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The Animal Cancer Foundation reports that approximately 6 million new diagnoses of cancer will be made in dogs each year. Holistic, as defined by the Merriam-Webster dictionary, is "relating to or concerned with complete systems rather than individual parts." In dogs diagnosed with cancer, a holistic treatment approach addresses not only the cancer itself, but also your dog's lifestyle, diet and other factors that could affect treatment outcomes. Chinese herbal therapy and acupuncture make up two of the most recognized forms of holistic treatment in dogs. Essential oils are concentrated liquids derived directly from plants and provide many benefits to humans. Your dog may benefit from additional lifestyle modifications that can improve response to treatment and minimize negative side effects while undergoing therapy. You may look for a veterinarian trained in holistic medicine in your area by visiting the American Holistic Veterinary Medical Association.
Pain control is one of the most challenging tasks that family physicians face when providing care for patients at the end of life. Pain and the barriers to its relief at the end of life: a lesson for improving end of life health care.
The effects of pain severity on health-related quality of life: a study of Chinese cancer patients. The role of bisphosphonates in the treatment of painful metastatic bone disease: a review of phase III trials. Strontium-89 for symptomatic metastatic prostate cancer to bone: recommendations for hospice patients. With the holidays fast approaching, one thing that I can’t wait for and always look forward to is the food. Since World War II health care professionals have rapidly increased the use of medication to treat disease, and the cost of those drugs continues to sky rocket, sometimes costing thousands of dollars each month. Call Us Today At480-473-9808 New Hope Unlimited 8912 E Pinnacle Peak Rd Scottsdale, AZ 85255 Phone: (480) 646-3913 Monday to Friday 9AM-5PM Home About Us Blog Services Cancer Information Cancer Facts Case Studies Glossary FAQs Survivor Stories Cancers We Treat Amyotrophic Lateral Sclerosis Bladder Cancer Breast Cancer Cervical Cancer Colon Cancer Liver Cancer Lung Cancer Lymphomas Pancreatic Cancer Prostate Cancer Stomach Cancer Contact Us Terms and Conditions Privacy Policy Cancer Treatment Success Stories Personalized Medicine Why Choose Us Overcoming Breast Cancer with a Holistic Treatment Program (Part 2) Posted on April 22, 2014 by Admin Women who are newly diagnosed with breast cancer face a different set of fears as they go through various stages of anxiety and acceptance. Although cancer therapies such as chemotherapy and radiation therapy are becoming more advanced and available for dogs every day, many owners are interested in exploring less conventional treatment options. These therapies may be utilized as the sole treatment plan for a dog diagnosed with cancer, but are often recommended for use in conjunction with traditional cancer therapies. There is an increasing amount of research being performed evaluating the usefulness of essential oils in our pets as well. Consult a veterinarian experienced in the use of essential oils before using them in your pets. The most definitive research regarding dietary changes that impact survival time in dogs undergoing cancer treatment was performed by GK Ogilvie, a veterinary oncologist, in 2000. Exercise can improve mobility, help maintain muscle mass and a healthy weight, and provide mental stimulation.
You and your veterinarian can decide whether you choose to pursue all or one of them, either in conjunction with conventional therapy or instead of it, allowing you to make the best decision for your beloved canine companion. Ongoing assessment of pain is crucial and can be accomplished using various forms and scales. With correct identification of the pain syndrome, physicians can provide better pain control using appropriate adjuvant therapies and interventions. However, breakthrough pain can be expected to occur when a sustained-release analgesic medication becomes less effective in controlling pain. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. The company owns Honest Tea, Odwalla, Powerade, Vitamin Water, Simply Orange, and other products marketed to health-conscious consumers.
Melatonin benefits go beyond improving sleep; the hormone may decrease migraine frequency and intensity, too. Regardless of extensive research, the exact cause of psoriasis is not yet fully understood; all the same, scientists believe psoriasis is a result of several factors, which include environmental triggers, genetics, and the immune system. According to Ayurveda, the lymphatic system (or the rasa dhatu) is the first system of the body to be treated.
Herbal therapies can be utilized not only to treat cancer directly, but also to boost your dog's immune system, minimize secondary effects of the cancer such as weight loss and to reduce the duration or severity of side effects from chemotherapy or radiation therapy. In a 1995 study by pharmacologist LR Phillips et al, components of citrus essential oils showed promise in the treatment of cancer in dogs, both by directly inhibiting tumor growth and by stimulating the immune system. His study determined that a low-carbohydrate, higher fat and protein diet was most effective in prolonging survival.
Minimizing stress by making veterinary visits a positive experience or reducing stressful environmental factors such as sleep interruptions or annoying housemates can have a positive impact how your dog responds to therapy. It is also important to determine if the pain is nociceptive (somatic or visceral pain) or neuropathic (continuous dysesthesias or chronic lancinating or paroxysmal pain). Pain intensity can be assessed on a 10-point scale, with zero representing no pain and 10 representing the worst pain possible.


It is still important to apply basic pain management principles in terminally ill patients.NOCICEPTIVE PAINNociceptive pain is the result of actual or potential tissue damage and includes somatic and visceral pain.
In one study,16 hospice patients experienced an average of about three episodes of breakthrough pain per day, with the pain having a mean intensity of 7 on a 10-point scale.Because of the high incidence of breakthrough pain, it is important for patients to have immediate-release analgesic medication available.
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The crushing pain, nausea, and light sensitivity of a migraine headache can wreak havoc on the lives of migraine sufferers. Of those, 50 million have several symptoms and autoantibodies but not enough damage to make a diagnosis.
Blocking glycine uptake and its biosynthesis in mitochondria preferentially impaired rapidly proliferating cells. Acupuncture is frequently used to minimize side effects of chemotherapy or radiation therapy and to alleviate pain associated with certain tumor types. Frankincense has been shown to exhibit these same cancer-fighting effects, while other essential oils can be used to minimize chemotherapy side effects such as nausea or anxiety associated with veterinary visits.
Low carbohydrate or carbohydrate-free diets are also recommended by holistic veterinarians, as carbohydrates contribute to imbalances within the body that can promote tumor formation or diminish response to therapy. Nociceptive pain can usually be controlled with nonsteroidal anti-inflammatory drugs or corticosteroids, whereas neuropathic pain responds to tricyclic antidepressants or anticonvulsants. Other potential assessment tools include a pictorial assessment scale and a visual analog scale (Figure 2).While it is important to obtain current information on pain intensity, it is also essential to assess worst, least and average pain intensity over the previous 24 hours. Each dose of this medication is usually 10 to 30 percent of the total daily dose of sustained-release analgesic medication. Several specially formulated commercial diets with little to no carbohydrate source are now available in pet stores, or your veterinarian can provide a formula for a home-cooked diet if you prefer to prepare your dog's meals yourself. Relief of breakthrough pain requires the administration of an immediate-release analgesic medication. If necessary, patients should keep a log that documents the relationship of pain intensity to the time of day. For example, the patient who is receiving 60 mg of sustained-released morphine twice daily should have 15-mg doses (range: 12 to 36 mg) of immediate-release morphine available to manage breakthrough pain.
If a significant amount of medication for breakthrough pain is already being given, the baseline dose of sustained-release analgesic medication should be increased. If patients are unable to perform this task, their caregivers should be instructed in how to complete the log.Patients with a terminal illness should be encouraged to verbalize the pain experience in their own words.
The frequency of use can be 15 mg every hour until pain is controlled, or more frequently than every hour if a health care professional is present while the patient is taking the doses.In patients who are using a significant amount of medication for breakthrough pain, the increase in the dose of sustained-release analgesic medication should reflect the total breakthrough dose taken in 24 hours. Intravenous nutritional therapy must be combined with other forms of treatment to be truly effective. If pain does not respond to one analgesic medication, physicians should use an equianalgesic dose chart when changing the medication or route of administration.
However, COX-2 inhibitors are more expensive than NSAIDS, and they provide no advantage with regard to analgesic effect.7Bone pain typically cannot be completely controlled with narcotics. One strategy for this increase is to use 25 percent of the total dose of immediate-release medication when slight reduction of pain is needed, 50 percent when moderate reduction is needed and 100 percent when severe reduction is needed.17 For instance, a patient reports taking a total of 60 mg of immediate-release morphine for breakthrough pain in the past 24 hours. The assessment reveals that the patient is in moderate pain, so the baseline dose of sustained-release morphine, when given twice daily, should be increased by 15 mg per dose (for a total increase of 30 mg per day). Dendritic cell (DC) therapy based on the concept, that the body’s own immune system can effectively recognize and destroy cancer cells.
The impact of unresolved psychosocial or spiritual issues on pain management may need to be addressed. By modification and programming the body’s defense system to attack residual cancer cells, it paves the way for cancer metastases.
However, this agent is less effective than other adjuvant medications, and it must be taken for several weeks before it becomes effective. Advanced cancer immunotherapy stimulates the body’s immune system and natural resistance to breast cancer, thus offering a gentler means of cancer treatment that is less damaging to the rest of the body.
Surgery is generally (but not always) performed, prior to immunotherapy, to remove most of the tumor.
The first step in the treatment of this pain is to reduce the amount of gastrointestinal stimulation by limiting intake to clear liquids and administering antiemetics.
The extra oxygen is believed to increase the body’s ability to destroy disease-causing cells. Scopolamine, administered subcutaneously or transdermally (Transderm Scop), may alleviate symptoms by reducing peristalsis and secretions. Octreotide (Sandostatin) or corticosteroids may be used in patients with refractory visceral pain.11NEUROPATHIC PAINNeuropathic pain has two distinct types.
This medication should be taken in the presence of a health care professional who understands pain management.


The first consists of continuous dysesthesias, which are characterized by continuous burning, electrical sensations or other abnormal sensations.
Once the crisis has resolved, the baseline sustained-release analgesic medication should be adjusted in an attempt to prevent the recurrence of acute or crescendo pain. HBOT has emerged as an effective treatment for some patients who previously had little hope of recovering from late side effects of radiotherapy.
However, this pain persists in some patients, and arrangements must then be made to provide parenterally administered pain medications.INCIDENT PAINIncident pain is another type of pain that patients may experience at the end of life. This pain occurs in conjunction with certain activities, such as rolling over in bed, riding in a car or being bathed.
This means the fragments of the killed infecting agents create a safe, autogenous vaccination-like response. Incident pain can be managed by giving patients their breakthrough dose of immediate-release medication 30 minutes before the activity is performed.
This further activates and directs your immune system to the specific infections your body is attempting to overcome.
It is also important to assess patients for underlying causes of the pain, and to correct those causes if possible.CHANGING MEDICATIONS AND ROUTESOne of the most difficult challenges physicians face in providing pain management at the end of life is how to change from one medication to another, from one route of administration to another, or both.
This includes sarcomas, skin tumors and carcinomas of the breasts, prostate, ovaries, lung, stomach and skin.
Simply put, the equivalence of intravenously administered to orally administered morphine is 1 to 3. Hence, the patient who has been receiving 60 mg per day of intravenously administered morphine would be given 180 mg per day of orally administered morphine.In some instances, both the medication and the route of administration must be changed. It is also sometimes used with other treatments for chronic diseases.Most of us know women who have battled breast cancer. For example, a patient who has been controlled on 30 mg per day of orally administered hydromorphone (Dilaudid) progresses to the point where the oral route is no longer tolerated.
Advances in methods of detection and treatments have transformed breast cancer from what had been considered a dreaded disease to one that most women can and do beat. In fact, when breast cancer is found at its earliest, most treatable stage, a majority of women (98 percent) will go on to live full, healthy lives after treatment.
The equianalgesic dose chart shows that 7.5 mg of orally administered hydromorphone is equivalent to 10 mg of parenterally administered morphine. For the missing item, see the original print version of this publication.The fentanyl patch (Duragesic) can provide pain control in patients who are unable to swallow medications. Because no parenteral access is required, the patch can be applied by the patient, a family member or other caregiver.
In one study,19 the fentanyl patch provided pain control equivalent to that achieved with subcutaneously administered morphine.
In another study,20 patient compliance with the patch and acceptance of the treatment were excellent, and side effects were similar to those with other opioids. In the recommended conversion, 1 mg of the fentanyl patch is equivalent to 2 mg per day of orally administered morphine. Thus, a patient who has been taking 50 mg per day of orally administered morphine would start with a 25-mg fentanyl patch. Because the patch takes approximately 12 hours to become effective, the morphine should be continued during that period. The fentanyl patch is difficult to titrate, and a steady state may not be achieved for three to four days.
Consequently, some form of immediate-release analgesic medication should be available to manage breakthrough pain.OPIOID TOLERANCEIn most terminally ill patients, escalating pain is related to progression of their disease.
Tolerance of orally or parenterally administered opioids develops in some of these patients. When pain is no longer controlled on a specific regimen, opioid rotation is a possible solution. Opioid rotation includes changing to a different medication using the same route of administration, maintaining the current medication but changing the route of administration, or changing both the medication and the route of administration.21If opioid rotation does not control pain, epidural analgesia is an effective option. The equivalence conversion for parentally to epidurally administered morphine is 3 to 1.18COGNITIVELY IMPAIRED PATIENTSThe assessment of pain is based on the patient's description of the pain and rating of its intensity. Patients who, for whatever reason, are cognitively impaired have lost some of their ability to communicate. A multidiscipline hospice team can provide support for terminally ill patients.UNCONTROLLED PAINDespite receiving the best treatment family physicians can provide, some terminally ill patients continue to have pain. In these instances, a pain subspecialist can provide advanced pain management options such as epidural catheters and nerve blocks.



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