To evaluate whether formal referral to The Symptom Management and Supportive Care Clinic
improves symptom burden in advanced stage or recurrent gynecologic oncology chemotherapy
patients compared with symptom management performed by the primary gynecologic oncologist.
Pain is one of the major symptoms in palliative care units and often is very difficult to
treat, being considered as a refractory pain.
There are different causes of refractory pain: pain due to bed sores and ulcer bandages,
carcinological or ischemic wounds or injuries, pain due to patients' reduced mobility, pain
due to traumatological injuries, pain associated with a long-term bed confinement, etc.
The investigators propose a prospective study to ... Read More
Source: National Institutes of Health Clinical Center (CC)
This study will investigate the most effective approach for managing pain and providing
palliative care (lessening of pain or symptoms).
Patients with advanced cancer who are enrolled in a National Cancer Institute (NCI) protocol
and will undergo major surgery as part of their treatment may be eligible for this study.
Participants will be randomly assigned to pain management provided by either 1) their
attending physician or 2) the Clinical Center's Pain ... Read More
The purpose of this project is to test an innovative method for managing pain in acutely ill
hospitalized patients who are not able to report their pain verbally to health care
professionals. Nurses will use a Pain Assessment and Intervention for the Non-communicative
(PAIN) Algorithm to guide assessment of pain, selection of pain medications, and management
of medication side effects. The researchers will evaluate whether patients who are managed
with the ... Read More
The purpose of this study is to develop more effective ways to help patients and their
caregivers cope with cancer pain. The investigators are looking at the usefulness of a
Caregiver-Guided Pain Management Training Intervention versus Pain Education.
Patients in isolated rural settings often lack easy access to pain care and specialist
services. Yet rural residents are more likely than their urban counterparts to be older; be
in poorer overall health; suffer from more chronic or serious illnesses and disabilities; be
uninsured or underinsured; and live in poverty. Telehealth is an emerging method of health
care delivery that has been found useful and effective in many clinical settings and
specialties. ... Read More
80% of palliative care cancer patients suffer from severe pain. The management of these pain
improves the quality of life of these patients. The management of opioid pain refractory to
date remains a difficulty for caregivers. Hypophysectomy performed to try to control
hormone-dependent neoplasia also help relieve pain associated with lesions secondary cancer.
The surgical hypophysialis radio Gamma Knife ® was recently performed on a small number of
... Read More
Source: Norwegian University of Science and Technology
The rising incidence of cancer and the rapidly increasing number of people living longer
with incurable disease, accentuates the need for optimal symptom management throughout the
disease trajectory. Thanks to the medical and technological development, and the increased
interest in palliative care research, palliative medicine has gradually become more evidence
based. Patients with advanced cancer experience multiple symptoms at the time with
fluctuating ... Read More
Patients treated in Palliative Care Units are potentially fragile patients, especially in
our case, which are cancer patients. The management of these patients is usually done from
experience, because these patients rarely meet criteria for clinical trials, as their
inclusion could affect results obtained in the trial.
There is insufficient clinical information on the quality of life of cancer patients with
breakthrough pain treated in palliative care units ... Read More
Improving end-of-life care is of critical importance to the VA as it faces an increasingly
aging and dying veteran population. Previous work within and outside of the VA has
demonstrated serious deficiencies in the quality of care delivered near the end of life.
Moreover, veterans in the VA system suffer from a higher rate of chronic and life-limiting
illnesses and decrements in health-related quality of life compared with the age-matched
controls. In FY2000 ... Read More
Source: Albert Einstein College of Medicine of Yeshiva University
This randomized clinical trial studies a palliative care program in improving the quality of
life of patients with high-risk gynecologic malignancies that is original or first tumor in
the body (primary) or has come back (recurrent). Palliative care is care given to patients
and their families facing the problems associated with life-threatening illness, through the
prevention and relief of suffering by means of early identification and impeccable
assessment ... Read More
The purpose of this within-subjects randomized controlled trial is to determine whether two
music therapy interventions are efficacious in reducing pain symptoms, in order to improve
the quality of care for children in pediatric hospice. The investigators hypothesize that
both music therapy interventions, live guitar and vocal intervention and vibroacoustic
intervention, will reduce behavioural pain scores and that behavioural pain scores will
correlate with ... Read More
This is a multicenter, open-label study in adult subjects with Type 1 Complex Regional Pain
Syndrome. Subjects diagnosed with unilateral Type 1 CRPS will be enrolled sequentially to
receive CC-5013 10 mg/day orally. For each subject the study consists of two phases:
Pre-treatment phase(1 wk) and treatment phase (12 wks)
Number of patients in mobile palliative care units have pain of both nociceptive and
neuropathic origin. In certain cases, procedures of locoregional analgesia can be helpful.
The Purpose of this study is to evaluate the impact of techniques of locoregional analgesia
in a palliative population