Two medical doctors provide an expert, easy-to-use reference to an increasingly popular form of treatment and healing that uses natural remedies to cure everything from headaches to chicken pox and insomnia, and include ways to find a reliable homeopathic practitioner.
Healing and Cancer strives to bring the concepts of healing and whole person care further into health care delivery so that people with cancer feel better and live longer. This important book places the concepts, science, delivery tools, and access to further resources for whole person care into the hands of cancer care teams for use with patients and caregivers. These days, cancer care generally focuses on attacking and killing the cancer cell—a laudable goal. However, if eliminating the tumor overshadows everything else, teams can lose sight of the care and healing of the person as a whole. This has great costs: for the person there are costs in time, money, side effects, and fear; and for the care team there are costs in the joy of practice, the energy to improve practice, and in overall vitality. Often, key patient needs are inadvertently pushed to the background for lack of time, tools, and resources. Moral injury and human suffering ensue. Advances in science have now clearly demonstrated that cancer does not develop in isolation, and its occurrence, progression and regression are largely influenced by the surrounding environment—the immune system, inflammation in the body, and things we ingest and are exposed to. By utilizing the methodologies and concepts outlined in this book, oncology teams can bring the full science of cancer biology into the care of the patient while inviting the person into full engagement in their own care. Doing so, they will have achieved the highest quality of care for people diagnosed with cancer. Care teams that practice deep listening—up front and early on—to patients as people move beyond patient-centered care to person-centered and whole person care. With increasing numbers of survivors of cancer and the intensity and duration of relationships in oncology, cancer care is a field uniquely positioned to further the uptake of whole-person care and to join colleagues in primary care who are doing the same. Healing and Cancer first defines what whole person cancer care is, and drawing on examples from around the world, illustrates how and why it needs to be standard in all of oncology. The authors describe the science behind whole person care and the evidence that supports its application, including real-world examples of how it’s being done in small clinics and large institutions, both academic and community-based. Finally, Healing and Cancer directs readers to the best tools and resources available so that cancer care teams, primary care clinicians, integrative practitioners and those with cancer can incorporate whole person care into the healing journey. Healing and Cancer is intended to be read and actively used by teams caring for people with cancer and by caregivers and patients themselves to enhance healing, health, and wellbeing.
We all have a good idea of how we want things to go when we visit a physician. We expect to be able to explain why we are there, and we hope the physician will listen and possibly ask questions that help us clarify our thoughts. Most of us hope that the physician will provide some expression of empathy, offer a clear, nontechnical assessment of our problem, and describe "next steps" in a way that is easy to understand. Ideally, we would like to be asked about our ability to follow treatment recommendations. Some experts say that these expectations are not only reasonable but even necessary if patients are to get the care they need. Yet there is a growing body of research that suggests the reality of physician communication with patients often falls short of this ideal in many respects. A careful analysis of the findings of this research can provide guidance to physician educators, health care administrators, and health policy makers interested in understanding the role that improved physician communication can play in improving quality of care and patient outcomes. Physician Communication with Patients summarizes findings from the academic literature pertaining to various aspects of this question, discussing those findings in the context of current pressures for change in the organization and delivery of medical services.
Management of pain is an essential responsibility in medicine. With the advance of surgical technologies, the use of interventional and other invasive methods to treat pain has become prominent and growing in use. Yet, rarely are these techniques evaluated in a way that can separate their specific impact on pain from expectation and context effects that these rituals share with many other less invasive approaches to pain. In this chapter we examine invasive studies for pain that are compared to sham procedures that mimic the procedure without delivering actual surgery. We describe studies for angina, low back pain, osteoarthritis, and headache, examining quality and outcomes. Remarkably, when compared to a sham group, most invasive procedures do not produce a significant effect on pain. We explore clinical and ethical implications of these data and recommend that more rigorous research be done on invasive procedures before they are adopted for widespread use.
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