Integrative medicine in oncology:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
2008
|
| Schriftenreihe: | Hematology, oncology clinics of North America
22,4 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XX S., S. 581 - 780 Ill. |
| ISBN: | 9781416063070 1416063072 |
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Datensatz im Suchindex
| _version_ | 1804137982740922368 |
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| adam_text | CONTENTS VOLUME 22 « NUMBER 4 » AUGUST 2008
Erratum xi
Preface xv
Moshe Frenkel and Lorenzo Cohen
Dietary Supplement Use in Cancer Care: Help or Harm 581
Mary L. Hardy
Conventional wisdom generally recommends complete avoidance of all
dietary supplements, especially during chemotherapy and radiation.
This interdiction persists, in spite of high rates of dietary supplement
use by patients throughout all phases of cancer care, and can result in
patients perceptions of physicians as negative, thus leading to wide¬
spread nondisclosure of use. A review of the clinical literature shows
that some evidence for harm does exist; however, data also exist that
show benefit from using certain well-qualified supplements. Physicians
should increase their knowledge base about dietary supplement use in
cancer and consider all of the data when advising patients. Strategies
that are patient-centered and reflect the complete array of available ev¬
idence lead to more nuanced messages about dietary supplement use in
cancer. This should encourage greater disclosure of use by patients and
ultimately increase safety and efficacy for patients choosing to use die¬
tary supplements during cancer care.
Review of Reliable Information Sources Related
to Integrative Oncology 619
Kate Boddy and Edzard Ernst
Health care professionals, patients, and care givers require access to
good quality, reliable information about integrative oncology. Despite
the vast resources available, it can be difficult to find objective, evi¬
dence-based information. This article provides an overview of reliable
integrative oncology information from various resources. Selection
methods are detailed and evaluation performed using a validated instru¬
ment. Resources that met the selection criteria and produced high eval¬
uation scores are reviewed in detail. Resources include research
databases, clinical databases, online information systems, and print
media.
vii
CONTENTS continued
The Value of Acupuncture in Cancer Care 631
Weidong Lu, Elizabeth Dean-Clower, Anne Doherty-Gilman,
and David S. Rosenthal
Clinical research on acupuncture in cancer care is a new and challeng¬
ing field in oncology. The evidence currently available has suggested
that acupuncture is a safe and effective therapy to manage cancer and
treatment related symptoms, while giving patients the ability to actively
participate in their own care plan. This article explains the potential
benefits of acupuncture and describes the difficulties in studying its
effectiveness.
The Value of Massage Therapy in Cancer Care 649
Cynthia D. Myers, Tracy Walton, and Brent J. Small
Massage therapy is increasingly available as a supportive therapy to pa¬
tients in medical centers providing cancer treatment. This article pro¬
vides an overview of the evidence base relevant to the use of massage
with the intended goal of alleviating symptoms and side effects experi¬
enced by cancer patients. Collectively, the available data support the
view that massage, modified appropriately, offers potential beneficial
effects for cancer patients in terms of reducing anxiety and pain and other
symptoms. Replication of preliminary studies with larger, more homoge¬
neous patient samples and rigorous study designs will help to clarify
which massage modalities have the most potential benefit for which pa¬
tients before, during, and after specific types of cancer treatment.
Evidence-Based Botanical Research: Applications
and Challenges 661
K. Simon Yeung, Jyothirmai Gubili, and Barrie Cassileth
Use of herbal supplements is on the rise around the world, but limited
data exist on the safety and efficacy of botanical products. Efforts to
subject botanicals to rigorous scientific research began recently. There
are many problems associated with botanicals research, however. These
include procuring the study agents, selecting appropriate study method
and clinical trial design, navigating through regulatory obstacles, and
obtaining funding. Evidence-based botanical research can help to vali¬
date traditional uses and to facilitate new drug development. Concerted
efforts of governmental agencies and industry are essential to ensure
continuance of high-quality botanicals research.
From Studying Patient Treatment to Studying
Patient Care: Arriving at Methodologic Crossroads 671
Marja J. Verhoef and Anne Leis
Cancer care is multifactorial and patient centered. It can be described as
a complex package of interventions, delivered at different times and
places with different intentions, which interacts and cannot be evaluated
in isolation. The authors discuss the evolving nature of cancer care and
viii
CONTENTS continued
address the challenges faced by biomedical research methodology when
applied to cancer care. In addition, they identify new research directions
to meet these challenges. These include qualitative research, mixed
methods research, and approaches based on systems thinking.
Mind-Body Medicine and Cancer 683
James S. Gordon
Mind-body medicine, grounded in a respectful, dierapeutic partnership,
should be a central element in the care of every person diagnosed with
cancer. This article reviews some of the physiologic foundations of
mind-body medicine, the introduction of mind-body approaches to can¬
cer care in the 1970s, the specific mind-body approaches that have been
used, and the evidence that supports their use. The importance of group
support for enhancing the effectiveness of these approaches is discussed.
Guidelines are offered for integrating mind-body approaches and per¬
spectives in the care of people who have cancer.
Practical Hypnotic Interventions During Invasive
Cancer Diagnosis and Treatment 709
Nicole Flory and Elvira Lang
Novel advances in biotechnology and medical imaging techniques have
enabled an evolution toward earlier diagnosis and treatment by way of
minimally invasive surgical techniques performed on die conscious
patient without the use of general anesdiesia. Although the risks of di¬
agnostic and therapeutic interventions have been reduced widi these ap¬
proaches, patients still face many physical and psychologic challenges.
Several randomized controlled trials have shown that hypnotic tech¬
niques are effective in reducing pain, anxiety, and other symptoms; in
reducing procedure time; and in stabilizing vital signs. The benefits of
adjunctive hypnotic treatments come at no additional cost. Patients,
health care providers, hospitals, and insurance companies are advised
to take advantage of hypnotic techniques.
Incorporating Complementary and Integrative
Medicine in a Comprehensive Cancer Center 727
Moshe Frenkel and Lorenzo Cohen
This article provides a model of integrating complementary and integra¬
tive medicine into cancer care in a comprehensive conventional cancer
center. This model requires a patient-centered approach with attention
to patients concerns and enhanced communication skills. A discussion
of patients psycho-social-spintual perspectives is a crucial component in
this approach. In addition, complementary and integrative medicine
practitioners and conventional practitioners involvement and coopera¬
tion in developing mis integration process are essential. This process re¬
quires tremendous team effort, institutional culture change, trust and
open communication between all members of the health care team,
and support from institutional leaders.
ix
CONTENTS continued
Ethical Issues in Integrative Oncology 737
Eran Ben-Arye, Elad Schiff, and Ofra Golan
Integrative oncology relates to an emerging dialog between complemen¬
tary and alternative medicine (CAM) scholars, oncologists, family practi¬
tioners, and other health care providers who envision an extended and
holistic patient-centered approach to oncology care. The multiple commit¬
ments of integrative oncology to a medical humanistic approach and to
a strong evidence-based foundation may impose considerable ethical con¬
cerns and dilemmas. The authors use narrative ethics to present a case
study that exemplifies the ethical challenges confronting physicians and
health care providers who wish to provide an integrative approach for their
patients. An ethical analysis of the narrative is provided to help clarify the
ethical issues and conflicts within it. Finally, a framework that may trans¬
form ethical constraints to a communication tool is proposed.
Remarkable Recoveries: Research and Practice
from a Patient s Perspective 755
Marc Ian Barasch
Mind-body therapies are often portrayed in the literature as self-palliative, ad-
junctive, and complementary, but rarely as contributive to cure. Many phy¬
sicians continue to view them as acceptable indulgences so long as they are
harmless and the patient remains fully compliant with a standard treatment
regimen. The possibility that such modalities might help drive the healing
process itself is infrequendy acknowledged. This article addresses the topic
of such therapies, examining remarkable recoveries in cancer, and suggesting
the need for a Remarkable Recovery Registry to expand the literature on
these cases. The author discusses the importance of complementary alterna¬
tive medicine, and emotional and pyschologic support in the treatment reg¬
imen, and the need for health care providers and patients to work together to
provide the best emotional environment for the healing process.
Practicing a Medicine of the Whole Person:
An Opportunity for Healing 767
Rachel Naomi Remen
Integrative medicine has been defined in several ways. For some it is
a discipline that combines such approaches to the resolution of disease
as acupuncture and homeopathy, meditation and imagery with more
familiar and accepted health practices, such as surgery, pediatrics, and
oncology. For others it is about cultivating awareness and sensitivity
beyond symptoms to the mental, emotional, and spiritual needs of
die patient. But, integrative medicine is more man the weaving together
of techniques, or understanding die intimate interaction of the mental,
emotional, and spiritual dimensions of human experience. It is about re¬
thinking die task of medicine and the infrastructure of relationships and
beliefs diat have limited its power to serve all people.
Index 775
x
|
| adam_txt |
CONTENTS VOLUME 22 « NUMBER 4 » AUGUST 2008
Erratum xi
Preface xv
Moshe Frenkel and Lorenzo Cohen
Dietary Supplement Use in Cancer Care: Help or Harm 581
Mary L. Hardy
Conventional wisdom generally recommends complete avoidance of all
dietary supplements, especially during chemotherapy and radiation.
This interdiction persists, in spite of high rates of dietary supplement
use by patients throughout all phases of cancer care, and can result in
patients' perceptions of physicians as negative, thus leading to wide¬
spread nondisclosure of use. A review of the clinical literature shows
that some evidence for harm does exist; however, data also exist that
show benefit from using certain well-qualified supplements. Physicians
should increase their knowledge base about dietary supplement use in
cancer and consider all of the data when advising patients. Strategies
that are patient-centered and reflect the complete array of available ev¬
idence lead to more nuanced messages about dietary supplement use in
cancer. This should encourage greater disclosure of use by patients and
ultimately increase safety and efficacy for patients choosing to use die¬
tary supplements during cancer care.
Review of Reliable Information Sources Related
to Integrative Oncology 619
Kate Boddy and Edzard Ernst
Health care professionals, patients, and care givers require access to
good quality, reliable information about integrative oncology. Despite
the vast resources available, it can be difficult to find objective, evi¬
dence-based information. This article provides an overview of reliable
integrative oncology information from various resources. Selection
methods are detailed and evaluation performed using a validated instru¬
ment. Resources that met the selection criteria and produced high eval¬
uation scores are reviewed in detail. Resources include research
databases, clinical databases, online information systems, and print
media.
vii
CONTENTS continued
The Value of Acupuncture in Cancer Care 631
Weidong Lu, Elizabeth Dean-Clower, Anne Doherty-Gilman,
and David S. Rosenthal
Clinical research on acupuncture in cancer care is a new and challeng¬
ing field in oncology. The evidence currently available has suggested
that acupuncture is a safe and effective therapy to manage cancer and
treatment related symptoms, while giving patients the ability to actively
participate in their own care plan. This article explains the potential
benefits of acupuncture and describes the difficulties in studying its
effectiveness.
The Value of Massage Therapy in Cancer Care 649
Cynthia D. Myers, Tracy Walton, and Brent J. Small
Massage therapy is increasingly available as a supportive therapy to pa¬
tients in medical centers providing cancer treatment. This article pro¬
vides an overview of the evidence base relevant to the use of massage
with the intended goal of alleviating symptoms and side effects experi¬
enced by cancer patients. Collectively, the available data support the
view that massage, modified appropriately, offers potential beneficial
effects for cancer patients in terms of reducing anxiety and pain and other
symptoms. Replication of preliminary studies with larger, more homoge¬
neous patient samples and rigorous study designs will help to clarify
which massage modalities have the most potential benefit for which pa¬
tients before, during, and after specific types of cancer treatment.
Evidence-Based Botanical Research: Applications
and Challenges 661
K. Simon Yeung, Jyothirmai Gubili, and Barrie Cassileth
Use of herbal supplements is on the rise around the world, but limited
data exist on the safety and efficacy of botanical products. Efforts to
subject botanicals to rigorous scientific research began recently. There
are many problems associated with botanicals research, however. These
include procuring the study agents, selecting appropriate study method
and clinical trial design, navigating through regulatory obstacles, and
obtaining funding. Evidence-based botanical research can help to vali¬
date traditional uses and to facilitate new drug development. Concerted
efforts of governmental agencies and industry are essential to ensure
continuance of high-quality botanicals research.
From Studying Patient Treatment to Studying
Patient Care: Arriving at Methodologic Crossroads 671
Marja J. Verhoef and Anne Leis
Cancer care is multifactorial and patient centered. It can be described as
a complex package of interventions, delivered at different times and
places with different intentions, which interacts and cannot be evaluated
in isolation. The authors discuss the evolving nature of cancer care and
viii
CONTENTS continued
address the challenges faced by biomedical research methodology when
applied to cancer care. In addition, they identify new research directions
to meet these challenges. These include qualitative research, mixed
methods research, and approaches based on systems thinking.
Mind-Body Medicine and Cancer 683
James S. Gordon
Mind-body medicine, grounded in a respectful, dierapeutic partnership,
should be a central element in the care of every person diagnosed with
cancer. This article reviews some of the physiologic foundations of
mind-body medicine, the introduction of mind-body approaches to can¬
cer care in the 1970s, the specific mind-body approaches that have been
used, and the evidence that supports their use. The importance of group
support for enhancing the effectiveness of these approaches is discussed.
Guidelines are offered for integrating mind-body approaches and per¬
spectives in the care of people who have cancer.
Practical Hypnotic Interventions During Invasive
Cancer Diagnosis and Treatment 709
Nicole Flory and Elvira Lang
Novel advances in biotechnology and medical imaging techniques have
enabled an evolution toward earlier diagnosis and treatment by way of
"minimally invasive" surgical techniques performed on die conscious
patient without the use of general anesdiesia. Although the risks of di¬
agnostic and therapeutic interventions have been reduced widi these ap¬
proaches, patients still face many physical and psychologic challenges.
Several randomized controlled trials have shown that hypnotic tech¬
niques are effective in reducing pain, anxiety, and other symptoms; in
reducing procedure time; and in stabilizing vital signs. The benefits of
adjunctive hypnotic treatments come at no additional cost. Patients,
health care providers, hospitals, and insurance companies are advised
to take advantage of hypnotic techniques.
Incorporating Complementary and Integrative
Medicine in a Comprehensive Cancer Center 727
Moshe Frenkel and Lorenzo Cohen
This article provides a model of integrating complementary and integra¬
tive medicine into cancer care in a comprehensive conventional cancer
center. This model requires a patient-centered approach with attention
to patients' concerns and enhanced communication skills. A discussion
of patients' psycho-social-spintual perspectives is a crucial component in
this approach. In addition, complementary and integrative medicine
practitioners and conventional practitioners' involvement and coopera¬
tion in developing mis integration process are essential. This process re¬
quires tremendous team effort, institutional culture change, trust and
open communication between all members of the health care team,
and support from institutional leaders.
ix
CONTENTS continued
Ethical Issues in Integrative Oncology 737
Eran Ben-Arye, Elad Schiff, and Ofra Golan
Integrative oncology relates to an emerging dialog between complemen¬
tary and alternative medicine (CAM) scholars, oncologists, family practi¬
tioners, and other health care providers who envision an extended and
holistic patient-centered approach to oncology care. The multiple commit¬
ments of integrative oncology to a medical humanistic approach and to
a strong evidence-based foundation may impose considerable ethical con¬
cerns and dilemmas. The authors use narrative ethics to present a case
study that exemplifies the ethical challenges confronting physicians and
health care providers who wish to provide an integrative approach for their
patients. An ethical analysis of the narrative is provided to help clarify the
ethical issues and conflicts within it. Finally, a framework that may trans¬
form ethical constraints to a communication tool is proposed.
Remarkable Recoveries: Research and Practice
from a Patient's Perspective 755
Marc Ian Barasch
Mind-body therapies are often portrayed in the literature as self-palliative, ad-
junctive, and complementary, but rarely as contributive to cure. Many phy¬
sicians continue to view them as acceptable indulgences so long as they are
harmless and the patient remains fully compliant with a standard treatment
regimen. The possibility that such modalities might help drive the healing
process itself is infrequendy acknowledged. This article addresses the topic
of such therapies, examining remarkable recoveries in cancer, and suggesting
the need for a "Remarkable Recovery Registry" to expand the literature on
these cases. The author discusses the importance of complementary alterna¬
tive medicine, and emotional and pyschologic support in the treatment reg¬
imen, and the need for health care providers and patients to work together to
provide the best emotional environment for the healing process.
Practicing a Medicine of the Whole Person:
An Opportunity for Healing 767
Rachel Naomi Remen
Integrative medicine has been defined in several ways. For some it is
a discipline that combines such approaches to the resolution of disease
as acupuncture and homeopathy, meditation and imagery with more
familiar and accepted health practices, such as surgery, pediatrics, and
oncology. For others it is about cultivating awareness and sensitivity
beyond symptoms to the mental, emotional, and spiritual needs of
die patient. But, integrative medicine is more man the weaving together
of techniques, or understanding die intimate interaction of the mental,
emotional, and spiritual dimensions of human experience. It is about re¬
thinking die task of medicine and the infrastructure of relationships and
beliefs diat have limited its power to serve all people.
Index 775
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| spelling | Integrative medicine in oncology guest ed. Moshe Frenkel ... Philadelphia [u.a.] Saunders 2008 XX S., S. 581 - 780 Ill. txt rdacontent n rdamedia nc rdacarrier Hematology, oncology clinics of North America 22,4 Integrative medicine Oncology Frenkel, Moshe Sonstige oth Hematology, oncology clinics of North America 22,4 (DE-604)BV000625446 22,4 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016714657&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
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| title | Integrative medicine in oncology |
| title_auth | Integrative medicine in oncology |
| title_exact_search | Integrative medicine in oncology |
| title_exact_search_txtP | Integrative medicine in oncology |
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| title_full_unstemmed | Integrative medicine in oncology guest ed. Moshe Frenkel ... |
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