Background: Patients with cancer receiving tumor therapy often suffer from oral mucositis. Objectives: The aim of this project was to summarize experiences with nursing procedures by experts in integrative oncology and to establish recommendations for nursing interventions that can prevent or cure mucositis. Methods: The study design was an interdisciplinary consensus process based on a systematic literature search. Results: The panel discussed and agreed on 19 nursing procedures, which included mouthwashes, such as teas, supplements, oil applications, and different kinds of ice cubes to suck, as well as flaxseed solution, propolis, and mare milk. Twelve interventions were classified as effective, with effectiveness for OraLife, propolis, sea buckthorn pulp oil, marshmallow root tea also for xerostomia, Helago chamomile oil, mare milk, and Saliva Natura rated as highly effective in clinical experience. In the systematic literature search, a total of 12 out of 329 randomized controlled trials and meta-analyses on chamomile (n = 3), Calendula (n = 1) and sage (n = 1), propolis (n = 2), and sucking ice cubes (cryotherapy; n = 5) met all inclusion criteria. Trial evidence for effectiveness in oral mucositis was revealed for propolis and cryotherapy. Conclusions: The current evidence supports the use of some nursing procedures (f.e. propolis for 2 and 3 grade mucositis) for improving oral mucositis during cancer therapies. There is still a need to define general clinical practice guidelines for the supportive treatment of mucositis, as well as for more interdisciplinary research in this area.

Background: Most individuals affected by cancer who are treated with certain chemotherapies suffer of CIPN. Therefore, there is a high patient and provider interest in complementary non-pharmacological therapies, but its evidence base has not yet been clearly pointed out in the context of CIPN. Methods: The results of a scoping review overviewing the published clinical evidence on the application of complementary therapies for improving the complex CIPN symptomatology are synthesized with the recommendations of an expert consensus process aiming to draw attention to supportive strategies for CIPN. The scoping review, registered at PROSPERO 2020 (CRD 42020165851), followed the PRISMA-ScR and JBI guidelines. Relevant studies published in Pubmed/MEDLINE, PsycINFO, PEDro, Cochrane CENTRAL, and CINAHL between 2000 and 2021 were included. CASP was used to evaluate the methodologic quality of the studies. Results: Seventy-five studies with mixed study quality met the inclusion criteria. Manipulative therapies (including massage, reflexology, therapeutic touch), rhythmical embrocations, movement and mind–body therapies, acupuncture/acupressure, and TENS/Scrambler therapy were the most frequently analyzed in research and may be effective treatment options for CIPN. The expert panel approved 17 supportive interventions, most of them were phytotherapeutic interventions including external applications and cryotherapy, hydrotherapy, and tactile stimulation. More than two-thirds of the consented interventions were rated with moderate to high perceived clinical effectiveness in therapeutic use. Conclusions: The evidence of both the review and the expert panel supports a variety of complementary procedures regarding the supportive treatment of CIPN; however, the application on patients should be individually weighed in each case. Based on this meta-synthesis, interprofessional healthcare teams may open up a dialogue with patients interested in non-pharmacological treatment options to tailor complementary counselling and treatments to their needs.

No abstract

Today, there are many handicapped people in the world, and their number is gradually increasing. According to a study conducted by World Bank and World Health Organization, today there are 1 billion handicapped people in the world. Handicapped people encounter countless obstacles everywhere both outside and in their own houses. These obstacles result in functional performance deficiencies and other problems for handicapped people, lower their quality of life qualities and cause various psychological and social problems. The problems of handicapped people should be considered to be an issue of global human rights; especially in Turkey, handicapped people experience many difficulties in their social lives. These problems might occur in many areas of life, and they prevent them from having a functionally integrated life in the society. The aim of this study is to identify the extent to which the legal, political, physical and social environment in Turkey allows persons with disabilities to participate in all realms of life equally with other individuals without being discriminated and; to evaluate state's obligations and make suggestions.

ZusammenfassungDas Klaus-Bahlsen-Zentrum für Integrative Onkologie (KBZ) ist organisatorisch dem Comprehensive Cancer Center (CCC) der Medizinischen Hochschule Hannover (MHH) zugeordnet. Durch die finanzielle Unterstützung der Rut- und Klaus-Bahlsen-Stiftung (RKBS) konnte das Zentrum initiiert und innerhalb der MHH ausgebaut werden. Die bisherigen Einzelprojekte in der onkologischen Komplementärmedizin, die naturheilkundliche Beratung, Gruppenangebote sowie pflegerische Anwendungen wurden im Zentrum zusammengeführt und durch weitere Angebote und Forschungsthemen in der Psychoonkologie, Rehabilitation, Sportmedizin, Ernährungsmedizin und Pflegeforschung ergänzt. Mittlerweile sind im KBZ zwölf Mitarbeitende verschiedener Professionen tätig, die die Patient*innen leitlinienorientiert beraten und mit wissenschaftlich anerkannten Methoden behandeln. Das KBZ stärkt so mit seinen Angeboten und Aktivitäten die ganzheitliche Behandlung von Krebspatient*innen.

Başarılı yaşlanma; istediğin şeyi, istediğin kişiyle, istediğin yerde ve istediğin zamanda yapabilmektir.

This study was designed to explore the origin of the pain beliefs of chronic headache patients. Methods: This qualitative research has been designed using a case study method. Selected using the criterion sampling method, patients consisted of a total of six chronic headache patients in algology outpatient clinic at a University Hospital in Turkey. The data were collected using focus group methods. Data were obtained using a semi-structured interview form composed of eight open-ended questions. Data were evaluated by analyzing both descriptive and content data. Results: Chronic headache patients' views on why they have pain and which beliefs they have about origin of the pain have three subthemes: (1) Organic beliefs, (2) psychological beliefs, and (3) environmental beliefs. Patients' most frequently cited organic beliefs were genetics (familial) and physiological (tissue damage, surgery, and lifting of heavy objects). Patients' most frequently cited psychological beliefs were stress, sadness, and having a sensitive personality. Conclusion:It is suggested to take pain beliefs differences and qualitative research into consideration in the management of pain in nursing care.

No abstract