scholarly journals Precautions For Yoga Practice Are Necessary In Cancer Patients With Spinal Metastasis

2020 ◽  
Vol 6 (4) ◽  
pp. 1-3
Author(s):  
Ying Guo ◽  
Keyword(s):  
Quality Of Life ◽  
Bone Metastasis ◽  
Cancer Patients ◽  
Symptom Management ◽  
Spinal Metastasis ◽  
Yoga Practice ◽  
Short Commentary ◽  
Skeletal Related Events

Yoga has been promoted for cancer patients as a tool for symptom management and improving quality of life. Many cancer patients have bone metastasis, are not fully aware of its impact. Improper movements during exercise and yoga can increase the risk for skeletal-related events. This short commentary alerts clinician and yoga teacher to assess bone integrity prior to recommending and teaching yoga.

scholarly journals Patients’ Communication Preferences Around Cancer Symptom Reporting During Cancer Treatment: A Phenomenological Study

2021 ◽  
Vol 12 (4) ◽  
Author(s):  
Sharyn Carrasco, PhD, RN
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Cancer Treatment ◽  
Cancer Patients ◽  
Symptom Management ◽  
Phenomenological Study ◽  
Symptom Reporting ◽  
Communication Preferences ◽  
Health Care Practitioners

Background: The purpose of this descriptive phenomenological study was to gain an in-depth understanding of cancer patients’ experiences and perspectives on self-reporting their symptoms. Patients with cancer experience a wide variety of symptoms from both their disease and treatment, yet clinicians are often unaware of their patients’ symptoms due to poor reporting methods. Poorly documented symptoms are more likely to go untreated, causing increased symptom distress and decreased quality of life for patients. Effective, real-time communication between patients and health-care practitioners is key to symptom assessment and management. Moreover, it is important for patients’ communication preferences to be taken into account when developing symptom management plans. Methods: This qualitative study focused on the symptom reporting experiences of 13 adults in the United States with advanced or metastatic cancer who were undergoing systemic cancer treatment. Data were collected via interviews. Results: The findings revealed that a personalized symptom management plan, prompt reporting, and timely communication with health-care practitioners improved patients’ physical and emotional wellbeing. Conclusions: A better understanding of cancer patients’ experiences self-reporting their symptoms may lead to improved communication methods and more effective reporting systems, which ultimately reduce patient burden and enhance patients’ self-advocacy. Ensuring that patients’ preferences for reporting their symptoms are met may positively influence the likelihood and timeliness of symptom self-reporting. Developing new and improved ways for health-care teams to manage symptoms is vital to improving patients’ quality of life.

scholarly journals Bone Metastases in Lung Cancer

2021 ◽  
Author(s):  
Ana C. Belzarena
Keyword(s):  
Quality Of Life ◽  
Lung Cancer ◽  
Bone Metastases ◽  
Cancer Patients ◽  
Current Treatment ◽  
Common Symptom ◽  
Lung Cancer Patients ◽  
Skeletal Related Events ◽  
And Function

Lung cancer patients frequently present with to bone metastases. Such lesions are responsible for increased morbidity, low quality of life, and increased costs to patients and the health care system. Pain is the most common symptom; however, these lesions also present as skeletal related events (SRE) which include pathological fractures, hypercalcemia, spinal cord and nerve compressions and cause the need for surgery and/or radiotherapy. Even though bone metastases are associated with poor prognosis, current treatment multimodalities continue to improve survival. Awareness and effective treatment of these lesions is paramount to maintain a good quality of life and function in lung cancer patients.

Efficacy analysis of a remote symptom management platform.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. 1566-1566
Author(s):  
Paris A. Kosmidis ◽  
Christie Lagogianni ◽  
Thanos Kosmidis
Keyword(s):  
Quality Of Life ◽  
Colorectal Cancer ◽  
Side Effects ◽  
Cancer Patients ◽  
Symptom Management ◽  
Side Effect ◽  
Substantial Improvement ◽  
Cancer Type ◽  
Patient Reported

1566 Background: Quality of life of cancer patients is a critical part of cancer care. Symptom management is evolving as a multidisciplinary approach, and is increasingly delivered through a combination of physical and remote interactions. CareAcross is an online platform offering personalized, guidelines-based support to cancer patients, that complements physicians’ support and enables remote monitoring. This analysis investigated the improvement in the quality of life of cancer patients delivered through such remote support. Methods: Patients engage with an online interactive platform to receive personalized support based on a variety of parameters, through algorithms incorporating their exact diagnoses, treatments and comorbidities, and more. For symptom management, patients report the presence of specific side-effects via brief questionnaires; for each side-effect reported, they receive tailored support (text and multimedia) to help overcome it. These online questionnaires are repeated periodically to capture the outcome of the supportive process, and provide additional support as necessary. A retrospective analysis evaluated the efficacy of the personalized support: each patient’s reported side-effects were compared before versus after receiving the support, hence calculating the reduced incidence. Results: 2203 patients from 8 countries, with breast, lung, prostate or colorectal cancer (1563, 404, 159 and 77, respectively) reported side-effects, received support, and updated their reports at least once. The median follow-up period was 4.9 months. The patient-reported outcomes on their quality of life revealed substantial improvement, regardless of cancer type (lowest recorded improvement = 25.7%). Commonly reported side-effects included sleep problems, dry mouth, constipation, changes in food taste, and more (see Table). Side-effects reported in specific cancer types also showed substantial improvement, including hot flushes (breast; 32.0% improvement), dyspnea (lung; 38.1%), bowel dysfunction (prostate; 80%) and others. The efficacy of the support to breast, prostate or colorectal cancer patients was similar; support to lung cancer patients exhibited the lowest efficacy (p < 0.05). Fatigue was the most common side-effect. It was also the most resistant to improvement compared to all others (p < 0.05). Conclusions: Digital remote support of cancer patients is a realistic option to improve quality of life. Randomized controlled trials can help quantify its impact on health economics, hospital admissions, resource utilization, and other aspects.[Table: see text]

Electronic patient reported outcome in Brazil: Insurance provider impact on adherence.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e13590-e13590
Author(s):  
Thiago William Carnier Jorge ◽  
César Filho ◽  
Melina Campagnaro ◽  
Lorenzo Cartolano ◽  
Jean Singh ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cancer Patients ◽  
Symptom Management ◽  
Private Insurance ◽  
Patient Reported Outcome ◽  
Online Chat ◽  
Patient Reported ◽  
Nursing Team ◽  
Specific Symptoms

e13590 Background: Routine monitoring of cancer patients' symptoms during their journey can improve symptom management, quality of life, and survival. Wecancer App is an electronic patient-reported outcome tool, which also provides on-demand multidisciplinary digital support by nurses, psychologists and nutritionists. It also encompasses real time remote patient monitoring, symptoms diary to patient and medical staff, symptom monitoring, medication control and a content hub with reliable information. It is free to any patient who download the app. In this study, we aim to understand if insurance provider type (private, public or out of pocket) impact on app adherence. Methods: This study examined daily symptom reporting (with electronic patient-reported outcomes [e-PROs]) patterns in breast cancer patients, according to insurance provider. The following were observed: app adherence, numbers of reports, chat interactions, specific symptoms, symptoms alerts and wellness reports. Patients could report sixteen common symptoms through a mobile application, on their smartphones and tablets, for monitoring, symptom management and follow-up with a specialized nurse, determining care based on digital support clinical protocols through online chat. The nursing team action started at the moment of patient inclusion with the tutorial to download the App and training it with the patient/caregiver. The alerts made through the chat system guided the clinical actions of the nursing team in relation to online clinical management that can stratify the risk by crossing the intensity of symptoms by the CTCAE grading scale and PRO-CTCAE Measurement System and promote preventive educational conduct of vigilance and risk mitigation. Results: From January 2020 to January 2021, 543 female eligible patients downloaded the app. The e-PRO completion rates were superior to 90% at baseline, and 55.47% completed all on-treatment assessments. The app adherence for private insurance patients (PIP), 37.06% for public insurance patients (PIP) and 7.45% for out of pocket patients (OPP). 2,626 reports were made (46.41% IP; 28.58% OPP; 25% PHP); 1008 chat interactions (52.18% IP; 40.28% PHP; 7.54% OPP); 1144 number of symptoms reported (46,41% IP; 28.58% OPP; 25% PHP); specific symptoms most reported in all kind of service was tiredness, pain, nausea, tingling; 547 symptoms alerts (54.84% IP; 35.46% PHP; 9.7% OPP) and 451 wellness reports (55.43% IP; 35.03% PHP; 9.53% OPP). Conclusions: Private insurance patients are more adherent to ePROS than public insured or out of pocket patients. Lack of free internet access and digital literacy could be impacting on adherence and, ultimately, quality of life and survival. Further studies are warranted to understand how to improve equality for digital health tools.

scholarly journals Implementation of self-care symptom management program to enhance the quality of life of cancer patients undergoing chemotherapy and their family caregivers

2017 ◽  
Vol 5 (6) ◽  
pp. 2442
Author(s):  
Haryani Haryani ◽  
Kuniarti Rachmat ◽  
Probo Suseno ◽  
Christantie Effendy
Keyword(s):  
Quality Of Life ◽  
Sleep Disturbance ◽  
Cancer Patients ◽  
Family Caregivers ◽  
Symptom Management ◽  
Self Care ◽  
Management Program ◽  
Wilcoxon Test ◽  
Single Item

Background: Chemotherapy affects the condition of cancer patients, physically, psychologically, socially and spiritually. The Self-care Symptom Management (SSM) program is a psychoeducation program with the goal of enhancing patients' self-care abilities to manage the side effects of chemotherapy, and thus improve the Quality of Life (QOL) of adult cancer patients and their family caregivers. The objective of the study is to determine the effects of the SSM program on the QOL of cancer patients undergoing chemotherapy and their family caregivers.Methods: The study adopts a quasi-experimental design, with one group and pre- and post-intervention tests. The study was conducted in a public hospital in Yogyakarta, Indonesia, with 40 cancer patients and 30 of their family caregivers. The QOL of patients is measured using the EORTC QLQ-C30, and for their family caregivers the CQOLC is used. Data analysis are carried out using a paired t-test and Wilcoxon test, with a 95% level of significance.Results: The data show significant differences between the mean scores on a single item of sleep disturbance (15.84 points) and a single item of financial difficulties (8.34 points) before and after the implementation of the SSM program. Clinical relevance is shown on a single item of sleep disturbance (≥10 points).Conclusions:The Self-care Symptom Management program represents a promising intervention to promote self-care management for cancer care in Indonesia. 

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