Literature Review
All posts tagged with “Clinical News | Pain Management.”
[Portugal] Ketamine for cancer-related pain in palliative care: A systematic review of clinical use and safety
08/15/26 at 03:05 AM[Portugal] Ketamine for cancer-related pain in palliative care: A systematic review of clinical use and safetyJournal of Pain & Palliative Care Pharmacotherapy; by Catarina Vitorino-Afonso, Paulo Reis-Pina; 7/26Ketamine has emerged as an adjuvant for opioid-refractory cancer-related pain in palliative care, but evidence remains limited. [This study found that] ketamine was used mainly as an adjuvant. Many reports described reduced pain and/or lower opioid use, although certainty was very low and attribution was limited by polypharmacy and regimen changes. Intravenous infusions were most common, but subcutaneous, oral, and intranasal routes were also used. Intranasal ketamine showed pragmatic utility for breakthrough pain, while oral ketamine was described in ambulatory palliative care settings.
World Hospice and Palliative Care Day, Oct. 10, 2026, with theme "Pain management - an essential part of palliative care"
08/10/26 at 03:00 AMWorld Hospice and Palliative Care Day, Oct. 10, 2026, with theme "Pain management - an essential part of palliative careWorldwide Hospice Palliative Care Alliance (WHPCA); Press Release; 8/7/26World Hospice and Palliative Care Day is an annual unified day of action to celebrate and support hospice and palliative care around the world. WHPCD has been marked every year since 2005. Join us on Saturday 10 October 2026 to advocate for better hospice and palliative care services around the world.
Short-term and long-term opioid prescribing by specialty, 2010 to 2024
08/08/26 at 03:25 AMHigh flow nasal cannula and high velocity nasal insufflation as a goal-concordant support tool for dyspnoea relief in palliative and end of life care
08/01/26 at 03:30 AM[Italy] The Integrated Palliative Outcome Scale (IPOS): A tool for assessing needs and shaping individualized care plans in hospice settings
07/11/26 at 03:00 AMGerontology student Hope Niedrich speaks to the heart of life, death, and belief
07/06/26 at 03:00 AMGerontology student Hope Niedrich speaks to the heart of life, death, and belief University of North Carolina Greenville (UNCG), Greenville, NC; by Janet Imrick; 7/2/26 “How would you like your mom or dad or your grandma or grandpa to be treated?” That question summarizes the ideology of Hope Niedrich, who just defended her capstone project before the faculty in UNC Greensboro’s [master's] gerontology program. That research, she hopes, will improve care for aging populations, whether they’re in her care or with another professional or family caregiver. “Hopefully, we can all show up and treat these people like we would want the adults in our lives to be treated,” she says. ... For her capstone, she created educational guides for volunteers to bridge cultural and religious differences and ensure end-of-life patients receive the utmost comfort and dignity.
Are physicians and nonphysician clinicians interchangeable?
06/29/26 at 03:00 AMAre physicians and nonphysician clinicians interchangeable? MedPageToday's KevinMD.com; by Gus W. Krucke, MD; 6/24/26 ... Teamwork is necessary in medicine. But it is not equivalence, and shared work is not shared responsibility. This essay does not argue against team-based care or the work of nurse practitioners, physician assistants, and nonphysician clinicians. It argues against the unsupported conclusion that overlapping work, outcomes, and workforce pressure establish equivalence in training, judgment, and final accountability between physicians and nonphysician clinical providers.
Epidural and intrathecal catheter use at the end of life for cancer pain
06/27/26 at 03:35 AM[Portugal] Reiki and Therapeutic Touch for symptom burden and quality of life in palliative settings: A systematic review
06/20/26 at 03:05 AM[Portugal] Reiki and Therapeutic Touch for symptom burden and quality of life in palliative settings: A systematic reviewPalliative Medicine; by Raquel Pontes-Gomes, Paulo Reis-Pina; 5/26Evidence regarding Reiki and Therapeutic Touch in palliative and end-of-life care remains limited and heterogeneous. Nine studies involving 415 participants were included: five mixed-methods studies, three randomized controlled trials, and one qualitative cross-sectional study conducted in North America (n = 6) and Europe (n = 3). Cancer was the predominant diagnosis. Some studies reported improvements in symptoms (pain, anxiety, depression, fatigue, and stress), and in quality-of-life domains (sleep, relaxation, energy, hope, and emotional well-being). Qualitative findings described perceived relaxation, comfort, and emotional support. Further well-designed studies are needed to clarify their potential role in palliative care.
[France] Interventional radiology in bone metastases: Current concepts and perspectives
06/20/26 at 03:00 AMManaging cancer-related pain in patients receiving long-acting buprenorphine for opioid use disorder
06/13/26 at 03:05 AMEarly palliative integration for heart failure
06/01/26 at 03:00 AMEarly palliative integration for heart failure Medscape; by Karel De Pourcq, PhD; 5/27/26 ... Chronic conditions such as heart failure often bring relentless symptoms, repeated hospital admissions, and deep emotional and social effects for patients and their families. Bringing a palliative perspective into care widens the focus beyond disease-directed treatments to include ongoing symptom relief, emotional support, and help for overburdened caregivers. It also promotes early, shared planning about treatment intensity — deciding when worsening episodes can be managed at home vs when hospitalization is needed — and clarifying care goals as the illness progresses.
Brain-centered interventions for nociplastic pain: From symptom management to pain resolution
05/30/26 at 03:15 AMReal-world experience with initiating buprenorphine in opioid tolerant patients with cancer pain
05/30/26 at 03:05 AMSigns it’s time for in-home healthcare: 11 warning signs
05/29/26 at 03:00 AMSigns it’s time for in-home healthcare: 11 warning signs U.S. News & World Report News; by Barbara Sadick; 5/27/26
Potential adjunctive role of osteopathic manipulative medicine in the management of cancer-related bone pain: A narrative review
05/23/26 at 03:30 AMPotential adjunctive role of osteopathic manipulative medicine in the management of cancer-related bone pain: A narrative reviewCureus; by Ambrose Loc T. Ngo, Niki Gharavi Alkhansari, Chi Pham, Hong Nguyen, Monica Rubi, David Tanner; 4/26Osteopathic manipulative medicine (OMM) is known for its therapeutic potential on the musculoskeletal system, and its emerging role and potential benefits in oncology care are gaining attention. Patients with primary and metastatic bone cancer tend to experience pain, restricted movement, and lower quality of life due to the pathology and its treatment. This narrative review examines the mechanistic rationale and available clinical evidence supporting the use of OMM in the management of pain and functional impairment among patients with bone malignancies. Limited clinical studies suggest that select OMM techniques, including myofascial release (MFR), gentle soft tissue methods, and lymphatic approaches, may contribute to improvements in pain perception, mobility, and fatigue in oncology populations.
Dehydration in the dying process: An integrative systematic review of physiological mechanisms and clinical implications
05/23/26 at 03:15 AMOhio nurses help hospice patients navigate end-of-life decisions
05/18/26 at 03:00 AMOhio nurses help hospice patients navigate end-of-life decisions Public News Service; by Nadia Ramlagan; 5/15/26 On the heels of National Nurses Week, hospice nurses are raising awareness about access to compassionate end-of-life care and medical decisions in the Black community. ... Ottamissiah "Missy" Moore, a longtime hospice nurse and member of the African American Leadership Council for Compassion & Choices, said her personal experience relying on hospice care showed her how important it can be for families. ... A recent study published by the Journal of the American Medical Association found around 34% of Black study participants died while using hospice services compared to more than 46% of their white counterparts. Moore added the disparity echoes other racial inequities in health care, such as nonwhite people being less likely to receive pain medications and higher rates of maternal mortality.
Integrative review of simulation-based pain management education in undergraduate nursing programs
05/16/26 at 03:25 AMSelf-reliance in a fractured health care system: A qualitative study of rural Oklahoman’s experiences managing cancer pain during the opioid epidemic
05/09/26 at 03:30 AMOregon governor signs Ryan’s Law, requiring care facilities to allow medical marijuana Use
04/14/26 at 03:00 AMOregon governor signs Ryan’s Law, requiring care facilities to allow medical marijuana The Marijuana Herald; by Anthony Martinelli; 4/10/26 Oregon’s governor has signed House Bill 4142, known as Ryan’s Law, establishing new requirements for certain care facilities to allow qualified patients to use medical marijuana while also setting statewide standards for safety, storage and staff training. The measure was approved by the House in a 39 to 3 vote and by the Senate 20 to 8 before being sent to the governor. With the governor’s signature, the legislation now moves toward implementation, with most provisions taking effect in 2027.
Racial disparities in non-stigmatized supportive care medication use in pancreatic cancer
04/11/26 at 03:25 AMRacial disparities in non-stigmatized supportive care medication use in pancreatic cancerJournal of Pain & Symptom Management; by Olga Monika Trejos Kweyete, Chardaé Whitner, David L. Deremer, Yi Guo, Jiang Bian, Lisa Scarton, Sherise C. Rogers, Diana J. Wilkie, Xiwei Lou, John M. Allen; 3/26Pancreatic cancer (PC) is associated with a high symptom burden that contributes to reduced health-related quality of life (HRQoL) and adverse clinical outcomes. This study examined racial and ethnic differences in the use of non-stigmatized SCMs [supportive care medications] during end-of-life care among patients with PC. SCM use was defined as at least one outpatient prescription claim for antiemetics, appetite stimulants, cognitive aids, headache aids, or sleep aids. Racial and ethnic disparities persist in the use of non-stigmatized SCMs among patients with PC at the end of life. These findings extend prior evidence on inequities in cancer symptom management and underscore the need for interventions that promote equitable access to supportive care medications across diverse populations.
A scoping review of breakthrough cancer pain: Mapping the evidence landscape
04/11/26 at 03:20 AMA scoping review of breakthrough cancer pain: Mapping the evidence landscapeSupportive Care in Cancer; Mellar Davis, Russell Portenoy, Andrew Davies, Sebastiano Mercadante, Akhila Reddy, M R Rajagopal, Eduardo Bruera; 3/26Breakthrough pain (BTP) in cancer populations is characterized by heterogeneous definitions, assessment approaches, and management strategies. This scoping review mapped the available evidence to characterize BTP concepts, describe the evidence base, and identify knowledge gaps. This scoping review maps heterogeneous evidence characterized by inconsistent definitions, selected populations, short-term outcomes, and geographic concentration. Key knowledge gaps include: standardized operational definitions, patient-centered functional outcomes, long-term efficacy and safety data, evidence from diverse settings and populations, and integration of pharmacological and non-pharmacological approaches. The review provides a descriptive landscape but does not assess evidence quality or support treatment recommendations.
Auricular acupuncture for symptom management in inpatient palliative care
04/04/26 at 03:30 AMAuricular acupuncture for symptom management in inpatient palliative careJournal of Hospice & Palliative Nursing; by Anup Bhushan, Dan Mazanec, Jessica Bullington, Justin Marsden, Jingwen Zhang, Kacie Bhushan, Patrick Coyne; 4/26Palliative care teams treat patients with intractable pain and debilitating symptoms on a daily basis [and] nurses play a significant role in the assessment and intervention of patients with chronic pain and ... symptoms ... Complementary therapy with acupuncture has proven to be helpful, but to date, there is little research examining the efficacy of auricular acupuncture in treating the acute-on-chronic symptoms associated with life-limiting illness in hospitalized patients. This ... study of 101 participants examined auricular acupuncture’s impact on pain and symptom management, as well as pre- and post-intervention opioid utilization ... This study demonstrated statistical improvement in pain, nausea, dyspnea, and anxiety scores. Nurses and other providers trained in auricular acupuncture can provide a nonpharmacological intervention that improves pain and related symptoms for patients with serious illness.
Top ten tips palliative care clinicians should know about wound care
04/01/26 at 03:00 AMTop ten tips palliative care clinicians should know about wound care Journal of Palliative Medicine; by Nicole Dussault, Jared Morphew, Veronica Nwagwu, Brittany Gatta, Angela Richardson, Nancy Payne, E Foy White-Chu, Lidiette Wilson, Heather Dalton, Christopher E Winstead-Derlega, Katherine Ramos, Christopher A Jones; 3/30/26 ... In this article, we outline key tips for assessing and managing wounds, including understanding prognosis and goals of care, evaluating care settings, tailoring management to the underlying disease process, and addressing symptoms such as pain, odor, and psychosocial distress. A thoughtful, interdisciplinary approach is essential to reduce the physical and emotional burden wounds place on patients and caregivers.Editor's Note: As CMS implements the HOPE (Hospice Outcomes & Patient Evaluation) Tool as of October 1, 2025, skin and wound assessment becomes a visible quality marker in hospice—requiring structured documentation, ongoing reassessment, and clear alignment with patient goals.
