Skip to main content
Erschienen in: Current Pediatrics Reports 2/2018

01.06.2018 | Pediatric Palliative Care (KS Hoehn, Section Editor)

Integrative Therapies to Support Pediatric Palliative Care: the Current Evidence

verfasst von: Miriam T. Stewart, Sanghamitra M. Misra, Joy A. Weydert, Shiu-Lin Tsai, Hilary McClafferty, Michelle G. Brenner, Melanie L. Brown

Erschienen in: Current Pediatrics Reports | Ausgabe 2/2018

Einloggen, um Zugang zu erhalten

Abstract

Purpose of Review

This review offers an evidence-based introduction to integrative therapies that can be used with children receiving palliative care and suggestions for how to incorporate these therapies into practice.

Recent Findings

For each integrative therapy discussed, recent research from both the pediatric and adult literature is summarized.

Summary

Integrative medicine offers a patient-centered approach to care that brings together conventional and complementary therapies. Evidence-based integrative therapies exist for many troublesome end-of-life symptoms, including pain, anxiety, nausea, and constipation, and offer the benefits of being low risk and non-invasive. The body of evidence on integrative therapies for pediatric palliative care is still small but interest and use among patients and providers are stimulating increased research efforts which are summarized here.
Literatur
2.
Zurück zum Zitat •• McClafferty H, Vohra S, Bailey M, Brown M, Esparham A, Gerstbacher D, et al. Pediatric integrative medicine. Pediatrics. 2017;140(3) https://doi.org/10.1542/peds.2017-1961. This reference defines terms related to integrative medicine and outlines common therapies along with the educational, research-related, and clinical implications. •• McClafferty H, Vohra S, Bailey M, Brown M, Esparham A, Gerstbacher D, et al. Pediatric integrative medicine. Pediatrics. 2017;140(3) https://​doi.​org/​10.​1542/​peds.​2017-1961. This reference defines terms related to integrative medicine and outlines common therapies along with the educational, research-related, and clinical implications.
3.
Zurück zum Zitat Stewart M, Sibinga EM. Complementary and alternative medicine in pediatric primary care. In: Berkowitz C (Ed), Berkowitz’s pediatrics: a primary care approach, 4th edition. American Academy of Pediatrics. 2013. Stewart M, Sibinga EM. Complementary and alternative medicine in pediatric primary care. In: Berkowitz C (Ed), Berkowitz’s pediatrics: a primary care approach, 4th edition. American Academy of Pediatrics. 2013.
6.
Zurück zum Zitat Johnson S. Evidence-based essential oil therapy: the ultimate guide to the therapeutic and clinical application of essential oils paperback. Scott A. Johnson Professional Writing Services, LLC, July 11. 2015. Johnson S. Evidence-based essential oil therapy: the ultimate guide to the therapeutic and clinical application of essential oils paperback. Scott A. Johnson Professional Writing Services, LLC, July 11. 2015.
7.
Zurück zum Zitat Wilkinson S. Aromatherapy and massage in palliative care. Int J Palliat Nurs. 1995;1(1):21–30.CrossRefPubMed Wilkinson S. Aromatherapy and massage in palliative care. Int J Palliat Nurs. 1995;1(1):21–30.CrossRefPubMed
8.
Zurück zum Zitat Shenton D. Does aromatherapy provide an holistic approach to palliative care? Int J Palliat Nurs. 1996;2(4):187–91.CrossRefPubMed Shenton D. Does aromatherapy provide an holistic approach to palliative care? Int J Palliat Nurs. 1996;2(4):187–91.CrossRefPubMed
9.
Zurück zum Zitat Moss M, Cook J, Wesnes K, Duckett P. Aromas of rosemary and lavender essential oils differentially affect cognition and mood in healthy adults. Int J Neurosci. 2003;113(1):15–38.CrossRefPubMed Moss M, Cook J, Wesnes K, Duckett P. Aromas of rosemary and lavender essential oils differentially affect cognition and mood in healthy adults. Int J Neurosci. 2003;113(1):15–38.CrossRefPubMed
10.
Zurück zum Zitat Gedney JJ, Glover TL, Fillingim RB. Sensory and affective pain discrimination after inhalation of essential oils. Psychosom Med. 2004;66:599–606.CrossRefPubMed Gedney JJ, Glover TL, Fillingim RB. Sensory and affective pain discrimination after inhalation of essential oils. Psychosom Med. 2004;66:599–606.CrossRefPubMed
11.
Zurück zum Zitat Goepfert M, Liebl P, Herth N, Ciarlo G, Buentzel J, Huebner J. Aroma oil therapy in palliative care: a pilot study with physiological parameters in conscious as well as unconscious patients. J Cancer Res Clin Oncol. 2017;143(10):2123–9.CrossRefPubMed Goepfert M, Liebl P, Herth N, Ciarlo G, Buentzel J, Huebner J. Aroma oil therapy in palliative care: a pilot study with physiological parameters in conscious as well as unconscious patients. J Cancer Res Clin Oncol. 2017;143(10):2123–9.CrossRefPubMed
12.
Zurück zum Zitat Jafarzadeh M, Arman S, Pour FF. Effect of aromatherapy with orange essential oil on salivary cortisol and pulse rate in children during dental treatment: a randomized controlled clinical trial. Adv Biomed Res. 2013;2:10.CrossRefPubMedPubMedCentral Jafarzadeh M, Arman S, Pour FF. Effect of aromatherapy with orange essential oil on salivary cortisol and pulse rate in children during dental treatment: a randomized controlled clinical trial. Adv Biomed Res. 2013;2:10.CrossRefPubMedPubMedCentral
13.
Zurück zum Zitat Kyle G. Evaluating the effectiveness of aromatherapy in reducing levels of anxiety in palliative care patients: results of a pilot study. Complement Ther Clin Pract. 2006;12(2):148–55.CrossRefPubMed Kyle G. Evaluating the effectiveness of aromatherapy in reducing levels of anxiety in palliative care patients: results of a pilot study. Complement Ther Clin Pract. 2006;12(2):148–55.CrossRefPubMed
14.
Zurück zum Zitat Bikmoradi A, Khaleghverdi M, Seddighi I, Moradkhani S, Soltanian A, Cheraghi F. Effect of inhalation aromatherapy with lavender essence on pain associated with intravenous catheter insertion in preschool children: a quasi-experimental study. Complement Ther Clin Pract. 2017;28:85–91.CrossRefPubMed Bikmoradi A, Khaleghverdi M, Seddighi I, Moradkhani S, Soltanian A, Cheraghi F. Effect of inhalation aromatherapy with lavender essence on pain associated with intravenous catheter insertion in preschool children: a quasi-experimental study. Complement Ther Clin Pract. 2017;28:85–91.CrossRefPubMed
15.
Zurück zum Zitat Marofi M, Sirousfard M, Moeini M, Ghanadi A. Evaluation of the effect of aromatherapy with Rosa damascena Mill. on postoperative pain intensity in hospitalized children in selected hospitals affiliated to Isfahan University of Medical Sciences in 2013: a randomized clinical trial. Iran J Nurs Midwifery Res. 2015;20(2):247–54.PubMedPubMedCentral Marofi M, Sirousfard M, Moeini M, Ghanadi A. Evaluation of the effect of aromatherapy with Rosa damascena Mill. on postoperative pain intensity in hospitalized children in selected hospitals affiliated to Isfahan University of Medical Sciences in 2013: a randomized clinical trial. Iran J Nurs Midwifery Res. 2015;20(2):247–54.PubMedPubMedCentral
16.
Zurück zum Zitat Kiberd MB, Clarke SK, Chorney J, d’Eon B, Wright S. Aromatherapy for the treatment of PONV in children: a pilot RCT. BMC Complement Altern Med. 2016;16(1):450.CrossRefPubMedPubMedCentral Kiberd MB, Clarke SK, Chorney J, d’Eon B, Wright S. Aromatherapy for the treatment of PONV in children: a pilot RCT. BMC Complement Altern Med. 2016;16(1):450.CrossRefPubMedPubMedCentral
18.
Zurück zum Zitat • Lakhan SE, Sheafer H, Tepper D. The effectiveness of aromatherapy in reducing pain: a systematic review and meta-analysis. Pain Res Treat. 2016;2016:8158693. This reference describes the effectiveness in aromatherapy in reducing pain in a number of different types. PubMedPubMedCentral • Lakhan SE, Sheafer H, Tepper D. The effectiveness of aromatherapy in reducing pain: a systematic review and meta-analysis. Pain Res Treat. 2016;2016:8158693. This reference describes the effectiveness in aromatherapy in reducing pain in a number of different types. PubMedPubMedCentral
19.
Zurück zum Zitat Loo M. Integrative medicine for children. Philadelphia: Saunders Elsevier; 2009. p. 85. Loo M. Integrative medicine for children. Philadelphia: Saunders Elsevier; 2009. p. 85.
22.
Zurück zum Zitat Mashhadi NS, Ghiasvand R, Askari G, Hariri M, Darvishi L, Mofid MR. Anti-oxidative and anti-inflammatory effects of ginger in health and physical activity: review of current evidence. Int J Prev Med. 2013;4(Suppl 1):S36–42.PubMedPubMedCentral Mashhadi NS, Ghiasvand R, Askari G, Hariri M, Darvishi L, Mofid MR. Anti-oxidative and anti-inflammatory effects of ginger in health and physical activity: review of current evidence. Int J Prev Med. 2013;4(Suppl 1):S36–42.PubMedPubMedCentral
30.
Zurück zum Zitat Lu K, Gray MA, Oliver C, Harrison BJ, Bartholomeusz CF, Phan KL, et al. The acute effects of L-theanine in comparison with alprazolam on anticipatory anxiety in humans. Hum Psychopharmacol. 2004;19:457–65.CrossRefPubMed Lu K, Gray MA, Oliver C, Harrison BJ, Bartholomeusz CF, Phan KL, et al. The acute effects of L-theanine in comparison with alprazolam on anticipatory anxiety in humans. Hum Psychopharmacol. 2004;19:457–65.CrossRefPubMed
31.
Zurück zum Zitat Xinnong C. Chinese acupuncture and moxibustion. Beijing: Foreign Languages Press; 2017. Xinnong C. Chinese acupuncture and moxibustion. Beijing: Foreign Languages Press; 2017.
33.
Zurück zum Zitat Barnes PM, Bloom B, Nahin RL. Complementary and alternative medicine use among adults and children: United States, 2007. Natl Health Stat Rep. 2008;12:1–23. Barnes PM, Bloom B, Nahin RL. Complementary and alternative medicine use among adults and children: United States, 2007. Natl Health Stat Rep. 2008;12:1–23.
34.
36.
Zurück zum Zitat • Wu X, Chung VCH, Hui EP, Ziea ETC, Ng BFL, Ho RST, et al. Effectiveness of acupuncture and related therapies for palliative care of cancer: overview of systematic reviews. Sci Rep. 2015;5:16776. https://doi.org/10.1038/srep16776. This reference examines the evidence for or against the efficacy of acupuncture for a number of common cancer-related symptoms. CrossRefPubMedPubMedCentral • Wu X, Chung VCH, Hui EP, Ziea ETC, Ng BFL, Ho RST, et al. Effectiveness of acupuncture and related therapies for palliative care of cancer: overview of systematic reviews. Sci Rep. 2015;5:16776. https://​doi.​org/​10.​1038/​srep16776. This reference examines the evidence for or against the efficacy of acupuncture for a number of common cancer-related symptoms. CrossRefPubMedPubMedCentral
39.
Zurück zum Zitat FDA Education Blueprint for Health Care Providers Involved in the Management or Support of Patients with Pain. In: United States Food and Drug Administration. 2017. FDA Education Blueprint for Health Care Providers Involved in the Management or Support of Patients with Pain. In: United States Food and Drug Administration. 2017.
46.
Zurück zum Zitat Wernicke T. Shonishin: the art of non-invasive pediatric acupuncture. London: Singing Dragon; 2014. Wernicke T. Shonishin: the art of non-invasive pediatric acupuncture. London: Singing Dragon; 2014.
47.
Zurück zum Zitat Oleson T. Auriculotherapy manual: Chinese and western systems of ear acupuncture. New York: Elsevier; 2014. Oleson T. Auriculotherapy manual: Chinese and western systems of ear acupuncture. New York: Elsevier; 2014.
58.
Zurück zum Zitat Kabat-Zinn J. Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York: Bantam Books; 2013. Kabat-Zinn J. Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York: Bantam Books; 2013.
59.
Zurück zum Zitat Kabat-Zinn J. An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. Gen Hosp Psychiatry. 1982;4(1):33–47.CrossRefPubMed Kabat-Zinn J. An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. Gen Hosp Psychiatry. 1982;4(1):33–47.CrossRefPubMed
66.
Zurück zum Zitat Kazak AE, Baxt C. Families of infants and young children with cancer: a post-traumatic stress framework. Pediatr Blood Cancer. 2007;49(7 Suppl):1109–13.CrossRefPubMed Kazak AE, Baxt C. Families of infants and young children with cancer: a post-traumatic stress framework. Pediatr Blood Cancer. 2007;49(7 Suppl):1109–13.CrossRefPubMed
69.
Zurück zum Zitat Tsitsi T, Charalambous A, Papastavrou E, Raftopoulos V. Effectiveness of a relaxation intervention (progressive muscle relaxation and guided imagery techniques) to reduce anxiety and improve mood of parents of hospitalized children with malignancies: a randomized controlled trial in Republic of Cyprus and Greece. Psychosom Med. 2014;76(4):257–67. https://doi.org/10.1097/PSY.0000000000000053.CrossRef Tsitsi T, Charalambous A, Papastavrou E, Raftopoulos V. Effectiveness of a relaxation intervention (progressive muscle relaxation and guided imagery techniques) to reduce anxiety and improve mood of parents of hospitalized children with malignancies: a randomized controlled trial in Republic of Cyprus and Greece. Psychosom Med. 2014;76(4):257–67. https://​doi.​org/​10.​1097/​PSY.​0000000000000053​.CrossRef
70.
Zurück zum Zitat Zernicke KA, Campbell TS, Speca M, McCabe-Ruff K, Flowers S, Carlson LE. A randomized wait-list controlled trial of feasibility and efficacy of an online mindfulness-based cancer recovery program: the eTherapy for cancer applying mindfulness trial. BMJ Open. 2018;8(1):e018421. https://doi.org/10.1136/bmjopen-2017-018421.CrossRef Zernicke KA, Campbell TS, Speca M, McCabe-Ruff K, Flowers S, Carlson LE. A randomized wait-list controlled trial of feasibility and efficacy of an online mindfulness-based cancer recovery program: the eTherapy for cancer applying mindfulness trial. BMJ Open. 2018;8(1):e018421. https://​doi.​org/​10.​1136/​bmjopen-2017-018421.CrossRef
Metadaten
Titel
Integrative Therapies to Support Pediatric Palliative Care: the Current Evidence
verfasst von
Miriam T. Stewart
Sanghamitra M. Misra
Joy A. Weydert
Shiu-Lin Tsai
Hilary McClafferty
Michelle G. Brenner
Melanie L. Brown
Publikationsdatum
01.06.2018
Verlag
Springer US
Erschienen in
Current Pediatrics Reports / Ausgabe 2/2018
Elektronische ISSN: 2167-4841
DOI
https://doi.org/10.1007/s40124-018-0167-6

Weitere Artikel der Ausgabe 2/2018

Current Pediatrics Reports 2/2018 Zur Ausgabe

Adolescent Medicine (M Goldstein and L Johnson, Section Editors)

Evaluation and Treatment of Avoidant/Restrictive Food Intake Disorder (ARFID) in Adolescents

Adolescent Medicine (M Goldstein and L Johnson, Section Editors)

Abnormal Uterine Bleeding in Adolescent Women

Pediatric Palliative Care (KS Hoehn, Section Editor)

Integrative Palliative Care and Management of Refractory Epilepsy

Adolescent Medicine (M Goldstein and L Johnson, Section Editors)

Social Media and Adolescent Health

Adolescent Medicine (M Goldstein and L Johnson, Section Editors)

Opioid Use Disorders in Adolescents—Updates in Assessment and Management

Mehr Zeit in den sozialen Medien kann zu Angststörungen führen

Eine Studie aus Finnland hat die Social-Media-Nutzung unter 16-jährigen Mädchen genauer unter die Lupe genommen. Lange Nutzdauer von Instagram & Co. war mit höheren Raten an Angststörungen assoziiert. Insgesamt waren rund 17% der Mädchen abhängig von Social Media.

Mit dem Seitenschneider gegen das Reißverschluss-Malheur

03.06.2024 Urologische Notfallmedizin Nachrichten

Wer ihn je erlebt hat, wird ihn nicht vergessen: den Schmerz, den die beim Öffnen oder Schließen des Reißverschlusses am Hosenschlitz eingeklemmte Haut am Penis oder Skrotum verursacht. Eine neue Methode für rasche Abhilfe hat ein US-Team getestet.

Reanimation bei Kindern – besser vor Ort oder während Transport?

29.05.2024 Reanimation im Kindesalter Nachrichten

Zwar scheint es laut einer Studie aus den USA und Kanada bei der Reanimation von Kindern außerhalb einer Klinik keinen Unterschied für das Überleben zu machen, ob die Wiederbelebungsmaßnahmen während des Transports in die Klinik stattfinden oder vor Ort ausgeführt werden. Jedoch gibt es dabei einige Einschränkungen und eine wichtige Ausnahme.

Alter der Mutter beeinflusst Risiko für kongenitale Anomalie

28.05.2024 Kinder- und Jugendgynäkologie Nachrichten

Welchen Einfluss das Alter ihrer Mutter auf das Risiko hat, dass Kinder mit nicht chromosomal bedingter Malformation zur Welt kommen, hat eine ungarische Studie untersucht. Sie zeigt: Nicht nur fortgeschrittenes Alter ist riskant.

Update Pädiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.