Non‐pharmacologic management of pain in the person with cancer

Mayer, Deborah K.

doi:10.1111/j.1365-2648.1985.tb00826.x

Cited by 6 publications

(5 citation statements)

References 17 publications

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“…The pain is the result of spinal cord compression, bony destruction, vertebral instability due to fast growth of the tumor or spinal nerve root compression [33]. Pain management should be adequate and pain relief can be achieved by strengthening of the body stability with different modalities, such as electrical stimulation, ultrasound and heat or cold treatment [37, 38]. Medications including non-steroidal anti-inflammatory drugs, anticonvulsants, tricyclic antidepressants, steroids, and opioids can also significantly reduce pain [39–41].…”

Section: Secondary Health Conditions Influencing Rehabilitation and Tmentioning

confidence: 99%

Challenges in rehabilitation of patients with nontraumatic spinal cord dysfunction due to tumors

Pataraia

Crevenna

2019

Wien Klin Wochenschr

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The incidence of cancer-associated nontraumatic spinal cord dysfunction is rising due to population aging and better cancer treatment. The overall benefit of rehabilitation in specialized facilities for traumatic spinal cord dysfunction has been confirmed many times. Because of their fragility and multiple comorbidities cancer patients still face challenges to complete rehabilitation in the spinal rehabilitation facilities. In this narrative review we describe specific aspects, challenges in rehabilitation and opportunities to improve care. A literature search was performed in the PubMed database from 1 January 1978 to 30 November 2018. The focus was to find publications that discuss challenges and opportunities for rehabilitation of patients with non-traumatic spinal cord dysfunction due to a tumor. Most publications described the benefits of rehabilitation in specialized facilities. There were only few publications about survival and functional outcomes after rehabilitation for this patient population. Overall benefits including fewer complications associated with spinal cord dysfunction, less pain and depression, and better quality of life were shown. Within the past decades increasing number of publications revealed a growing interest for this group of patients. Despite major progress in cancer treatment, patients still have a limited vital prognosis and access to specialized rehabilitation units because of the concerns about the medical complexity. Patients with spinal cord tumors can benefit in areas of functionality, mood, quality of life, and survival from inpatient rehabilitation programs, in spite of the increased medical comorbidities.A. Pataraia ( ) · R. Crevenna

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Section: Secondary Health Conditions Influencing Rehabilitation and Tmentioning

confidence: 99%

Challenges in rehabilitation of patients with nontraumatic spinal cord dysfunction due to tumors

Pataraia

Crevenna

2019

Wien Klin Wochenschr

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“…Dentre eles podemos citar: a estimulação elétrica nervosa transcutânea, a aplicação do calor e frio (termoterapia e crioterapia), a massagem, e a cinesioterapia. [21][22][23][24] a) estimulação elétrica nervosa transcutânea A estimulação elétrica nervosa transcutânea (TENS), é um método que utiliza a corrente elétrica para induzir analgesia. Os eletrodos são acoplados à pele, através de uma fina camada de gel, para permitir a transmissão dos impulsos elétricos para a região a ser estimulada.…”

Section: Recursos Fisioterapêuticosunclassified

Recursos fisioterapêuticos no controle da dor oncológica: revisão da literatura

Sampaio

Moura

Resende

2005

Rev. Bras. Cancerol.

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O tratamento não farmacológico da dor do câncer ainda é pouco explorado e utilizado na área da saúde. A falta de maior fundamentação científica para a utilização dos recursos fisioterapêuticos, e mesmo o desconhecimento da existência desses recursos dificulta sua implementação como instrumento para o tratamento da dor oncológica. Entretanto, esses recursos não invasivos podem, em muito, beneficiar os pacientes que sofrem com a dor do câncer. O objetivo deste estudo foi realizar uma revisão da literatura sobre o assunto, com o propósito de conhecer melhor alguns dos recursos fisioterapêuticos no controle da dor oncológica. Os recursos mais citados como coadjuvantes no controle desse tipo de dor são estimulação elétrica nervosa transcutânea (TENS), termoterapia, crioterapia, massagem terapêutica e cinesioterapia, além da orientação específica aos pacientes, cuidadores e familiares. A associação dos recursos fisioterapêuticos com o tratamento farmacológico pode ser de grande valia para o paciente com dor oncológica. Essa associação pode ajudar na redução da medicação analgésica e, conseqüentemente, minimizar os efeitos colaterais causados pela medicação de longo prazo. No entanto, os resultados da revisão da literatura demonstraram que os estudos desenvolvidos, até agora, não oferecem evidências suficientes para recomendar ou rejeitar a utilização dos recursos citados para o controle da dor do paciente com câncer. Estudos mais controlados e metodologias adequadas são necessários para que a fisioterapia possa desenvolver sua prática baseada em evidência.

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“…Conventional medical and surgical interventions, which lie outside the scope of practice of most nurse practitioners, have a limited role for patients with chronic pain. Drug therapy often does not provide satisfactory relief (Fields, 1987;Mayer, 1985;Mehta, 1986;Upton, 1988), and drug tolerance and dependence, mental clouding, and systemic problems can arise with long-term use of analgesics (Mehta, 1986). Peripheral nerve blocks, rhizotomy, and cordotomy, which have uncertain outcomes, may lead to further complications (Mehta, 1986).…”

Section: Medical Treatment For Chronic Painmentioning

confidence: 99%

Selected Nonpharmacological Therapies for Chronic Pain: The Therapeutic Use of the Placebo Effect

Msn¹

1990

Journal of the American Academy of Nurse Practitioners

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Chronic pain is a common problem requiring a multidisciplinary approach. Nursing can offer diverse therapies complementary to the medical-surgical approach. Guidelines for practice and challenges for research are outlined for selected nonpharmacological chronic pain therapies. This article discusses the placebo effect, which is common to all therapies. Placebos can therapeutically empower patients to stimulate their psychophysiologic self-regulation abilities. Effects, theories, ethics, and therapeutic methods of stimulating the placebo effect are explored.

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Non‐pharmacologic management of pain in the person with cancer

Cited by 6 publications

References 17 publications

Challenges in rehabilitation of patients with nontraumatic spinal cord dysfunction due to tumors

Challenges in rehabilitation of patients with nontraumatic spinal cord dysfunction due to tumors

Recursos fisioterapêuticos no controle da dor oncológica: revisão da literatura

Selected Nonpharmacological Therapies for Chronic Pain: The Therapeutic Use of the Placebo Effect

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