
Patterns Of Use ◽  
Therapeutic Possibility

The use of cannabis as medicine has undergone an important change in recent years, being currently evaluated as a therapeutic possibility for various pathologies, among them, of course, rheumatic diseases. Today in Un café por la reumatología we will discuss the current state of medical cannabis, the scientific evidence concerning its use, patterns of use and clinical experience in the region. Joining Carlo Vinicio Caballero, editor-in-chief of Global Rheumatology, and Diego Jaimes, will be Dario Scublinsky, a rheumatologist internist with a doctorate in medicine, former editor of the Revista Argentina de Reumatología and currently coordinator of rheumatology at Swiss Medical; as well as Paola Cubillos, Colombian physician from Universidad del Rosario, founding member of Procannacol, focused on the evidence-based use of medical cannabis; and Dr. Jaime Jaramillo Mejía, anesthesiologist, specialist in pain and palliative care.

scholarly journals Musicoterapia para pacientes oncológicos e/ou em cuidados paliativos: revisão integrativa da literatura

2019 ◽  
Vol 9 (28) ◽  
pp. 162-175
Author(s):  
Caroline Leite de Lima ◽  
Mariane De Jesus Carvalho ◽  
Elaine Reda da Silva
Keyword(s):  
Palliative Care ◽  
Music Therapy ◽  
Scientific Evidence ◽  
Signs And Symptoms ◽  
Well Being ◽  
Scientific Production ◽  
Electronic Library ◽  
Patients With Cancer ◽  
Para Determinar

Este estudo teve como objetivo apresentar e analisar a produção científica nacional e internacional envolvendo a aplicação da musicoterapia em pacientes portadores de câncer e/ou em cuidados paliativos. Realizou-se uma revisão integrativa na base de dados Scientific Eletronic Library Online (SciELO) e Biblioteca Virtual em Saúde (BVS). Dos 18 artigos selecionados, 12 abordaram os benefícios da utilização da musicoterapia; 4 às percepções de familiares e 2 outras abordagens (um avaliou a qualidade de evidências científicas sobre intervenções musicais e outro assuntos e necessidades apresentados durante a musicoterapia). Conclui-se que a musicoterapia contribui para o controle de sinais e sintomas, promove a comunicação, as expressões de sentimentos, emoções, bem-estar e conforto aos clientes e seus familiares. Porém, verifica-se a necessidade de mais pesquisas para determinar a melhor metodologia de intervenção, além de facilitar os contextos de implementação.Descritores: Cuidados paliativos, Neoplasias, Musicoterapia, Cuidados de enfermagem. Music therapy for cancer patients and/or in palliative care: an integrative literature reviewAbstract: This study aimed to present and analyze the national and international scientific production involving the application of music therapy in patients with cancer and/or palliative care. An integrative review was carried out in the Scientific Electronic Library Online (SciELO) and Virtual Health Library (VHL) database. Of the 18 articles selected, 12 addressed the benefits of using music therapy; 4 to the perceptions of family members and 2 other approaches (one evaluated the quality of scientific evidence on musical interventions and other subjects and needs presented during music therapy). It concludes that music therapy contributes to the control of signs and symptoms, promotes communication, expressions of feelings, emotions, well-being, and comfort to clients and their families. However, there is a need for more research to determine the best intervention methodology, as well as to facilitate implementation contexts.Descriptors: Palliative care, Neoplasms, Music therapy, Nursing care. Musicoterapia para pacientes con cáncer y/o cuidados paliativos: revisión integrativa de la literaturaResumen: Este estudio tenía como objetivo presentar y analizar la producción científica nacional e internacional que implica la aplicación de la musicoterapia en pacientes con cáncer y/o cuidados paliativos. Se llevó a cabo una revisión integradora en la base de datos Scientific Electronic Library Online (SciELO) y Virtual Health Library (VHL). De los 18 artículos seleccionados, 12 abordaron los beneficios del uso de la musicoterapia; 4 a las percepciones de los miembros de la familia y otros 2 enfoques (uno evaluó la calidad de la evidencia científica sobre intervenciones musicales y otros temas y necesidades presentadas durante la musicoterapia). Se concluye que la musicoterapia contribuye al control de los signos y síntomas, promueve la comunicación, las expresiones de sentimientos, las emociones, el bienestar y la comodidad de los clientes y sus familias. Sin embargo, es necesario realizar más investigaciones para determinar la mejor metodología de intervención, además de facilitar los contextos de implementación.Descriptores: Cuidados paliativos, neoplasias, terapia musical, cuidados de enfermería.

Dificuldades do Profissional Enfermeiro ao Cuidar de Pacientes Pediátricos Portadores de Câncer/ Difficulties of the Professional Nurse when Taking Care of Pediatric Patients with Cancer

1970 ◽  
Vol 4 (3) ◽  
pp. 41-47
Author(s):  
Renata Pinto Ribeiro ◽  
Teresa Francisca Moraes Pinto ◽  
Clarissa Santos Carvalho Ribeiro ◽  
Valdinéa Luiz Hertel
Keyword(s):  
Qualitative Study ◽  
Pediatric Patients ◽  
Structured Interview ◽  
Coping Mechanisms ◽  
Emotional Involvement ◽  
Children With Cancer ◽  
Professional Nurse ◽  
Patients With Cancer ◽  
Oncological Diseases ◽  
Taking Care

Objetivo: O objetivo desse estudo foi de identificar as dificuldades do profissional enfermeiro frente à criança com câncer, verificar se há preparo adequado para atender às necessidades de uma criança com doenças oncológicas; e qual a forma de enfrentamento utilizada pelo profissional diante das dificuldades encontradas, no atendimento a essa criança. Metodologia: Trata-se de uma pesquisa qualitativa, objetivando identificar quais dificuldades o profissional de enfermagem enfrenta no cuidado de criança com câncer e de seus familiares, os mecanismos de enfrentamento dessas dificuldades no atendimento dos mesmos e se há preparo adequado dos mesmos para atender as necessidades dessas crianças. Os sujeitos foram quatro enfermeiras que cuidam ou já cuidaram de crianças com câncer no Hospital Bom Pastor – Varginha/MG. A coleta de dados foi desenvolvida por uma entrevista semiestruturada. Resultados: Constatou-se que as dificuldades são: cuidar de criança em estado grave, seus pais e o envolvimento emocional. Aos meios de enfrentamento referem à oração e a distração. Quanto ao preparo do profissional referem despreparo para atuar nesta área. Conclusão: Conclui-se que há falta de preparo aos profissionais, embora os mesmos cuidem com humanização dessas crianças.  Palavras-chave: Enfermeiro; Crianças; Câncer.   ABSTRACT: Objective: The aim of this study was to identify the difficulties of the professional nurse when taking care of a child with cancer, check the adequate preparation to meet the needs of children with oncological diseases; and what form of coping with the situation the professionals used when taking care of this child. Methodology: This was a qualitative study , aiming to identify the difficulties the professional faces in the care of children with cancer and their families , the coping mechanisms of these difficulties in the care  and if there is adequate preparation thereof to meet the needs of these children. The subjects were four nurses who care or have cared for children with cancer at Good Shepherd Hospital – Varginha/MG. Data collection was carried out by a semi - structured interview. Results: It was found that the difficulties are care of a child in serious condition, his parents and the emotional involvement. Means of coping relate to prayer and distraction. As to their preparation, professionals refer as being unprepared to act in this area. Conclusion: We concluded that there is lack of preparation of professionals, although they take care of these children in a humanistic way  Keywords: Nurse; children; Cancer.

scholarly journals Herbal Preparations of Medical Cannabis: A Vademecum for Prescribing Doctors

Medicina ◽  
2020 ◽  
Vol 56 (5) ◽  
pp. 237 ◽  
Author(s):  
Pietro Brunetti ◽  
Simona Pichini ◽  
Roberta Pacifici ◽  
Francesco Paolo Busardò ◽  
Alessandro del Rio
Keyword(s):  
Therapeutic Potential ◽  
Scientific Evidence ◽  
Abuse Liability ◽  
Medical Cannabis ◽  
Preparation Methods ◽  
Herbal Preparations ◽  
Routes Of Administration ◽  
International Agencies ◽  
Medical Indications ◽  
Different Sources

Cannabis has been used for centuries for therapeutic purposes. In the last century, the plant was demonized due to its high abuse liability and supposedly insufficient health benefits. However, recent decriminalization policies and new scientific evidence have increased the interest in cannabis therapeutic potential of cannabis and paved the way for the release of marketing authorizations for cannabis-based products. Although several synthetic and standardized products are currently available on the market, patients’ preferences lean towards herbal preparations, because they are easy to handle and self-administer. A literature search was conducted on multidisciplinary research databases and international agencies or institutional websites. Despite the growing popularity of medical cannabis, little data is available on the chemical composition and preparation methods of medical cannabis extracts. The authors hereby report the most common cannabis preparations, presenting their medical indications, routes of administration and recommended dosages. A practical and helpful guide for prescribing doctors is provided, including suggested posology, titration strategies and cannabinoid amounts in herbal preparations obtained from different sources of medical cannabis.

scholarly journals Burnout Determinants among Nurses Working in Palliative Care during the Coronavirus Disease 2019 Pandemic

2021 ◽  
Vol 18 (7) ◽  
pp. 3358
Author(s):  
José Vítor Gonçalves ◽  
Luísa Castro ◽  
Guilhermina Rêgo ◽  
Rui Nunes
Keyword(s):  
Palliative Care ◽  
Health Care Professionals ◽  
Online Survey ◽  
Three Dimensions ◽  
Linear Regression Models ◽  
Perceived Health Status ◽  
Cross Sectional ◽  
National Network ◽  
Work Related ◽  
High Level

Nurses working in palliative care are at risk of burnout. The Copenhagen Burnout Inventory was used to determine burnout levels of nurses working in the Portuguese national network of palliative care. We evaluated the contribution of personal, work, and COVID-19 variables in three burnout subclasses: personal, work, and patient-related. A cross-sectional, exploratory, and quantitative design was employed and participants were sampled using convenience and snowball technique. An online survey was conducted and 153 nurses participated in our study. Socio-demographic characterization was conducted, levels of burnout and determinants were explored through multiple linear regression models for its three dimensions. High levels of personal, working, and patient burnout were present in 71 (46%), 68 (44%), and 33 nurses (22%), respectively. Most of them agreed that COVID-19 had an impact on their activities. Significant personal and work related burnout factors found were specialization in palliative care, self-perceived health status, unit type, weekly hours of work, and allocation to COVID-19 units. Gender was found to be a significant factor in patient-related burnout. There is a high level of burnout among nurses working in the Portuguese national network of palliative care. Measures for identification and mitigation of burnout are necessary to protect health care professionals.

scholarly journals Symptom clusters and their influence on prognosis using EORTC QLQ-C15-PAL scores in terminally ill patients with cancer

2021 ◽  
Author(s):  
Nanako Koyama ◽  
Chikako Matsumura ◽  
Yuuna Tahara ◽  
Morito Sako ◽  
Hideo Kurosawa ◽  
...  
Keyword(s):  
Palliative Care ◽  
Terminally Ill ◽  
Symptom Clusters ◽  
Rank Test ◽  
Appetite Loss ◽  
Patients With Cancer ◽  
Terminally Ill Patients ◽  
Log Rank Test ◽  
Eortc Qlq ◽  
Cluster 2

Abstract Purpose The aims of the present study were to investigate the symptom clusters in terminally ill patients with cancer using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 15 Palliative Care (EORTC QLQ-C15-PAL), and to examine whether these symptom clusters influenced prognosis. Methods We analyzed data from 130 cancer patients hospitalized in the palliative care unit from June 2018 to December 2019 in an observational study. Principal component analysis was used to detect symptom clusters using the scored date of 14 items in the QLQ-C15-PAL, except for overall QOL, at the time of hospitalization. The influence of the existence of these symptom clusters and Palliative Performance Scale (PPS) on survival was analyzed by Cox proportional hazards regression analysis, and survival curves were compared between the groups with or without existing corresponding symptom clusters using the log-rank test. Results The following symptom clusters were identified: cluster 1 (pain, insomnia, emotional functioning), cluster 2 (dyspnea, appetite loss, fatigue, and nausea), and cluster 3 (physical functioning). Cronbach’s alpha values for the symptom clusters ranged from 0.72 to 0.82. An increased risk of death was significantly associated with the existence of cluster 2 and poor PPS (log-rank test, p = 0.016 and p < 0.001, respectively). Conclusion In terminally ill patients with cancer, three symptom clusters were detected based on QLQ-C15-PAL scores. Poor PPS and the presence of symptom cluster that includes dyspnea, appetite loss, fatigue, and nausea indicated poor prognosis.

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