Use of complementary and integrative health in cancer pain management among patients undergoing cancer treatments: a qualitative descriptive study

Walker, Suzanne; Levoy, Kristin; Meghani, Salimah H.

doi:10.1007/s00520-022-06928-4

Cited by 3 publications

(3 citation statements)

References 31 publications

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“…47 Similar qualitative descriptive designs have been used in the populations of cancer and palliative care. 51,52 This research was initially planned before the Covid-19 pandemic. The design was subsequently modi ed prior to data collection in line with public health guidelines.…”

Section: Designmentioning

confidence: 99%

Xerostomia: A silent burden for people receiving palliative care – A qualitative descriptive study.

Dourieu,

Lisiecka,

Evans

et al. 2024

Preprint

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Background The prevalence of dry mouth in the palliative care population is well documented and increases due to polypharmacy, radiotherapy and systemic conditions. Saliva as a lubricant for the mouth and throat has implications for swallowing, chewing, and speech. The literature about the experience of xerostomia (perceived feeling of dry mouth) in palliative care is scarce. Clinical evidence suggests that xerostomia has a negative impact on people’s comfort, however, no recent studies explored this impact in detail. This new knowledge is paramount to adhere to the principles of palliative care. Aims To evaluate the impact of xerostomia on the lives of people receiving palliative care with particular reference to eating and speaking. Design A qualitative descriptive study (interview design). Thematic analysis was used for data analysis. Setting A single specialist palliative care centre in Ireland. Results The majority of participants (35/40) had cancer. Xerostomia was reported to have multiple physical, psychological, and daily life consequences. Participants provided insights into the impact of xerostomia on sleeping, eating, talking, denture wearing, and they described in detail their intra-oral sensations associated with xerostomia. The negative effect of xerostomia on speech was reported as the most significant to participants. Conclusion Xerostomia has a profound impact on the daily lives of people receiving palliative care, including physical and psychological consequences. Speaking is often affected, which can impede the person’s ability to communicate. There needs to be increased awareness of the impact of xerostomia and more research is required to understand how best to manage xerostomia in a palliative care setting.

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Section: Designmentioning

confidence: 99%

Xerostomia: A silent burden for people receiving palliative care – A qualitative descriptive study.

Dourieu,

Lisiecka,

Evans

et al. 2024

Preprint

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“…It is critical to emphasize the importance of opioid use in cancer pain guidelines in conjunction with nonpharmacological pain interventions. Unfortunately, barriers exist to complementary, alternative, and other nonpharmacological pain interventions, such as high cost, poor insurance coverage, lack of knowledge about therapies, and insufficient empirical evidence to support the efficacy of some therapies 22,23 . However, cancer pain treatment recommendations call for a combination of long-acting (scheduled) and short-acting (as needed) opioid formulations to provide continuous analgesia and breakthrough pain control 19–21 …”

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confidence: 99%

“…Unfortunately, barriers exist to complementary, alternative, and other nonpharmacological pain interventions, such as high cost, poor insurance coverage, lack of knowledge about therapies, and insufficient empirical evidence to support the efficacy of some therapies. 22,23 However, cancer pain treatment recommendations call for a combination of long-acting (scheduled) and short-acting (as needed) opioid formulations to provide continuous analgesia and breakthrough pain control. [19][20][21] Although cancer pain is a commonly studied phenomenon, individuals from minoritized racial, ethnic, and cultural backgrounds are historically underrepresented in this literature.…”

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confidence: 99%

A Qualitative Study of the Pain Experience of Black Individuals With Cancer Taking Long-Acting Opioids

Yeager

Rosa²,

Belcher³

et al. 2023

Cancer Nurs

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BackgroundLittle is known about the experience of Black individuals with cancer taking long-acting opioids for cancer pain.ObjectiveThis study aimed to describe the day-to-day experience of living with pain and the experiences of taking opioids for pain management among Black individuals with cancer prescribed with long-acting opioids.MethodsThis qualitative descriptive study was part of a larger investigation focused on opioid adherence. Participants (N = 14) were interviewed using a semistructured interview guide. Analysis followed conventional content analysis and constant comparison approaches. Sociodemographics, clinical information, and the Brief Pain Inventory form were collected.ResultsThe majority of the subsample was female (64.3%), not married (78.6%), and with a median age of 52.5 years. Participants were taking either MS Contin (85.7%) or OxyContin (14.3%). The Brief Pain Inventory median “average” pain severity scores and pain interference scores were 5.1/10 (interquartile range [IQR] = 6.1) and 3.5/10 (IQR = 6.7), respectively. Three themes are reported from the analyses: desire for control, barriers to pain relief, and isolation versus connectedness.ConclusionOur findings highlight the persistent nature of moderate to severe cancer pain and how pain and its treatment interfere with patients’ lives. The findings describe ways that patients learn to manage and exert control over pain despite conflicting attitudes and dealing with opioid stigma.Implication for PracticeClinicians should partner with patients with cancer, especially people of color, who may experience intersecting stigmas related to their cancer pain and opioid use, to best provide an individualized and culturally sensitive pain treatment plan.

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Homeopathy as Praxis: Integration of Homeopathy as Supportive Care into Daily Life in Early Breast Cancer Patients

Veyrier,

Roucoux,

Baumann-Coblentz

et al. 2024

Integr Cancer Ther

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Introduction: Homeopathy is one of most widely used non-conventional supportive care methods used by women with breast cancer. This article aims to describe the routines and practices related to homeopathy as supportive care used by women with non-metastatic breast cancer in France. Methods: This qualitative study used Grounded Theory. Participants were women with early breast cancer and healthcare professionals (General Practitioner homeopaths & oncologists). Inclusion depended on specific criteria and the aim of theoretical sampling until data saturation. Data were collected through individual semi-structured interviews and focus groups following evolving topic guides. Transcribed interviews underwent in-depth thematic analysis. Inclusion, interviewing, transcription and coding occurred iteratively. Data was reported according to COREQ guidelines. Results: The therapeutic agency of homeopathy was distributed to different actors and ritualized material activities highly involving the patient. The choice of remedy was mostly delegated by patients to General Practitioner homeopaths (GPH) during consultations. Individualization, that is to say adaptation to the patient, differed from other modes of access to homeopathy (self-medication and oncologists). Self-medication was mostly limited to known products in a limited time frame. However, we identified a supported self-medication using trusted homeopathic protocols. Following homeopathic prescriptions involves a high level of commitment on behalf of the patient and follows different rules for homeopathy intake. This knowledge was either acquired earlier for users or discovered along breast cancer treatment for non-users. Taking homeopathy involved small daily actions for intake of different products at different times of the day. New users used strategies to ease the integration of homeopathy into their daily life. The stance toward such rules differed among patients. Some followed rules to optimize their effects while others simplified the rules and took those rituals as part of homeopathy benefits. Conclusion: Homeopathy as supportive care in breast cancer is distributed toward different actors and ritualized activities. Homeopathy is a supported practice where GPH played a role in the prescription. Health Literacy in homeopathy played a role to ease its integration into daily life and identify the potential benefits. The high involvement of patients in their homeopathic treatment is a form of treatment reappropriation and empowerment.

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Use of complementary and integrative health in cancer pain management among patients undergoing cancer treatments: a qualitative descriptive study

Cited by 3 publications

References 31 publications

Xerostomia: A silent burden for people receiving palliative care – A qualitative descriptive study.

Xerostomia: A silent burden for people receiving palliative care – A qualitative descriptive study.

A Qualitative Study of the Pain Experience of Black Individuals With Cancer Taking Long-Acting Opioids

Homeopathy as Praxis: Integration of Homeopathy as Supportive Care into Daily Life in Early Breast Cancer Patients

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