Opioid and benzodiazepine use in gynecologic oncology patients

Levytska, Khrystyna; Pena, Savannah R; Brown, Jubilee; Yu, Ziqing; Wally, Meghan K.; Hsu, Joseph R.; Seymour, Rachel B.; Naumann, R. Wendel

doi:10.1136/ijgc-2022-003955

Cited by 2 publications

(1 citation statement)

References 12 publications

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“…Cancer-related pain is a highly prevalent subjective symptom observed in patients with gynecologic malignancies ( 11 ). The nature of pain experienced by patients is generally dull and of a moderate degree.…”

Section: Introductionmentioning

confidence: 99%

Pain nursing for gynecologic cancer patients

Wu¹,

He²,

Li³

et al. 2023

Front. Oncol.

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Gynecological malignancy remains a prevalent cause of mortality among women. Chronic cancer pain, as a severe complication of malignancy and its therapies, accounts for a substantial burden of physical and psychological distress in affected patients. Accordingly, early identification, assessment, and standardized management of such pain are crucial in the prevention or delay of its progression. In the present review, we provide a comprehensive overview of the pathological factors that contribute to pain in patients with gynecological malignancy while highlighting the underlying mechanisms of pain in this population. In addition, we summarize several treatment modalities targeting pain management in gynecologic cancer patients, including surgery, radiotherapy, and chemotherapy. These interventions are crucial for tumor elimination and patient survival. Chronic cancer pain exerts a significant impact on wellbeing and quality of life for patients with gynecologic cancer. Therefore, our review emphasizes the importance of addressing this pain and its psychological sequelae and advocates for a multidisciplinary approach that encompasses nursing and psychological support. In summary, this review offers valuable insights into the pathological factors underlying pain, reviews pain management modalities, and stresses the critical role of early intervention and comprehensive care in enhancing the quality of life of these patients.

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Section: Introductionmentioning

confidence: 99%

Pain nursing for gynecologic cancer patients

Wu¹,

He²,

Li³

et al. 2023

Front. Oncol.

View full text Add to dashboard Cite

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Evidence and best practices for trauma-informed care in gynecologic oncology patients

Fulton,

Snyder,

Chalif

et al. 2024

Int J Gynecol Cancer

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Diagnosing, treating, and managing gynecologic cancer can lead to significant physical and emotional stress, which may have lasting effects on a patient’s overall health and quality of life. The physical symptoms of gynecologic cancer, such as pain, discomfort, and loss of function, may also contribute to emotional distress and anxiety. Further, the diagnosis, treatment, and surveillance of gynecologic cancer may be traumatic due to the need for invasive exams and procedures, especially in women with a history of sexual assault or other traumatic experiences.Women with gynecologic cancer may experience various emotional and psychological symptoms, including anxiety, depression, post-traumatic stress disorder, and fear of recurrence. Trauma-informed care is an approach to healthcare that emphasizes the recognition and response to the impact of trauma on a patient’s life. Further, trauma-informed care acknowledges that prior traumatic experiences may affect a patient’s mental and physical health and that the healthcare system may unintentionally re-traumatize patients.Implementation of trauma-informed care can improve patient outcomes, increase patient satisfaction with care, and reduce the risk of re-traumatization during cancer treatment and follow-up care. Therefore, gynecologic oncology providers should become familiar with the principles and practices of trauma-informed care and implement trauma-informed screening tools to identify patients who may benefit from additional support or referrals to mental health services. This review will explore the importance of trauma-informed care in patients with gynecologic cancer and its impact on outcomes. Further, we discuss principles and evidence-based practices of trauma-informed care and strategies to implement trauma-informed screening tools to identify patients who may benefit from additional support or referrals to mental health services.

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Opioid and benzodiazepine use in gynecologic oncology patients

Cited by 2 publications

References 12 publications

Pain nursing for gynecologic cancer patients

Pain nursing for gynecologic cancer patients

Evidence and best practices for trauma-informed care in gynecologic oncology patients

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