Articles: pain-management-methods.
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Support Care Cancer · Dec 2012
Review Meta AnalysisMusic interventions for psychological and physical outcomes in cancer: a systematic review and meta-analysis.
A systematic review and meta-analysis to examine the effect of music interventions on psychological and physical outcome measures in cancer patients. ⋯ Individual randomized trials suggest that music intervention is accepted by patients and associated with improved psychological outcomes. The effects of music on vital signs especially blood pressure are small. High-quality trials are needed to further determine the effects of music intervention.
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An intranasal (IN) formulation of ketorolac was recently FDA approved in adult patients for the short-term management of moderate to moderately severe pain that requires analgesia at the opioid level. ⋯ Based on the clinical trials reviewed, IN ketorolac was associated with significant pain reduction in patients with various post-operative procedures, with good tolerability.
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Parkinsonism Relat. Disord. · Dec 2012
ReviewThe conceptual framework of palliative care applied to advanced Parkinson's disease.
With the incidence of Parkinson's disease rising, while imposing a large cost on health care systems around the world, optimizing care has become crucial. The complexity of our patients increases dramatically in the advanced stages. Recently our understanding of advanced Parkinson's disease has led to the question of whether Palliative care approaches would be complementary to the care of these patients. ⋯ Pain has become recognized as a common symptom that can be difficult to treat. Given the success of early Palliative care involvement in cancer populations, it should not be surprising that our specialized Palliative Parkinson's Clinic at the Toronto Western Hospital has become indispensable for our patients. This article will describe the rational for combining the expertise of the Neurology department with that of Palliative care in the care of patients suffering from Parkinson's disease.
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When a patient who's physically active complains of hip pain, don't be too quick to label it a "hip pointer" that requires time and rest to heal. Consider this more nuanced-and effective-approach.
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Review
Physical therapy interventions for knee pain secondary to osteoarthritis: a systematic review.
Osteoarthritis is a leading cause of disability. Nonsurgical treatment is a key first step. ⋯ Agency for Healthcare Research and Quality.