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Ericksonian Hypnosis For Hypnotherapists -- Accessing Unconscious
Nonpharmacologic strategies for managing common chemotherapy adverse effects: a systematic review.
PURPOSE: Adverse effects of chemotherapy can be severe and can have a significant impact on a person's quality of life. With chemotherapy treatment increasingly administered in the ambulatory setting, there is a need for patients to be informed about effective self-care strategies to manage treatment adverse effects. Advice for patients needs to be based on evidence. This systematic review provides an overview of the intervention research in this area as well as an effectiveness review of nonpharmacologic (self-care) strategies evaluated in high-quality randomized controlled trials (RCTs). METHODS: An extensive literature search was conducted to identify RCTs relating to self-care strategies for reducing nausea/vomiting, constipation, diarrhea, fatigue, hair loss, or mucositis. Relevant studies published in peer-reviewed journals between 1980 and August 2007 were included. Study characteristics, results and methodologic quality were examined. High-quality RCTs were further analyzed to establish the effectiveness of specific self-care strategies. RESULTS: The search identified 77 RCTs. Findings from RCTs of reasonable quality provide limited support for cognitive distraction, exercise, hypnosis, relaxation, and systematic desensitization to reduce nausea and vomiting, psycho-education for fatigue, and scalp cooling to reduce hair loss. CONCLUSION: Although some strategies seem promising, the quality of the RCTs was generally quite low, making it difficult to draw conclusions about the effectiveness of self-care strategies. Future studies require better design and reporting of methodologic issues to establish evidence-based self-care recommendations for people receiving chemotherapy.
J Clin Oncol. 2008 Dec 1;26(34):5618-29. Lotfi-Jam K, Carey M, Jefford M, Schofield P, Charleson C, Aranda S. Department of Nursing and Supportive Care Research, Peter MacCallum Cancer Centre, the University of Melbourne, Melbourne, Victoria 8006, Australia.
Confidence is a person perceived ability to handle any situation that their life may encounter. This means that there's a constant evaluation as to whether a perceived or imagined reality presents a difficulty or threat that is or is not beyond one's assessment of their capabilities. When a challenge is deemed to exceed capability, then negative stress occurs. When the opposite is true, then one could say the confidence exists.
There are two problems that you must be aware of. The first is when the assessment is erroneous. In those cases a person may misjudge their ability to...
Asthma is a condition that affects a person's breathing. It does so by causing the airways become narrow and swell. Also, additional mucus is produced thereby further hampering the ability for the person to breathe. The symptoms, such as shortness of breath, chest tightness, sleeping problems, wheezing, and coughing, range in severity from minor to extremely severe. While there are many people that may have asthma, medical treatment is normally only given to those with moderate to severe symptoms. Of course, the advice of a medical professional should always be sought if the symptoms do not...
When a person considers whether maintaining health is a science or art, they normally consider the cultural or prevailing wisdom of the dominant medical institutions. Those institutions, which have legal sanction in our present society, include practitioners who primarily think of themselves as scientists. This is because they have received training that is flavored by scientific tradition. What most people do not realize is that medicine comes in a number of variations. Many of them have roots that precede the establishment of Western scientific thinking. On the other hand, despite the fact...