By Edward Chow, Joav Merrick
An anticipated 166,400 new situations of melanoma will ensue in Canada in 2008. Bone metastases regrettably stay a standard web site of recurrence, with breast and prostate melanoma sufferers representing a considerable share of this inhabitants. Metastatic bone disorder is linked to major morbidity and mortality. soreness is skilled by way of as much as thirds of sufferers. The diagnosis for sufferers with bone metastases is very encouraged by way of tumour kind, functionality prestige, and the presence of extraosseous ailment. The median survival has been considerably longer in breast melanoma sufferers with a primary relapse within the axial skeleton (24 months) as opposed to sufferers with preliminary relapse within the liver (3 months) (2). Survival after analysis of bone metastases is motivated by means of the next improvement of extraosseous metastatic websites: 1.6 years as opposed to 2.1 years in sufferers with bone-only sickness.
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Extra resources for Advanced Cancer. Pain and Quality of Life (Health and Human Development)
21] Ventegodt S, Andersen NJ, Kandel I, Merrick J. The open source protocol of clinical holistic medicine. J Altern Med Res 2009;1(2), in press. In: Advanced Cancer. Pain and Quality of Life Editors: E. Chow, J. Merrick, pp. 19-32 ISBN: 978-1-61668-207-1 © 2010 Nova Science Publishers, Inc. Chapter II Improving Cancer Pain Management in the Home April Hazard Vallerand, PhD, RN, FAAN*1, Susan M Hasenau, PhD, RN, NNP-BC2 and Thomas Templin, PhD1 1 2 Wayne State University College of Nursing, Detroit, Michigan Madonna University College of Nursing, Livonia, Michigan, United States of America The purpose of this chapter was to determine the effect of the ―Power Over Pain‖ intervention, a structured educational intervention for nurses, patients and caregivers managing cancer-related pain in the home.
Topics included the importance of pain management, misconceptions, analgesics, and side effect management. Ward and colleagues (28) suggested that for an educational program to be effective, patients and caregivers must be taught about erroneous beliefs and provided with information and skills related to coping with analgesic side effects. During the week 4 visit, the patient completed the PCS, BQ, PPQ, BPI, and SDS. During this visit, caregivers were asked to complete the PCS, BQ and FPQ. Analysis Nurses.
In a review of interventions to overcome clinician- and patient-related barriers to pain management, Gunnarsdottir, Donovan, and Ward (8) found only one randomized controlled trial that aimed at patients and their caregivers. In that study, Given and colleagues (9) provided an 18-week supportive nursing intervention to decrease symptoms and found the group receiving the intervention reported fewer symptoms. Although the intervention group also reported less pain and fatigue, the differences did not reach significance.
Advanced Cancer. Pain and Quality of Life (Health and Human Development) by Edward Chow, Joav Merrick