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  1. 29 May 2014
    Impact of morphine, fentanyl, oxycodone or codeine on patient consciousness, appetite and thirst when used to treat cancer pain
    Care pathways are packages of care designed to ensure patients have appropriate and effective care. They are commonly used, and often produce good results, but they can also be used as a tick box solution that acts as a barrier to good care. Care pathways have been used to ensure appropriate care for dying people in hospice settings. One, the Liverpool ...
  2. 23 Apr 2014
    Medically assisted hydration to assist palliative care patients
    Background It is common for palliative care patients to have reduced fluid intake during their illness. Management of this condition includes discussion with the patient, family and staff involved, and may include the provision of fluids with medical assistance. This can be performed using a small plastic tube inserted into a vein or under the skin, ...
  3. 23 Apr 2014
    Medically assisted nutrition to assist palliative care patients
    Background It is common for palliative care patients to have reduced oral intake during their illness. Management of this condition includes discussion with the patient, family and staff involved, and may include giving nutrition with medical assistance. This can be done either via a plastic tube inserted directly into a vein or into the stomach or ...
  4. 10 Dec 2013
    Drugs for cancer-related fatigue
    Fatigue associated with cancer is a significant problem. It can occur because of side effects of treatment or because of the disease itself. It can have a significant impact on a person's ability to function. The causes of fatigue are not fully understood and so it is very difficult to treat appropriately. This review has examined drug treatment for ...
  5. 26 Nov 2013
    Do nutritional interventions reduce gastrointestinal toxicity in adults undergoing radical pelvic radiotherapy?
    Background Research has shown that nutrition and radiotherapy have effects on each other. People with malnutrition tend to get more bowel side effects during radiotherapy. It has also been shown that many people lose weight during radiotherapy due to the treatment side effects. These side effects can lead to some people needing gaps in their radiotherapy ...
  6. 18 Nov 2013
    End-of-life care pathways for the dying
    Background End-of-life pathways are used for people who are in the last days of their life to guide care, aid decision making and provide efficient care. This review examined whether using end-of-life care pathways in caring for the dying was effective. Study characteristics We searched scientific databases for clinical trials in which the ...
  7. 21 Oct 2013
    Opioids for the management of breakthrough pain in cancer patients
    Background Oral and nasal transmucosal fentanyl citrate are effective in the management of breakthrough pain. Breakthrough pain is an additional sudden brief pain that occurs despite taking regularly scheduled doses of pain medication. It is a common and debilitating component of pain in patients with cancer. Study characteristics We sought clinical ...
  8. 5 Oct 2013
    Transdermal fentanyl for cancer pain
    Fentanyl patches placed on the skin produced good pain relief for most people with moderate or severe cancer pain. One person in two or three who gets cancer will suffer from pain that becomes moderate or severe in intensity. The pain tends to get worse as the cancer progresses. Morphine taken by mouth has been used since the 1950s for controlling cancer ...
  9. 11 Sep 2013
    Prevention of thrombosis in children with cancer and tunnelled CVCs
    Children with cancer are at higher risk of thrombosis than children without cancer. This is a result of the disease itself but also of the cancer treatment and the presence of a central venous catheter. In this review, we investigated whether systemic treatments can prevent thrombosis. We identified six studies; two studies investigated low molecular ...
  10. 2 Sep 2013
    Cervico-thoracic or lumbar sympathectomy for neuropathic pain
    Chronic pain due to damaged nerves is called neuropathic pain and is common. Some people consider that certain types of neuropathic pain (reflex sympathetic dystrophy and causalgia, now known collectively as Complex Regional Pain Syndrome (CRPS)) are caused by the sympathetic nervous system. Sympathectomy is a destructive procedure that interrupts the ...

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