首页 > 最新文献

Journal of Pain & Palliative Care Pharmacotherapy最新文献

英文 中文
The Role of Health Coaching in Pain and Palliative Care Pharmacy Practice. 健康指导在疼痛和姑息治疗药学实践中的作用。
IF 0.9 Q3 ANESTHESIOLOGY Pub Date : 2024-09-01 Epub Date: 2023-10-19 DOI: 10.1080/15360288.2023.2268039
Lee A Kral

Whole-person care is essential in the management of patients with chronic pain and serious illness. Pain, suffering, and comfort do not fall under typical chronic disease management and cannot be boxed nicely into algorithms of evidence-focused, biomarker-based goal achievement like hypertension or diabetes. Current therapies, including surgical, interventional, and analgesic modalities may be only marginally effective, and have brought with them questionable practices, high cost, and an opioid epidemic. Patient-focused goals are gaining favor, and exploration of methods to enhance this approach include health coaching. In the setting of pain management, this would include pain coaching. This commentary will highlight the role of health coaching in the setting of chronic disease and pain management, and the pharmacists' qualifications and potential contributions to health and pain coaching.

在管理慢性疼痛和严重疾病患者时,全人护理至关重要。疼痛、痛苦和舒适不属于典型的慢性病管理范畴,也不能很好地纳入以证据为中心、基于生物标志物的目标实现算法,如高血压或糖尿病。目前的治疗方法,包括手术、介入和镇痛方式,可能只是边际有效,并带来了可疑的做法、高昂的成本和阿片类药物的流行。以患者为中心的目标越来越受欢迎,探索加强这种方法的方法包括健康指导。在疼痛管理方面,这将包括疼痛辅导。本评论将强调健康指导在慢性病和疼痛管理中的作用,以及药剂师的资格和对健康和疼痛指导的潜在贡献。
{"title":"The Role of Health Coaching in Pain and Palliative Care Pharmacy Practice.","authors":"Lee A Kral","doi":"10.1080/15360288.2023.2268039","DOIUrl":"10.1080/15360288.2023.2268039","url":null,"abstract":"<p><p>Whole-person care is essential in the management of patients with chronic pain and serious illness. Pain, suffering, and comfort do not fall under typical chronic disease management and cannot be boxed nicely into algorithms of evidence-focused, biomarker-based goal achievement like hypertension or diabetes. Current therapies, including surgical, interventional, and analgesic modalities may be only marginally effective, and have brought with them questionable practices, high cost, and an opioid epidemic. Patient-focused goals are gaining favor, and exploration of methods to enhance this approach include health coaching. In the setting of pain management, this would include pain coaching. This commentary will highlight the role of health coaching in the setting of chronic disease and pain management, and the pharmacists' qualifications and potential contributions to health and pain coaching.</p>","PeriodicalId":16645,"journal":{"name":"Journal of Pain & Palliative Care Pharmacotherapy","volume":" ","pages":"281-286"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49678570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pain Neuroscience Education: Teaching People About Pain. 疼痛神经科学教育:让人们了解疼痛。
IF 0.9 Q3 ANESTHESIOLOGY Pub Date : 2024-09-01 Epub Date: 2024-11-11 DOI: 10.1080/15360288.2024.2424853
Adriaan Louw, Veronica Riera-Gilley

Chronic pain is an ever-increasing global challenge, and few strategies have been shown to significantly alter this trajectory, and a pure pharmaceutical approach, especially opioids, is not the answer. To truly impact a person with chronic pain's life, current best-evidence supports changing their cognitions (how they think about their pain), moving more, and calming the peripheral and central nervous system, including non-pharmacological strategies. All healthcare providers, however, must use a unified strategy regardless of their professional designation, skillset, and clinical setting. One variable that spans all patient interactions is communication. All healthcare providers talk to patients, be it during informal, casual conversation or during specific medical education tied to diagnosis, prognosis, treatment, reassurance, and more. Current evidence supports teaching patients more about their pain experience, called pain neuroscience education (PNE), which has significant clinical benefits. Any provider may offer PNE, from physicians, pharmacists, therapists, psychologists, nurses, etc. Pain neuroscience education is shown to positively influence self-reported pain, disability, fear-avoidance, pain catastrophizing, movement, and healthcare utilization in patients with chronic pain. This commentary aims to introduce all healthcare providers to PNE, and how, along with non-pharmacological treatments (PNE+) have the ability to positively impact people's lives living with chronic pain.

慢性疼痛是一个日益严峻的全球性挑战,几乎没有什么策略能够显著改变这一轨迹,而纯粹的药物治疗方法,尤其是阿片类药物,并不能解决问题。要真正影响慢性疼痛患者的生活,目前的最佳证据支持改变他们的认知(他们如何看待自己的疼痛)、多走动、镇静外周和中枢神经系统,包括非药物策略。然而,所有医疗服务提供者都必须采用统一的策略,无论其专业称谓、技能组合和临床环境如何。有一个变量横跨所有与患者的互动,那就是沟通。所有医疗服务提供者都会与患者交谈,无论是在非正式的闲聊中,还是在与诊断、预后、治疗、安抚等相关的特定医学教育中。目前的证据支持向患者传授更多有关疼痛体验的知识,这被称为疼痛神经科学教育(PNE),具有显著的临床益处。任何医疗服务提供者都可以提供疼痛神经科学教育,包括医生、药剂师、治疗师、心理学家、护士等。事实证明,疼痛神经科学教育对慢性疼痛患者的自述疼痛、残疾、恐惧回避、疼痛灾难化、运动和医疗利用率有积极影响。本评论旨在向所有医疗服务提供者介绍疼痛神经科学,以及疼痛神经科学与非药物治疗(PNE+)如何对慢性疼痛患者的生活产生积极影响。
{"title":"Pain Neuroscience Education: Teaching People About Pain.","authors":"Adriaan Louw, Veronica Riera-Gilley","doi":"10.1080/15360288.2024.2424853","DOIUrl":"10.1080/15360288.2024.2424853","url":null,"abstract":"<p><p>Chronic pain is an ever-increasing global challenge, and few strategies have been shown to significantly alter this trajectory, and a pure pharmaceutical approach, especially opioids, is not the answer. To truly impact a person with chronic pain's life, current best-evidence supports changing their cognitions (how they think about their pain), moving more, and calming the peripheral and central nervous system, including non-pharmacological strategies. All healthcare providers, however, must use a unified strategy regardless of their professional designation, skillset, and clinical setting. One variable that spans all patient interactions is communication. All healthcare providers talk to patients, be it during informal, casual conversation or during specific medical education tied to diagnosis, prognosis, treatment, reassurance, and more. Current evidence supports teaching patients more about their pain experience, called pain neuroscience education (PNE), which has significant clinical benefits. Any provider may offer PNE, from physicians, pharmacists, therapists, psychologists, nurses, etc. Pain neuroscience education is shown to positively influence self-reported pain, disability, fear-avoidance, pain catastrophizing, movement, and healthcare utilization in patients with chronic pain. This commentary aims to introduce all healthcare providers to PNE, and how, along with non-pharmacological treatments (PNE+) have the ability to positively impact people's lives living with chronic pain.</p>","PeriodicalId":16645,"journal":{"name":"Journal of Pain & Palliative Care Pharmacotherapy","volume":" ","pages":"292-301"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Outcomes of Psychotherapy for Co-Morbid Pain and Substance Use Disorders: A Review of the Literature. 疼痛与药物使用障碍并存时的心理治疗效果:文献综述
IF 0.9 Q3 ANESTHESIOLOGY Pub Date : 2024-09-01 Epub Date: 2024-08-26 DOI: 10.1080/15360288.2024.2393842
Samuel J Mendez Araque, Lynn T Nguyen, Celeste N Nadal

Chronic pain is often treated with opioids, placing patients at risk for misuse. An estimated 11.5% of these patients engage in opioid misuse behaviors such as self-medication. Non-pharmacological interventions have efficacy in managing chronic pain and substance use disorders separately; comorbid management may benefit from psychotherapy. This review provides perspective on novel and existing therapies and their efficacy. The literature search was conducted using PubMed. Boolean search terms were selected from DSM and ICD diagnoses. Studies were included if patients had comorbid substance use disorder and chronic pain diagnoses, participants were age 18 or older, and psychotherapeutic interventions were implemented. The PubMed search yielded 1937 references; 25 references were obtained through other means. 30 sources met inclusion criteria. Reported trials included: Acceptance and Commitment Therapy (ACT, 2 trials); Cognitive Behavioral Therapy (CBT, 11 trials); Mindfulness-Oriented Recovery Enhancement (MORE, 5 trials); and novel psychotherapies (12 trials). Unique features included primary care (4 trials), technology such as phone or Internet (6 trials), and group settings (9 trials). Several psychotherapies effectively treat co-occurring substance use disorders and chronic pain; novel treatments continue to be developed. Further investigation may lead to a wider variety of treatments for clinical use.

慢性疼痛通常采用阿片类药物进行治疗,这使患者面临滥用的风险。据估计,这些患者中有 11.5% 有滥用阿片类药物的行为,如自我药疗。非药物干预在单独管理慢性疼痛和药物使用障碍方面具有疗效;合并症管理可受益于心理治疗。本综述对新型疗法和现有疗法及其疗效进行了透视。文献检索通过 PubMed 进行。从 DSM 和 ICD 诊断中选择了布尔搜索条件。如果患者合并有药物使用障碍和慢性疼痛诊断,参与者年龄在 18 岁或以上,并且实施了心理治疗干预措施,则纳入研究。通过 PubMed 搜索获得了 1937 篇参考文献;通过其他途径获得了 25 篇参考文献。30篇资料符合纳入标准。报告的试验包括接受与承诺疗法(ACT,2 项试验);认知行为疗法(CBT,11 项试验);以正念为导向的康复增强疗法(MORE,5 项试验);以及新型心理疗法(12 项试验)。其独特之处包括初级护理(4 项试验)、电话或互联网等技术(6 项试验)以及小组环境(9 项试验)。有几种心理疗法能有效治疗同时存在的药物使用障碍和慢性疼痛;新型疗法仍在开发中。进一步的研究可能会开发出更多种类的治疗方法供临床使用。
{"title":"Outcomes of Psychotherapy for Co-Morbid Pain and Substance Use Disorders: A Review of the Literature.","authors":"Samuel J Mendez Araque, Lynn T Nguyen, Celeste N Nadal","doi":"10.1080/15360288.2024.2393842","DOIUrl":"10.1080/15360288.2024.2393842","url":null,"abstract":"<p><p>Chronic pain is often treated with opioids, placing patients at risk for misuse. An estimated 11.5% of these patients engage in opioid misuse behaviors such as self-medication. Non-pharmacological interventions have efficacy in managing chronic pain and substance use disorders separately; comorbid management may benefit from psychotherapy. This review provides perspective on novel and existing therapies and their efficacy. The literature search was conducted using PubMed. Boolean search terms were selected from DSM and ICD diagnoses. Studies were included if patients had comorbid substance use disorder and chronic pain diagnoses, participants were age 18 or older, and psychotherapeutic interventions were implemented. The PubMed search yielded 1937 references; 25 references were obtained through other means. 30 sources met inclusion criteria. Reported trials included: Acceptance and Commitment Therapy (ACT, 2 trials); Cognitive Behavioral Therapy (CBT, 11 trials); Mindfulness-Oriented Recovery Enhancement (MORE, 5 trials); and novel psychotherapies (12 trials). Unique features included primary care (4 trials), technology such as phone or Internet (6 trials), and group settings (9 trials). Several psychotherapies effectively treat co-occurring substance use disorders and chronic pain; novel treatments continue to be developed. Further investigation may lead to a wider variety of treatments for clinical use.</p>","PeriodicalId":16645,"journal":{"name":"Journal of Pain & Palliative Care Pharmacotherapy","volume":" ","pages":"264-280"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142073060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evidence of Commonly Used Integrative Approaches with Pharmacotherapy for Chronic Pain Management. 慢性疼痛管理常用综合方法与药物治疗的证据。
IF 0.9 Q3 ANESTHESIOLOGY Pub Date : 2024-09-01 Epub Date: 2024-12-02 DOI: 10.1080/15360288.2024.2390999
Kelsey Ihns, Kayleigh Starr, Chloe Marchand, Jothsana Jaimon, Ariana Singer, Laura Hassoun, Sarika Sethi, George Fahmy, Haley Reyes, Libby-Ann Sahadeo, Swathi Varanasi, Susan Egbert

This review examines the integration of traditional pharmacological methods with alternative and complementary therapies in chronic pain management. It delves into neurostimulation techniques, highlighting their clinical outcomes and biological bases. Acupuncture's role in modulating pain pathways is explored, illustrating its balance of tradition and clinical application. The paper also covers the pain-relieving potential of herbal medicine, emphasizing natural products' significance in pain relief. Additionally, it discusses the psychological and rehabilitative dimensions of pain through psychosocial therapy and counseling. The conclusion underscores the importance of a multidisciplinary approach, integrating diverse therapies into conventional pain management to effectively treat chronic pain. This synthesis highlights the synergistic potential of combining traditional and innovative therapeutic modalities, offering a comprehensive guide for healthcare professionals in enhancing pain management practices.

这篇综述探讨了传统药理学方法与替代和补充疗法在慢性疼痛管理中的整合。它深入研究了神经刺激技术,突出了他们的临床结果和生物学基础。探讨了针灸在调节疼痛通路中的作用,说明了其传统和临床应用的平衡。本文还介绍了草药的镇痛潜力,强调了天然产物在镇痛方面的意义。此外,它通过心理治疗和咨询讨论疼痛的心理和康复方面。结论强调了多学科方法的重要性,将不同的治疗方法整合到传统的疼痛管理中,以有效地治疗慢性疼痛。这种综合强调了结合传统和创新治疗方式的协同潜力,为加强疼痛管理实践的医疗保健专业人员提供了全面的指导。
{"title":"Evidence of Commonly Used Integrative Approaches with Pharmacotherapy for Chronic Pain Management.","authors":"Kelsey Ihns, Kayleigh Starr, Chloe Marchand, Jothsana Jaimon, Ariana Singer, Laura Hassoun, Sarika Sethi, George Fahmy, Haley Reyes, Libby-Ann Sahadeo, Swathi Varanasi, Susan Egbert","doi":"10.1080/15360288.2024.2390999","DOIUrl":"10.1080/15360288.2024.2390999","url":null,"abstract":"<p><p>This review examines the integration of traditional pharmacological methods with alternative and complementary therapies in chronic pain management. It delves into neurostimulation techniques, highlighting their clinical outcomes and biological bases. Acupuncture's role in modulating pain pathways is explored, illustrating its balance of tradition and clinical application. The paper also covers the pain-relieving potential of herbal medicine, emphasizing natural products' significance in pain relief. Additionally, it discusses the psychological and rehabilitative dimensions of pain through psychosocial therapy and counseling. The conclusion underscores the importance of a multidisciplinary approach, integrating diverse therapies into conventional pain management to effectively treat chronic pain. This synthesis highlights the synergistic potential of combining traditional and innovative therapeutic modalities, offering a comprehensive guide for healthcare professionals in enhancing pain management practices.</p>","PeriodicalId":16645,"journal":{"name":"Journal of Pain & Palliative Care Pharmacotherapy","volume":"38 3","pages":"302-317"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Weighted Blankets for Pain and Anxiety Relief in Acutely Injured Trauma Patients. 减轻急性创伤患者疼痛和焦虑的配重毯。
IF 0.9 Q3 ANESTHESIOLOGY Pub Date : 2024-09-01 Epub Date: 2023-02-07 DOI: 10.1080/15360288.2023.2174634
Shelley M Warner, Stacey L Tannenbaum, Sohni Pathan, Jose S Lozada

To determine the impact of a weighted blanket on acute pain and anxiety in trauma patients, a preliminary prospective/retrospective study at a level-one trauma center (n = 24 patients) was conducted. In this study, 12 patients using weighted blankets for five consecutive days were compared to a matched retrospective cohort of 12 patients not using a blanket. The change in morphine milligram equivalents (MME) and alprazolam milligram equivalents (AME) over five days were compared. There was a significant difference of MME per day between the intervention group (mean MME change = -22.9) and matched controls (mean MME change = 6.2; p = 0.0072) by blanket use. Total MMEs in the intervention group decreased by 275.5 and in the control group increased by 75 between day 1 and day 5. There was no significant difference in AME change between groups (p = 0.3227). The majority of patients who took a post-intervention questionnaire reported less pain and less anxiety with blanket use compared to those without blanket use (78% and 56% of patients, respectively). To summarize, trauma patients in acute pain had less opioid use and reported less pain and anxiety when using a weighted blanket for five consecutive days compared to a control group who did not use a blanket.

为了确定负重毯对创伤患者急性疼痛和焦虑的影响,我们在一家一级创伤中心进行了一项初步的前瞻性/回顾性研究(n = 24 名患者)。在这项研究中,12 名连续五天使用负重毯的患者与 12 名未使用负重毯的患者进行了对比。比较了五天内吗啡毫克当量(MME)和阿普唑仑毫克当量(AME)的变化。干预组(平均吗啡毫克当量变化=-22.9)和匹配对照组(平均吗啡毫克当量变化=6.2;p=0.0072)每天的吗啡毫克当量因使用毯子而有明显差异。从第 1 天到第 5 天,干预组的总甲流减少了 275.5,对照组则增加了 75。组间的 AME 变化无明显差异(p = 0.3227)。与不使用毯子的患者相比,大多数接受干预后问卷调查的患者表示使用毯子后疼痛减轻,焦虑减少(分别为 78% 和 56%)。总之,与不使用毯子的对照组相比,急性疼痛的外伤患者在连续五天使用加权毯后,阿片类药物的用量减少了,疼痛和焦虑也减轻了。
{"title":"Weighted Blankets for Pain and Anxiety Relief in Acutely Injured Trauma Patients.","authors":"Shelley M Warner, Stacey L Tannenbaum, Sohni Pathan, Jose S Lozada","doi":"10.1080/15360288.2023.2174634","DOIUrl":"10.1080/15360288.2023.2174634","url":null,"abstract":"<p><p>To determine the impact of a weighted blanket on acute pain and anxiety in trauma patients, a preliminary prospective/retrospective study at a level-one trauma center (n = 24 patients) was conducted. In this study, 12 patients using weighted blankets for five consecutive days were compared to a matched retrospective cohort of 12 patients not using a blanket. The change in morphine milligram equivalents (MME) and alprazolam milligram equivalents (AME) over five days were compared. There was a significant difference of MME per day between the intervention group (mean MME change = -22.9) and matched controls (mean MME change = 6.2; <i>p</i> = 0.0072) by blanket use. Total MMEs in the intervention group decreased by 275.5 and in the control group increased by 75 between day 1 and day 5. There was no significant difference in AME change between groups (<i>p</i> = 0.3227). The majority of patients who took a post-intervention questionnaire reported less pain and less anxiety with blanket use compared to those without blanket use (78% and 56% of patients, respectively). To summarize, trauma patients in acute pain had less opioid use and reported less pain and anxiety when using a weighted blanket for five consecutive days compared to a control group who did not use a blanket.</p>","PeriodicalId":16645,"journal":{"name":"Journal of Pain & Palliative Care Pharmacotherapy","volume":" ","pages":"244-253"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10718802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Successful Management of Severe Low Back Pain with Ayurveda in Lumbar Spondylosis: A Case Report. 用阿育吠陀疗法成功治疗腰椎病患者的严重腰痛:病例报告。
IF 0.9 Q3 ANESTHESIOLOGY Pub Date : 2024-09-01 Epub Date: 2024-08-29 DOI: 10.1080/15360288.2024.2393844
Satyajit Pandurang Kulkarni, Shweta Parwe

Lumbar spondylosis is a common condition that is quite prevalent, affecting 57% of Indian men. Ayurveda, an indigenous medical system, is highly efficient in treating this ailment when it is in a mild to moderate state. This case report aims to provide a detailed account of a successfully managed case of lumbar spondylosis characterized by severe lumbar pain. A 59-year-old man, who has been suffering from lumbar spondylosis for the last 8 years, was presented with complaints of severe to moderate low back pain, disability, and pain in both legs. According to Ayurvedic principles, the condition was diagnosed as "Katigraha," and a nine-day treatment plan, including three Niruha Basti consecutively, followed by one Anuvasan Basti with the use of Ayurvedic medications was suggested. The lumbar pain severity fell from 8 to 2 points, while the leg pain decreased from 7 to 1 point. The Oswestry Low Back Disability Index (ODI) showed a significant reduction, from 49 to 18. The flexion and extension range of motion grew from 1 to 3 cm, and from 1 to 2 cm, respectively. The case study indicates a reduction in severe low back pain, but further investigation is required to determine the underlying mechanisms.

腰椎病是一种常见病,发病率相当高,57% 的印度男性都会受到影响。阿育吠陀是印度本土的医疗体系,在治疗轻度至中度腰椎病方面非常有效。本病例报告旨在详细介绍一个成功治愈的腰椎病病例,该病例以剧烈腰痛为特征。一名 59 岁的男子患腰椎病已有 8 年之久,主诉为严重至中度腰痛、残疾和双腿疼痛。根据阿育吠陀医学原理,他的病症被诊断为 "Katigraha",医生建议他接受为期九天的治疗,包括连续三次 Niruha Basti 和一次 Anuvasan Basti,并服用阿育吠陀药物。腰部疼痛的严重程度从 8 点下降到 2 点,腿部疼痛从 7 点下降到 1 点。Oswestry 腰背残疾指数(ODI)从 49 显著下降到 18。屈伸活动范围分别从 1 厘米增加到 3 厘米,从 1 厘米增加到 2 厘米。该病例研究表明,严重腰背痛有所减轻,但还需要进一步研究以确定其根本机制。
{"title":"Successful Management of Severe Low Back Pain with Ayurveda in Lumbar Spondylosis: A Case Report.","authors":"Satyajit Pandurang Kulkarni, Shweta Parwe","doi":"10.1080/15360288.2024.2393844","DOIUrl":"10.1080/15360288.2024.2393844","url":null,"abstract":"<p><p>Lumbar spondylosis is a common condition that is quite prevalent, affecting 57% of Indian men. Ayurveda, an indigenous medical system, is highly efficient in treating this ailment when it is in a mild to moderate state. This case report aims to provide a detailed account of a successfully managed case of lumbar spondylosis characterized by severe lumbar pain. A 59-year-old man, who has been suffering from lumbar spondylosis for the last 8 years, was presented with complaints of severe to moderate low back pain, disability, and pain in both legs. According to Ayurvedic principles, the condition was diagnosed as \"Katigraha,\" and a nine-day treatment plan, including three Niruha Basti consecutively, followed by one Anuvasan Basti with the use of Ayurvedic medications was suggested. The lumbar pain severity fell from 8 to 2 points, while the leg pain decreased from 7 to 1 point. The Oswestry Low Back Disability Index (ODI) showed a significant reduction, from 49 to 18. The flexion and extension range of motion grew from 1 to 3 cm, and from 1 to 2 cm, respectively. The case study indicates a reduction in severe low back pain, but further investigation is required to determine the underlying mechanisms.</p>","PeriodicalId":16645,"journal":{"name":"Journal of Pain & Palliative Care Pharmacotherapy","volume":" ","pages":"254-263"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142108452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
All Palliative Care Should Be Integrative Palliative Care. 所有姑息关怀都应是整合性姑息关怀。
IF 0.9 Q3 ANESTHESIOLOGY Pub Date : 2024-09-01 Epub Date: 2024-07-24 DOI: 10.1080/15360288.2024.2377998
Delia Chiaramonte

Integrative medicine and palliative care are philosophically similar, with a focus on whole person care and wellbeing. Integrative medicine provides a large toolbox of evidence-informed treatment modalities but doesn't prioritize the care of seriously ill people. Palliative care takes a holistic approach to reducing the suffering of seriously ill people, their families, and their caregivers, but the available treatment toolbox is often limited to pharmaceuticals, procedures, and radiation. The ideal care of families facing serious illness employs the philosophy and conventional expertise of palliative care clinicians coupled with an evidence-supported expanded treatment toolbox provided by the field of complementary and integrative medicine. This emerging field is called integrative palliative care. Reducing physical, emotional, and spiritual suffering is the fundamental goal of palliative care and all available effective tools should be employed toward this aim. Therefore, all palliative care should be integrative palliative care.

中西医结合医学和姑息关怀在理念上相似,都注重全人关怀和福祉。中西医结合医学提供了一整套循证治疗方法,但并不把重病患者的护理放在首位。姑息关怀采用整体方法来减轻重病患者、其家人和照护者的痛苦,但可用的治疗工具箱往往仅限于药物、手术和放射线。为面临重病的家庭提供理想的关怀,需要姑息关怀临床医生的理念和传统专业知识,以及补充医学和整合医学领域提供的有证据支持的扩展治疗工具箱。这一新兴领域被称为综合姑息关怀。减轻身体、情感和精神上的痛苦是姑息关怀的基本目标,所有可用的有效工具都应被用于实现这一目标。因此,所有的姑息关怀都应该是整合性姑息关怀。
{"title":"All Palliative Care Should Be Integrative Palliative Care.","authors":"Delia Chiaramonte","doi":"10.1080/15360288.2024.2377998","DOIUrl":"10.1080/15360288.2024.2377998","url":null,"abstract":"<p><p>Integrative medicine and palliative care are philosophically similar, with a focus on whole person care and wellbeing. Integrative medicine provides a large toolbox of evidence-informed treatment modalities but doesn't prioritize the care of seriously ill people. Palliative care takes a holistic approach to reducing the suffering of seriously ill people, their families, and their caregivers, but the available treatment toolbox is often limited to pharmaceuticals, procedures, and radiation. The ideal care of families facing serious illness employs the philosophy and conventional expertise of palliative care clinicians coupled with an evidence-supported expanded treatment toolbox provided by the field of complementary and integrative medicine. This emerging field is called integrative palliative care. Reducing physical, emotional, and spiritual suffering is the fundamental goal of palliative care and all available effective tools should be employed toward this aim. Therefore, all palliative care should be integrative palliative care.</p>","PeriodicalId":16645,"journal":{"name":"Journal of Pain & Palliative Care Pharmacotherapy","volume":" ","pages":"287-291"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141759376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Effects of Music Therapy on Patients Undergoing Colonoscopy in a Tertiary Care Hospital at Karachi, Pakistan: A Comparative Study. 音乐疗法对巴基斯坦卡拉奇一家三级医院结肠镜检查患者的影响:比较研究。
IF 0.9 Q3 ANESTHESIOLOGY Pub Date : 2024-09-01 Epub Date: 2024-06-03 DOI: 10.1080/15360288.2024.2357551
Afsheen A A Hirani, Faisal W Ismail, Faris Abdulaziz, Rubina Barolia, Dilshad Begum, Lubna Kamani

A colonoscopy is a procedure commonly used for the diagnosis of colorectal diseases but may be associated with high levels of anxiety and discomfort, which can lead to complications during sedation and decreased patient comfort and cooperation. This study was conducted at a tertiary care hospital in Karachi to assess the effectiveness of music therapy on pre-procedural anxiety, sedation requirements, pain, and procedure duration among patients undergoing colonoscopies. This comparative study included 110 outpatients. The intervention arm received non-lyrical soft music through earphones before and during the colonoscopy procedure, while the control group did not receive any music. In the intervention arm, significant reductions were seen in pre-procedural anxiety scores (p < 0.001), physiological measures (p < 0.001), sedation doses (p < 0.001), and procedure durations (p < 0.05). Control arm showed an increase in heart rate and systolic blood pressure (p < 0.001). Pain scores were similar for both groups. Music therapy is an effective tool to reduce patient anxiety pre- procedure. It is a simple, safe, and noninvasive relaxing intervention that could be used as an adjunct to sedative medications before and during the colonoscopy procedure.

结肠镜检查是诊断结肠直肠疾病的常用方法,但可能会引起高度焦虑和不适,从而导致镇静过程中的并发症,并降低患者的舒适度和合作性。本研究在卡拉奇的一家三甲医院进行,旨在评估音乐疗法对结肠镜检查患者术前焦虑、镇静要求、疼痛和手术持续时间的影响。这项比较研究包括 110 名门诊患者。干预组在结肠镜检查前和检查过程中通过耳机接收非抒情轻音乐,而对照组则不接收任何音乐。在干预组中,手术前的焦虑评分明显降低(P P P P P
{"title":"The Effects of Music Therapy on Patients Undergoing Colonoscopy in a Tertiary Care Hospital at Karachi, Pakistan: A Comparative Study.","authors":"Afsheen A A Hirani, Faisal W Ismail, Faris Abdulaziz, Rubina Barolia, Dilshad Begum, Lubna Kamani","doi":"10.1080/15360288.2024.2357551","DOIUrl":"10.1080/15360288.2024.2357551","url":null,"abstract":"<p><p>A colonoscopy is a procedure commonly used for the diagnosis of colorectal diseases but may be associated with high levels of anxiety and discomfort, which can lead to complications during sedation and decreased patient comfort and cooperation. This study was conducted at a tertiary care hospital in Karachi to assess the effectiveness of music therapy on pre-procedural anxiety, sedation requirements, pain, and procedure duration among patients undergoing colonoscopies. This comparative study included 110 outpatients. The intervention arm received non-lyrical soft music through earphones before and during the colonoscopy procedure, while the control group did not receive any music. In the intervention arm, significant reductions were seen in pre-procedural anxiety scores (<i>p</i> < 0.001), physiological measures (<i>p</i> < 0.001), sedation doses (<i>p</i> < 0.001), and procedure durations (<i>p</i> < 0.05). Control arm showed an increase in heart rate and systolic blood pressure (<i>p</i> < 0.001). Pain scores were similar for both groups. Music therapy is an effective tool to reduce patient anxiety pre- procedure. It is a simple, safe, and noninvasive relaxing intervention that could be used as an adjunct to sedative medications before and during the colonoscopy procedure.</p>","PeriodicalId":16645,"journal":{"name":"Journal of Pain & Palliative Care Pharmacotherapy","volume":" ","pages":"233-243"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Author Spotlight: Lee A. Kral, PharmD, FASHP, CPMC, NBC-HWC, CPE. 作者简介:Lee A. Kral, PharmD, FASHP, CPMC, NBC-HWC, CPE。
IF 0.9 Q3 ANESTHESIOLOGY Pub Date : 2024-09-01 Epub Date: 2024-12-02 DOI: 10.1080/15360288.2024.2412493
Lee A Kral, Laura Meyer-Junco
{"title":"Author Spotlight: Lee A. Kral, PharmD, FASHP, CPMC, NBC-HWC, CPE.","authors":"Lee A Kral, Laura Meyer-Junco","doi":"10.1080/15360288.2024.2412493","DOIUrl":"https://doi.org/10.1080/15360288.2024.2412493","url":null,"abstract":"","PeriodicalId":16645,"journal":{"name":"Journal of Pain & Palliative Care Pharmacotherapy","volume":"38 3","pages":"191-192"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Author Spotlight: Melissa Day, PhD, Jonathan Davies, PhD, Claire Walker, BSc (Hons), Jeffrey Kim, PhD. 作者简介:Melissa Day, PhD, Jonathan Davies, PhD, Claire Walker, BSc (Hons), Jeffrey Kim, PhD
IF 0.9 Q3 ANESTHESIOLOGY Pub Date : 2024-09-01 Epub Date: 2024-12-02 DOI: 10.1080/15360288.2024.2412495
Melissa A Day, Jonathan N Davies, Claire Walker, Jeffrey Kim, Laura Meyer-Junco
{"title":"Author Spotlight: Melissa Day, PhD, Jonathan Davies, PhD, Claire Walker, BSc (Hons), Jeffrey Kim, PhD.","authors":"Melissa A Day, Jonathan N Davies, Claire Walker, Jeffrey Kim, Laura Meyer-Junco","doi":"10.1080/15360288.2024.2412495","DOIUrl":"https://doi.org/10.1080/15360288.2024.2412495","url":null,"abstract":"","PeriodicalId":16645,"journal":{"name":"Journal of Pain & Palliative Care Pharmacotherapy","volume":"38 3","pages":"195-198"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of Pain & Palliative Care Pharmacotherapy
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1