Complementary Therapy in Home Palliative Care Patients and Their Caregivers

2019 ◽  
Author(s):  
Keyword(s):  
Palliative Care ◽  
Complementary Therapy

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.

Why cancer patients choose in-patient complementary therapy in palliative care: A qualitative study at Arokhayasala Hospice in Thailand

2016 ◽  
Vol 8 (3) ◽  
pp. 260-265 ◽  
Author(s):  
Benjawan Poonthananiwatkul ◽  
Rachel L. Howard ◽  
Elizabeth M. Williamson ◽  
Rosemary H. Lim
Keyword(s):  
Palliative Care ◽  
Qualitative Study ◽  
Cancer Patients ◽  
Complementary Therapy

scholarly journals Pendampingan Program Farkom (Farmakology and Complementary Therapy) Untuk Pasien dan Keluarga Penderita Kanker Payudara

2020 ◽  
Vol 3 (2) ◽  
pp. 95
Author(s):  
Indah Sri Wahyuningsih ◽  
Fitria Endah Janitra ◽  
Asih Puji Lestari
Keyword(s):  
Breast Cancer ◽  
Palliative Care ◽  
Community Service ◽  
Psychological Health ◽  
Muscle Relaxation ◽  
Family Members ◽  
Complementary Therapy ◽  
Progressive Muscle Relaxation ◽  
Relaxation Techniques ◽  
Breast Cancer Patients

Breast cancer patients need to get palliative care to improve their quality of life. Family existence becomes an important role for breast cancer sufferers to fulfill physical and psychological health. Palliative care can be given to patients in the form of complementary and pharmacological therapy (FARKOM). FARKOM's community service program aims to improve family knowledge and abilities in the care of family members with breast cancer and support for taking medication control. The target of this community service activity is to involve five families with breast cancer members in the Bandarharjo Village. The methods of this activity include lectures on the Farkom program (Pharmacology and complementary therapy), demonstrations of progressive muscle relaxation techniques and how to make beetroot juice, simulations by grouping participants according to family members and practicing, then monitoring and evaluating related to the Farkom program. Based on the pre-test and post-test results after being given treatment, there was an increase in the percentage value, namely a 25% increase in progressive muscle relaxation exercises, herbal juice production increased 30% and monitor filling schedule for taking medication increased 30%. Thus, this mentoring activity can be said to be successful because it can increase the knowledge and ability of participants in participating in community service activities.

Complementary therapy and support services for formal and informal caregivers in Italian palliative care hospices: an exploratory and descriptive study

2010 ◽  
Vol 19 (12) ◽  
pp. 1939-1947 ◽  
Author(s):  
Monia Belletti ◽  
Luca Mallia ◽  
Fabio Lucidi ◽  
Simona Reichmann ◽  
Chiara Mastroianni ◽  
...  
Keyword(s):  
Palliative Care ◽  
Support Services ◽  
Informal Caregivers ◽  
Complementary Therapy ◽  
Descriptive Study

scholarly journals Efficacy of the complementary therapies in the management of cancer pain in palliative care: A systematic review

2020 ◽  
Vol 28 ◽  
Author(s):  
Luís Carlos Lopes-Júnior ◽  
Gabriela Sylvestre Rosa ◽  
Raphael Manhães Pessanha ◽  
Sara Isabel Pimentel de Carvalho Schuab ◽  
Karolini Zuqui Nunes ◽  
...  
Keyword(s):  
Systematic Review ◽  
Palliative Care ◽  
Cancer Pain ◽  
Complementary Therapies ◽  
Data Extraction ◽  
Muscle Relaxation ◽  
Massage Therapy ◽  
Complementary Therapy ◽  
Progressive Muscle Relaxation ◽  
Manual Search

Objective: to synthesize the knowledge and to critically evaluate the evidences arising from randomized controlled trials on the efficacy of the complementary therapies in the management of cancer pain in adult patients with cancer in palliative care. Method: a systematic review guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. The search for articles in the MEDLINE, ISI Web of Knowledge, CENTRAL Cochrane, and PsycINFO databases, as well as the manual search, selection of studies, data extraction, and methodological assessment using the Cochrane Bias Risk tool were performed independently by two reviewers. Results: eight hundred and fifteen (815) studies were identified, six of them being selected and analyzed, of which three used massage therapy, one study used a combination of progressive muscle relaxation and guided imaging, and another two studies used acupuncture. Most of the studies had an uncertain risk of bias (n=4; 67%). 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.

scholarly journals Exploring the efficacy of music in palliative care: A scoping review

2020 ◽  
pp. 1-6
Author(s):  
Mathew Nyashanu ◽  
Deborah Ikhile ◽  
Farai Pfende
Keyword(s):  
Palliative Care ◽  
Scoping Review ◽  
Well Being ◽  
Complementary Therapy ◽  
Anxiety And Depression ◽  
Therapeutic Effects ◽  
Exclusion Criteria ◽  
Spiritual Well Being ◽  
Depression Management

Abstract Objective There is an increasing recognition of the significance of music as a complementary therapy in palliative care. Limited studies exist on how music is used as a coping mechanism by palliative care patients. Therefore, the purpose of this scoping review was to explore the efficacy of music interventions for palliative care. Method We conducted a literature search between June and November 2019 in the Cumulative Index of Nursing and Allied Health Literature (CINAHL), British Nursing Index (BNI), and PubMed, which includes MEDLINE. The search identified eight articles which met the inclusion and exclusion criteria. Results Using thematic analysis, six themes were synthesied to show how music contributes to palliative care. The six themes include Pain management; Relaxation; Happiness and hope; Anxiety and depression management; Enhanced spirituality; and Improved quality of life. These themes reflect the psychological and emotional benefits palliative care patients derive from music therapies. Significance of results Music therapy can be an effective psychosocial approach when managing palliative symptoms through its therapeutic effects on physical, psychological, emotional, and spiritual well-being.

scholarly journals Complementary therapy in palliative care: A synthesis of qualitative and quantitative systematic reviews

2020 ◽  
Vol 34 (10) ◽  
pp. 1332-1339
Author(s):  
Megan Armstrong ◽  
Nuriye Kupeli ◽  
Kate Flemming ◽  
Patrick Stone ◽  
Susie Wilkinson ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Systematic Reviews ◽  
Complementary Therapies ◽  
Complementary Therapy ◽  
Qualitative Studies ◽  
Perceived Benefits ◽  
Qualitative Synthesis ◽  
Qualitative And Quantitative

Background: Interventions delivered in palliative care are complex and their evaluation through qualitative and quantitative research can lead to contrasting results. In a systematic review of trials, the effectiveness results of complementary therapies in palliative care were inconclusive; however, our qualitative synthesis showed participants perceived them to be beneficial. Aim: Use a novel methodology to synthesise evidence from qualitative and quantitative systematic reviews on complementary therapy in palliative care to explore the following: (1) If interventions delivered in trials reflect how participants in qualitative studies report they are delivered in real-life settings and (2) whether quality of life measures used in trials capture perceived benefits that are reported in qualitative studies. Methods: Two matrix tables were formulated. In one, key components in delivery of the complementary therapy from the qualitative synthesis which are as follows: (1) relationship with therapist, (2) comfortable environment, (3) choices (e.g. area of massage) and (4) frequent sessions, were plotted against intervention description, to explore matches and mismatches. In the other, items included in quality of life scales were compared with perceived benefits of complementary therapy. Results: None of the trials included all four key delivery components. The five quality of life scales used in the trials failed to capture the range of perceived benefits from the complementary therapies and many included inappropriate or redundant items. Conclusions: By integrating qualitative and quantitative review data, we determined the reasons trials may be inconclusive. This methodological exemplar provides a framework for understanding complexity in outcomes across trials and a direction for future research.

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