How do I best manage insomnia and other sleep disorders in older adults with cancer?

Loh, Kah Poh; Burhenn, Peggy S.; Hurria, Arti; Zachariah, Finly; Mohile, Supriya G.

doi:10.1016/j.jgo.2016.05.003

Cited by 12 publications

(6 citation statements)

References 43 publications

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“…In palliative care patients, insomnia is associated with discomfort and decreased quality of life and is often multifactorial, enclosing physical, psychological, and spiritual determinants. 5 -8 Existent systematic reviews on the prevalence of sleep disorders usually focus on patients with cancer, cancer survivors, and palliative caregivers 3,9 -19 and none of them addresses specifically the prevalence, predictors, and treatment of insomnia in palliative care patients. Therefore, this study aims to systematize the existing data on the frequency, associated factors, and treatment of insomnia in palliative care.…”

Section: Introductionmentioning

confidence: 99%

Systematic Review of the Prevalence, Predictors, and Treatment of Insomnia in Palliative Care

Nzwalo

Aboim²,

Joaquim

et al. 2020

Am J Hosp Palliat Care

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Introduction: The primary function of palliative care is to improve quality of life. The recognition and treatment of symptoms causing suffering is central to the achievement of this goal. Insomnia reduces quality of life of patients under palliative care. Knowledge about prevalence, associated factors, and treatment of insomnia in palliative care is scarce. Methodology: Literature review about the prevalence, predictors, and treatment options of insomnia in palliative care patients. Primary sources of investigation were identified and selected through Pubmed and Scopus databases. The research was complemented by reference search in identified articles and selected reviews. OpenGrey and Google Scholar were used for searching grey literature. Study quality analysis was based on the Newcastle-Ottawa Scale. Results: A total of 65 studies were included in the review. Most studies had acceptable /good quality. The prevalence of insomnia in the included studies ranged from 2.1% to 100%, with a median overall prevalence of 49.5%. Sociodemographic factors such as age; clinical characteristics such as functional status, disease stage, pain, and use of specific drugs, including opioids; psychological factors such as anxiety/depression; and spiritual factors such as feelings of well-being were identified as predictors. The treatment options identified were biological (pharmacological and nonpharmacological), psychological (visualization, relaxation), and spiritual (prayer). Conclusions: The systematic review showed that the prevalence of insomnia is high, with at least one in 3 patients affected in most studies. Insomnia’s risk factors and treatment in palliative care are both associated to physical, psychological, social, and spiritual factors, reflecting its true holistic nature.

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Section: Introductionmentioning

confidence: 99%

Systematic Review of the Prevalence, Predictors, and Treatment of Insomnia in Palliative Care

Nzwalo

Aboim²,

Joaquim

et al. 2020

Am J Hosp Palliat Care

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“…So far, aging has primarily been associated with a reduced ability to maintain sleep, with sleep quantity and quality disruption occurring frequently, leading to potential health implications. Although with unclear prevalence rates [122], several studies reported the association between sleep disturbances and cancer, particularly in older individuals [123][124][125].…”

Section: Sleep Disorders In Older Patients With Cancermentioning

confidence: 99%

Neuropsychiatric Disorders and Frailty in Older Adults over the Spectrum of Cancer: A Narrative Review

Muzyka

Tagliafico

Serafini

et al. 2022

Cancers

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Background: The interplay between different neuropsychiatric conditions, beyond dementia, in the presence of a diagnosis of cancer in older adults may mediate patients’ fitness and cancer-related outcomes. Here, we aimed to investigate the presence of depression, sleep disturbances, anxiety, attitude, motivation, and support in older adults receiving a diagnosis of cancer and the dimension of frailty in order to understand the magnitude of the problem. Methods: This review provides an update of the state of the art based on references from searches of PubMed between 2000 and June 2021. Results: The evidence obtained underscored the tight association between frailty and unfavorable clinical outcomes in older adults with cancer. Given the intrinsic correlation of neuropsychiatric disorders with frailty in the realm of cancer survivorship, the evidence showed they might have a correlation with unfavorable clinical outcomes, late-life geriatric syndromes and higher degree of frailty. Conclusions: The identification of common vulnerabilities among neuropsychiatric disorders, frailty, and cancer may hold promise to unmask similar shared pathways, potentially intercepting targeted new interventions over the spectrum of cancer with the delivery of better pathways of care for older adults with cancer.

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“…A dispneia é um sintoma comum em pessoas-em CP. A prevalência difere por sexo, idade, tipo de câncer, duração do tratamento e tempo desde o diagnóstico do câncer (LOH, et al, 2016).…”

Section: Manejo De Sintomas No Câncerunclassified

“…Os impactos diurnos negativos devido a insônia podem incluir fadiga significativa, sonolência, baixa concentração, alteração do ciclo circadiano, baixo humor ou capacidade prejudicada de desempenhar responsabilidades sociais, ocupacionais ou de autocuidado (LOH, et al, 2016). A privação de sono pode afetar e ocasionar alterações do ritmo circadiano podendo levar a uma resposta ao estresse, com liberação de cortisol, que por sua vez pode acarretar uma progressão do câncer (OWENS et al, 2016;BAGLIONI et al, 2016).…”

Section: Manejo De Sintomas No Câncerunclassified

“…Reiki, quando usado em conjunto com a terapia de opioide padrão, pode contribuir para aliviar a dor e melhorar a qualidade de vida dos participantes. Distúrbios do sono podem ocasionar alterações do ritmo circadiano e levar a uma resposta ao estresse com liberação de cortisol, aumento da taxa de ansiedade e depressão, alteração de humor, funcionamento diurno prejudicado, risco aumentado de quedas, bem como problemas de concentração e memória, que por sua vez podem acarretar uma alteração e progressão do câncer(BAGLIONI et al 2016;LOH, 2016;OWENS et al, 2016).Em um estudo (GROV, FOSSÅ e DAHL, 2011) com pacientes idosos com câncer e insônia apontou uma taxa de 15% maior de doenças musculoesqueléticas e sintomas gastrointestinais. Eles também relataram o uso regular de medicamentos para dormir, problemas com a realização de atividades da vida diária, incluindo higiene pessoal, vestir e comer e níveis mais elevados de ansiedade e depressão.…”

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O efeito do reiki no manejo de sintomas de pessoas em cuidados paliativos oncológicos

Souza¹

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A Deus, por sempre guiar meus passos.A toda a equipe de médicos e enfermeiras que possibilitaram as coletas no Hospital das Clínicas da FMRP/USP.A todas as pessoas do grupo de pesquisa (LIATH) que me apoiaram e me ajudaram na realização de um trabalho melhor.A todas as pessoas que doaram e participaram do crowdfunding e que fizeram possível a realização desta pesquisa. À CAPES, pelo financiamento do trabalho, através da bolsa de estudos.Ao Programa de Pós-Graduação em Enfermagem em Saúde Pública pela atenção e cooperação.Aos pacientes e voluntários que colaboraram com a pesquisa, pela doação do seu tempo e colaboração.Um agradecimento especial, à minha orientadora, Dra. Marysia, pela paciência e pelas inúmeras oportunidades de crescimento pessoal e profissional. E pela coragem em aceitar o desafio de orientar um trabalho diferente da sua área de atuação, e pela serenidade e competência ao fazê-lo. Minha gratidão pela eterna gentileza, respeito e confiança. RESUMO SOUZA, S. F. O efeito do reiki no manejo de sintomas de pessoas em cuidados paliativos oncológicos. 2020. Dissertação (Mestrado) -

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How do I best manage insomnia and other sleep disorders in older adults with cancer?

Cited by 12 publications

References 43 publications

Systematic Review of the Prevalence, Predictors, and Treatment of Insomnia in Palliative Care

Systematic Review of the Prevalence, Predictors, and Treatment of Insomnia in Palliative Care

Neuropsychiatric Disorders and Frailty in Older Adults over the Spectrum of Cancer: A Narrative Review

O efeito do reiki no manejo de sintomas de pessoas em cuidados paliativos oncológicos

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