Using integrative therapies to cope with side effects

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In the fall issue of CURE, we look at how patients can prevent common treatment-related side effects, including pharmaceutical strategies and integrative therapies.We asked our Facebook fans, "Did integrative therapy approaches help you in dealing with side effects from cancer or treatment?"We received many responses, and they were all across the board. From yoga and acupuncture to laughing and music therapy, patients and survivors shared what integrative therapies helped them deal with side effects and the psychosocial issues in dealing with cancer and its effects. Many large cancer centers and hospitals offer integrative therapies, and several now have their own dedicated departments and staff. However, not everyone was quick to answer. Some patients said it was hard to find integrative therapies, especially if they were not offered at the location they received their cancer treatment. If integrative therapies aren't offered at your clinic, there are several non-profit groups that offer support, information and services. Here are a few tips to find integrative therapy options: 1. Talk with a dietitian. Foods that boost immunity, lower fatigue and have the right amount of calories may help reduce certain side effects. Many insurance plans and Medicare cover nutrition services if it is prescribed by your physician. You can get a referral from your medical team. You can also find registered dietitians at eatright.org. Use your ZIP code and refine your search to "expertise: oncology, cancer nutrition." 2. Ask your medical team and fellow survivors about fitness programs geared toward survivors, including those at gyms, yoga studios and other local hospitals. LIVESTRONG at the YMCA is a twelve-week program that helps survivors increase their health and fitness, but also aims to reduce the severity of side effects. The program is available at certain YMCAs across the country. 3. Investigate whether your insurance company offers discounts or coverage on health programs, acupuncture, massage or other non-traditional therapies. [Questions to ask if your massage therapist is qualified]4. Reach out to local support groups and non-profits that may offer integrative therapies. Organizations such as the Cancer Support Community offer onsite support and classes, including yoga and meditation.Where did you find your integrative therapy services? Did it help alleviate side effects?

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For patients with cancer, the ongoing chemotherapy shortage may cause some anxiety as they wonder how they will receive their drugs. However, measuring drugs “down to the minutiae of the milligrams” helped patients receive the drugs they needed, said Alison Tray. Tray is an advanced oncology certified nurse practitioner and current vice president of ambulatory operations at Rutgers Cancer Institute in New Jersey.  If patients are concerned about getting their cancer drugs, Tray noted that having “an open conversation” between patients and providers is key.  “As a provider and a nurse myself, having that conversation, that reassurance and sharing the information is a two-way conversation,” she said. “So just knowing that we're taking care of you, we're going to make sure that you receive the care that you need is the key takeaway.” In June 2023, many patients were unable to receive certain chemotherapy drugs, such as carboplatin and cisplatin because of an ongoing shortage. By October 2023, experts saw an improvement, although the “ongoing crisis” remained.  READ MORE: Patients With Lung Cancer Face Unmet Needs During Drug Shortages “We’re really proud of the work that we could do and achieve that through a critical drug shortage,” Tray said. “None of our patients missed a dose of chemotherapy and we were able to provide that for them.” Tray sat down with CURE® during the 49th Annual Oncology Nursing Society Annual Congress to discuss the ongoing chemo shortage and how patients and care teams approached these challenges. Transcript: Particularly at Hartford HealthCare, when we established this infrastructure, our goal was to make sure that every patient would get the treatment that they need and require, utilizing the data that we have from ASCO guidelines to ensure that we're getting the optimal high-quality standard of care in a timely fashion that we didn't have to delay therapies. So, we were able to do that by going down to the minutiae of the milligrams on hand, particularly when we had a lot of critical drug shortages. So it was really creating that process to really ensure that every patient would get the treatment that they needed. For more news on cancer updates, research and education, don’t forget to subscribe to CURE®’s newsletters here.
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