Procedure Related Pain And Anxiety During Bone Marrow Aspiration

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Procedure Related Pain And Anxiety During Bone Marrow Aspiration


Procedure Related Pain And Anxiety During Bone Marrow Aspiration
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Procedure Related Pain And Anxiety During Bone Marrow Aspiration


Procedure Related Pain And Anxiety During Bone Marrow Aspiration
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File Size : 51,6 Mb
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Author : Ylva Lidén
language : en
Publisher:
Release Date : 2010



Procedure Related Pain And Anxiety During Bone Marrow Aspiration written by Ylva Lidén and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010 with categories.




Combined Oral Administration Of Analgesia And Anxiolysis For Pain Associated With Bone Marrow Aspiration And Biopsy


Combined Oral Administration Of Analgesia And Anxiolysis For Pain Associated With Bone Marrow Aspiration And Biopsy
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File Size : 49,6 Mb
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Author : Cerchione Claudio
language : en
Publisher:
Release Date : 2017



Combined Oral Administration Of Analgesia And Anxiolysis For Pain Associated With Bone Marrow Aspiration And Biopsy written by Cerchione Claudio and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with categories.


COMBINED ORAL ADMINISTRATION OF ANALGESIA AND ANXIOLYSIS FOR PAIN ASSOCIATED WITH BONE MARROW ASPIRATION AND BIOPSYC. Cerchione, M. Picardi, N. Pugliese, R. Della Pepa, A. Gravetti, A. Casoria, D. Nappi, G. Ciancia, F. Pane, V. Martinelli CONTEXT: Pain associated with bone marrow aspiration and biopsyOBJECTIVE : Bone marrow aspiration and biopsy (BMAB) is a painful procedure, and the commonly adopted local infiltration anesthesia (LIA) with lidocaine is unable to relieve the pain during the most uncomfortable phases, or the anticipatory anxiety related to pain recalling thereafter. As there are no formal guidelines for adding a sedoanalgesic premedication before beginning the BMAB, many combinations have been adopted by several authors. Our randomized and patient blinded trial aimed to evaluate, as primary end point, the efficacy and safety of opioid and benzodiazepine agent combination plus LIA in patients who underwent BMAB for hematological malignancies. Two secondary end points were: 1) to define if patients who already underwent to BMAB without LIA prefer sedoanalgesia; 2) to demonstrate if sedoanalgesia can influence the quality of the biological specimen harvested.SETTING : Supportive care in HematologyPATIENTS OR OTHER PARTICIPANTS : Patients were randomly assigned into two arms for receiving either placebo plus LIA (standard group, 48,6%) or oral fentanyl citrate 200 mcg plus oral midazolam 5 mg in addition to LIA (combo-group, 51,4%) during BMAB. Pre-procedural anxiety and procedural pain were assessed according to the Numered Rating Scale (NRS: 0-10), dividing the time of the procedure into five intervals (T0, T1, T2a, T2b, and T3) and evaluating discomfort grade during each moment of procedure in both groups. Cognitive function was measured before and 30 minutes after the procedure. Possible side effects were recorded, as well as the adequacy of tissue samples harvested. A telephone interview was performed 24 hours later. A total number of one-hundred-sixteen (n =116) were enrolled in the study. Nine (n = 9) patients did not meet inclusion criteria and were excluded. Fifty-two (n = 52) patients were randomized and assigned to standard group and fifty-five (n = 55) to combo group.RESULTS:At T2b and T3 (corresponding to the biopsy time and time after the biopsy, respectively) there was a significantly lower (p

Procedure Related Cancer Pain In Children


Procedure Related Cancer Pain In Children
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Total Download : 561

Author : Christina Liossi
language : en
Publisher: CRC Press
Release Date : 2018-04-19



Procedure Related Cancer Pain In Children written by Christina Liossi and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-04-19 with Medical categories.


Research has demonstrated that children with cancer and their parents regards procedure-related pain as one of the most difficult parts of having cancer, and their distress continues years after the completion of anti-cancer treatment. This is a practical 'how to' book that will provide readers with the knowledge, skills, structure and techniques to help young patients and their families to cope with painful medical procedures. The author has gathered together over 10 years experience in clinical pediatric oncology and palliative care to provide a concise overview of procedure-related pain. The book describes the pharmacological and psychological methods of pain relief and how they may be combined, along with the difficulties that may be encountered in their implementation. It also encourages better integration between research work and clinical practice. This is an essential guide for all healthcare professionals working with young people in palliative care or oncology, or those working with children undergoing painful treatments for other conditions such as those with diabetes or those undergoing dialysis.

Procedure Related Cancer Pain In Children


Procedure Related Cancer Pain In Children
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File Size : 55,6 Mb
Total Download : 423

Author : Christina Liossi
language : en
Publisher: Radcliffe Publishing
Release Date : 2001-12-31



Procedure Related Cancer Pain In Children written by Christina Liossi and has been published by Radcliffe Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2001-12-31 with Medical categories.


This is a practical "how to" book that offers knowledge, skills, structure and techniques to help young patients and their families to cope with painful medical procedures. It describes the pharmacological and psychological methods of pain relief and how they may be combined.

Social Work Administered Hypnosis For Patients Undergoing Bone Marrow Procedures


Social Work Administered Hypnosis For Patients Undergoing Bone Marrow Procedures
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Author : Alison Snow
language : en
Publisher:
Release Date : 2013



Social Work Administered Hypnosis For Patients Undergoing Bone Marrow Procedures written by Alison Snow and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013 with categories.


This dissertation examines how a social work intervention of brief hypnosis during bone marrow procedures impacts pain and anxiety for adult patients. The study design was a randomized controlled trial with one intervention group and one control group (standard of care). Standard of care (lidocaine injection) was provided to both groups. Adult participants were eligible for participation in this study if they were over eighteen years of age, English speaking, and undergoing bone marrow biopsy and/or aspiration. Study hypotheses predicted that those patients who were randomized to the hypnosis intervention would have significantly lower levels of pain and anxiety. A sample of patients at Mount Sinai Medical Center (n = 80) provided data, which included demographic information. There were 41 patients in the intervention group and 39 in the control group. Results supported the study hypothesis that pain scores would be significantly lower among the experimental group; however, results did not support the hypothesis that hypnosis reduced anxiety associated with the procedure. Pain and anxiety were not significantly associated to demographic variables, such as, gender, ethnicity and age. Participants could not be blinded to the intervention, since the social worker was present during the procedure if the patient received hypnosis. However, the social worker administering the post procedure scales was blinded to what group the patient was randomized to. There were no adverse events or side effects as a result of participation in this study. The unusual role of the social worker as the direct provider and the researcher will be discussed as well as the implications for practice.

Hypnotherapy Of Pain In Children With Cancer


Hypnotherapy Of Pain In Children With Cancer
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File Size : 46,9 Mb
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Author : Josephine R. Hilgard
language : en
Publisher: Routledge
Release Date : 2019-04-05



Hypnotherapy Of Pain In Children With Cancer written by Josephine R. Hilgard and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-04-05 with Psychology categories.


Presents findings on the effects of hypnosis in reducing anxiety and pain in children with cancer and suggests that hypnotherapy offers real promise of pain relief without drugs.First published in 1991. Routledge is an imprint of Taylor & Francis, an informa company.

Childhood Leukemias


Childhood Leukemias
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Author : Ching-Hon Pui
language : en
Publisher: Cambridge University Press
Release Date : 2012-06-21



Childhood Leukemias written by Ching-Hon Pui and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-06-21 with Medical categories.


New insights into the molecular biology of childhood leukemias have stimulated numerous advances in diagnostic methods, strategies for risk assessment and the development of novel therapy for genetic subtypes of the diseases. Fully revised and updated, this new edition of Childhood Leukemias provides the most comprehensive, clinically-oriented and authoritative reference dedicated to these diseases. Beginning with an overview of history, cell biology, and pathology, subsequent chapters review approaches in the evaluation and management of specific leukemias, new therapeutic development and the unique pharmacodynamics and pharmacogenetics of individual patients. New chapters include epigenetics of leukemias, leukemias in patients with Down syndrome and leukemia in adolescents and young adults. The final section covers the complications associated with the disease or its treatment and supportive care during and after treatment. Authored by leading experts, this is a 'must-have' for any physician or investigator who deals with leukemias in childhood.