The Use of Ultrasound in Palliative Care and Hospice

Chernack, Betty; Knowlton, Sasha E.; Kohler, Minna J.

doi:10.1177/1049909115625960

Cited by 17 publications

(14 citation statements)

References 67 publications

(69 reference statements)

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“…The rehabilitation intervention group also utilized fewer resources [ 53 ••]. Furthermore, studies have shown that musculoskeletal pain is prevalent at the end of life [ 54 ], and the rise of ultrasound-guided procedures is allowing more rapid intervention for acute pain during hospice, opening avenues for physiatric management of end-of-life pain [ 55 ].…”

Section: Introductionmentioning

confidence: 99%

The Intersection of Oncology Prognosis and Cancer Rehabilitation

Smith

Zheng

2017

Curr Phys Med Rehabil Rep

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Purpose of reviewThis review examines the delivery of rehabilitation care to cancer patients with relation to disease prognosis. This includes the evaluation when patients are referred for rehabilitation services and the effectiveness of rehabilitation interventions across the cancer continuum.Recent findingsAlthough prognosticating life expectancy is difficult, referrals for rehabilitation interventions appear to be affected by physician attitudes towards patients with advanced disease, in part because of misconceptions about the nature of rehabilitation for oncology patients. Rehabilitation may also be underutilized in long-term survivors with no evidence of disease. Despite this, our review found that rehabilitation in advanced disease, end-of-life, geriatric cancer patients, and in long-term survivors can be beneficial. There is a relative dearth in studies on rehabilitation interventions specifically at the end-of-life.SummaryCancer rehabilitation can be helpful to patients along the spectrum of cancer prognoses. Examining more accurate ways to prognosticate life expectancy, improving communication and education between oncologists and rehabilitation team members, and modifying survivorship plans to include patient education on functional changes over time may improve the delivery of rehabilitation care.

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Section: Introductionmentioning

confidence: 99%

The Intersection of Oncology Prognosis and Cancer Rehabilitation

Smith

Zheng

2017

Curr Phys Med Rehabil Rep

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“…A small but growing literature discusses the use of ultrasound and paracentesis in community-based palliative care settings, mostly at the bedside. 18 -21 Our article adds an important dimension to this body of research by demonstrating the feasibility and benefits of this procedure in an outpatient setting, particularly in the vulnerable period after hospital discharge.…”

Section: Discussionmentioning

confidence: 94%

The Role of Ultrasound-Guided Therapeutic Paracentesis in an Outpatient Transitional Care Program: A Case Series

Wang

Khan

Wyer

et al. 2018

Am J Hosp Palliat Care

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“…Kas iskelet sistemi problemleri palyatif bakım popülasyonunda önemli bir ağrı nedenidir. Ultrason, terminal dönem hastaların yaşam kalitesinin artırılmasında rol oynayabilir ancak, ağrının giderilmesinde ultrasonu destekleyen çok az kanıt vardır (31).…”

Section: Ultrasonunclassified

Physiotherapy Of Pain In Patients With Cancer Receiving Palliative Care

Ergan¹,

Başkurt²

2019

Acta Oncol Tur.

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ÖZETÜlkemizde, sağlık sistemine yakın zamanda giren palyatif bakım hizmetleri giderek yaygınlaşmaktadır. Ağrı, palyatif bakım ünitelerinde hastaların yaşam kalitesini etkileyen en önemli semptomdur. Kanserle ilişkili ağrı, sinir hasarı veya duyu tipi mekanizmasına dayanarak kolayca kategorize edilebilir, ancak çoğu ağrı aslında karışıktır. Bu sebeple hasta ve ağrı nedeniyle ilgili güvenilir bilgiler hemen sağlanmalı ve ağrıyı değerlendirmek için kabul görmüş ağrı ölçekleri kullanılmalıdır. Palyatif onkolojide çeşitli farmakolojik ve invaziv girişimlerin yanı sıra ağrı tedavisinde etkinliği gösterilmiş fizyoterapi uygulamaları da kullanılmalıdır. Ağrı tedavisi çok modlu bir yaklaşımı içerir. Fizyoterapi; terapötik egzersizler, manuel tedavi teknikleri, gevşeme, postüral re-eğitim, pozisyonlama, mobilite, TENS, sıcak veya soğuk uygulama ve masaj gibi birçok yöntemi içerebilir. Ayrıca, ağrı tedavisine aktif katılım için, hastaya ve ailesine mutlaka eğitim verilmelidir. Bu şekilde palyatif onkolojide ağrı tedavisi daha başarılı bir şekilde gerçekleştirilebilir. Bu derlemenin amacı, palyatif onkolojide ağrı ve fizyoterapisi ile ilgili bilgileri ele almaktır. Anahtar Kelimeler: Palyatif bakım, kanser, ağrı, fizyoterapi ABSTRACTThe palliative care services that have recently got into the health system are becoming more common in our country. Pain is the most important symptom that affects the quality of life of the patients in palliative care units. Cancer-related pain can be easily categorized based on nerve damage or sensory-type mechanism, but most pain is actually complicated. Therefore, reliable information on the patient and the cause of pain should be provided immediately, and accepted pain scales should be used to assess pain. Except from the various pharmacological and invasive procedures in palliative oncology, physiotherapy applications that have been shown to be effective in the treatment of pain should also be used. Pain therapy involves a multimodal approach. Physiotherapy can include many methods such as therapeutic exercises, manual therapy techniques, relaxation, postural re-training, positioning, mobility, TENS, hot or cold application and massage. In addition, for active participation in pain therapy, the patient and his / her family should be educated. Pain treatment in palliative oncology can be performed more successfully with these applications. The aim of this review is to determine the knowledge about pain and physiotherapy in palliative oncology.

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The Use of Ultrasound in Palliative Care and Hospice

Cited by 17 publications

References 67 publications

The Intersection of Oncology Prognosis and Cancer Rehabilitation

The Intersection of Oncology Prognosis and Cancer Rehabilitation

The Role of Ultrasound-Guided Therapeutic Paracentesis in an Outpatient Transitional Care Program: A Case Series

Physiotherapy Of Pain In Patients With Cancer Receiving Palliative Care

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