IV. Pain and Symptom Management

         C.  Complementary, Alternative
             and Integrative Approaches 

This section includes several handouts for complementary pain management strategies at home.  In addition,  bibliographies on various techniques and resources are available under Key References.

        City of Hope Publications

  1. Kravits, K. (2015). Hypnosis for the Management of Anticipatory Nausea and Vomiting. Journal of the Advance Practitioner in Oncology, 6(3), 225.229. DOI: 10.6004/jadpro.2015.6.3.4


  2. Burhenn, P., Olausson, J., Villegas, G., & Kravits, K. (2014). Evidence-based practice: Guided imagery for pain control. Clinical Journal of Oncology Nursing, 18(5), 501-502.

  3. Kravits, K. (2013). Hypnosis: Adjunct therapy for cancer pain management. Journal of the Advanced Practitioner in Oncology, 4(2), 83-88.

  4. Montgomery, G., Schnur, J. B., & Kravits, K. (2013). Hypnosis for cancer care: Over 200 years young. CA: A Cancer Journal for Clinicians, 63(1), 31-44.                DOI: 10.3322/caac.21165. 
  5. Miller, M. & Kravits, K. (2013). Nurses’ use of art in hospice settings. Journal of Hospice and Palliative Nursing, 15(1), 5-10.              
    DOI: 10.1097/NJH.0b013e31827ce345.
  6. Lew, M. W., Kravits, K., Garberoglio, C., & Williams, A. C. (2011).  Use of preoperative hypnosis to reducepostoperative pain and anesthesia-related side effects. International Journal of Clinical and Experimental Hypnosis, 59(4), 406-423.               
    DOI: 10.1080/00207144.2011.594737.
  7. Kravits, K., McAllister-Black, R., Grant, M., & Kirk, C. (2010). Self-care strategies for nurses: A psycho-educational intervention for stress reduction and the prevention of burnout. Applied Nursing Research, 23, 130-138.             DOI: 10.1016/j.apnr.2008.08.002.
  8. Rojas-Cooley, M. T., & Grant, M. (2006). Complementary and alternative medicine: oncology nurses' experiences, educational interests, and resources. Oncology Nursing Forum, 33(3), 581-588.   DOI: 10.1188106.ONF.581-588.
  9. Otis-Green, S., Sherman, R., Perez, M. Baird, R. P. (2002). An integrated psychosocial-spiritual model for cancer pain management. Cancer Practice, 10(Suppl 1), S58-65.              DOI: 10.1046/j.1523-5394.10.s.1.13.x
  10. Kravits, K. (2013). Overview of evidence-based non-pharmacological therapies used in cancer palliative care. In Evidence-Based Non-Pharmacological Therapies Used in Cancer Palliative Care. Ed. Cho, W. NY: Springer Publishing. ISBN: 978-9400758322

       Recommended Publications

  1. Tracy, S. M. (2010). Piloting tailored teaching on nonpharmacologic enhancements for postoperative pain management in older adults. Pain Management Nursing, 11(3), 148-158.
    DOI: 10.1016/j.pmn.2009.06.002.
  2. Chen, Y. L., & Francis, A. J. P. (2010). Relaxation and imagery for chronic, nonmalignant pain: Effects on painsymptoms, quality of life and mental health. Pain Management Nursing, 11(3), 159-168. 
    DOI: 10.1016/j.pmn.2009.05.005.
  3. Hollis, A. S. H. (2010). Acupuncture as a treatment modality for the management of cancer pain: The state of the science. Oncology Nursing Forum, 37(5), E344-E348.       DOI: 10.1188/10.ONF.E344-E348.
  4. Dean-Clower, E., Doherty-Gilman, A. M., Keshaviah, A., Baker, F., Kaw, C., Lu, W., et al. (2010). Acupuncture as palliative therapy for physical symptoms and quality of life for advanced cancer patients. Integrative Cancer Therapies, 9(2), 158-167.        DOI: 10.1177/1534735409360666.
  5. Black, C. D., Herring, M. P., Hurley, D. J., & O’Connor, P. J. (2010). Ginger (zingiber officinale) reduces muscle pain caused by eccentric exercise. The Journal of Pain, 11(9), 894-903.     
    DOI: 10.1016/j.jpain.2009.12.013.
  6. Galbraith, S., Fagan, P., Dip, G., Perkins, P., Lynch, A., & Booth, S. (2010). Does the use of a handheld fanimprove chronic dyspnea? A randomized controlled, crossover trial. Journal of Pain and Symptom Management, 39(5), 831-838.      
    DOI: 10.1016/j.jpainsymman.2009.09.024.
  7. Sprod, L. K. Palesh, O. G., Janelsins, M. C., Pippone, L. J., Heckler, C. E.,  Adams, M. J., et al. (2010). Exercise, sleep quality, and mediators of sleep in breast and prostate cancer patients receiving radiation therapy. Community Oncology, 7(10), 463-471.
  8. Park, H. (2010). Effect of music on pain for home-dwelling persons with dementia. Pain Management Nursing, 11(3), 141-147.       
    DOI: 10.1016/j.pmn.2009.05.004.
  9. Bradt, J., Dileo, C., & Grocke, D. (2010). Music interventions for mechanically ventilated patients. The Cochrane Collaboration, 12.       
    DOI: 10.1002/14651858.CD006902.pub2.
  10. Allred, K. D., Byers, J. F., & Sole, M. L. (2010). The effect of music on postoperative pain and anxiety. Pain Management Nursing, 11(1), 15-25.
    DOI: 10.1016/j.pmn.2008.12.002.
  11. King, K. (2010). A review of the effects of guided imagery on cancer patients with pain. Complementary Health Practice Review, 15(2), 98-107.        DOI: 10.1177/1533210110388113.
  12. Baird, C. L., Murawski, M. M., & Wu, J. (2010). Efficacy of guided imagery with relaxation for osteoarthritis symptoms and medication intake. Pain Management Nursing, 11(1), 56-65.
    DOI: 10.1016/j.pmn.2009.04.002.
  13. Carson, J. W., Carson, K. M., Jones, K. D., Bennett, R. M., Wright, C. L., & Mist, S. D. (2010). A pilot randomized controlled trial of the Yoga of Awareness program in the management of fibromyalgia. PAIN, 151, 530-539.    
    DOI: 10.1016/j.pain.2010.08.020.
  14. Integrative Health: A Holistic Approach for Health Professionals
             -     Koopsen, C., & Young, C. (2009). NM: Jones & Bartlett Publishers. ISBN #: 9780763757618.
  15. Nahin, R. L., Barnes, P. M., Stussman, B. J., & Bloom, B. (2009). Costs of complementary and alternative medicine (CAM) and frequency of visits to CAM practitioners: United States, 2007. National Health Statistics Reports, 18.
  16. Integrative Oncology
    Abrams, D. & Weil, A. (2009). NY: Oxford University Press. ISBN 978-0195309447
  17. The Mindfullness Solution to Pain: Step-by-Step Techniques for Chronic Pain Management 
     -Gardner-Nix, J., & Costin-Hall, L. (2009). CA: New Harbinger Publications. ISBN #: 1572245816.
  18. Dampos, D., Austerlitz, C., Allison, R. R., Povoa, H., & Sibata, C. (2009). Nutrition and orthomolecularsupplementation in lung cancer patients. Integrative Cancer Therapies, 8, 398-408. 
    DOI: 10.1177/1534735409344333.
  19. Greeson, J. M. (2009). Mindfulness research update: 2008. Complementary Health Practice Review, 14(1), 10-18. DOI: 10.1177/1533210108329862.
  20. Battaglini, C. L., Hackney, A. C., Garcia, R., Groff, D., Evans, E., & Shea, T. (2009). The effects of an exerciseprogram in leukemia patients. Integrative Cancer Therapies, 8(2), 130-138.
    DOI: 10.1177/1534735409334266.
  21. Integrative Pain Medicine: The Science and Practice of Complementary and Alternative Medicine in Pain Management
    -Audett, J. F., & Bailey, A. (2008). NY: Humana Press. ISBN #: 1588297861.
  22. Oxford Handbook of Complementary Medicine 
    Ernst, E., Pittler, M. H., Wider, B., & Broddy, K. (2008). NY: Oxford University Press. ISBN: 978-0199206773      
  23. Barnes, P. M., Bloom, B., & Nahin, R. L. (2008). Complementary and alternative medicine use among adults and children: United States, 2007. National Health Statistics Reports, 12. 
  24. Kwekkeboom, K. L., Wanta, B., & Bumpus, M. (2008). Individual difference variables and the effects ofprogressive muscle relaxation and analgesic imagery interventions on cancer pain. Journal of Pain and Symptom Management, 36(6), 604-615.      
    DOI: 10.1016/j.jpainsymman.2007.12.011.
  25. Kreitzer, M. J., Mann, D., & Lumpkin M. (2008). CAM competencies for the health professions. Complementary Health Practice Review, 13(1), 63-72.       DOI: 10.1177/1533210107310165.
  26. Bauer-Wu, S., Sullivan, A. M., Rosenbaum, E., Ott, M. J., Powell, M., McLoughlin, M., & Healey, M. (2008).Facing the challenges of hematopoiectic stem cell transplantation with mindfulness meditation: A pilot study. Integrative Cancer Therapies, 7(2), 62-69.      
    DOI: 10.1177/1534735408319068.
  27. ewitch, M. J., Cepoiu, M., Rigillo, N., & Sproule, D. (2008). A literature review of health care professional attitudes toward complementary and alternative medicine. Complementary Health Practice Review, 13, 139-154.               
    DOI: 10.1177/1533210108325549.
  28. Enhancing Cancer Care: Complementary Therapy and Support
    Barraclough, J (Ed.). (2007). NY: Oxford University Press. ISBN: 978-0199297559.             
  29. Verhoef, M. J., Mulkins, A., Carlson, L. E., Hilsden, R. J., & Kania, A. (2007). Assessing the role of evidence in patients’ evaluation of complementary therapies: A Quality Study. Integrative Cancer Therapies, 6(4), 345-353. DOI: 10.1177/1534735407309482.
  30. Schneider, C. M., Hsieh, C. C., Sprod, L. K., Carter, S. D., & Hayward, R. (2007). Exercise training manages cardiopulmonary function and fatigue during and following cancer treatment in male cancer survivors. Integrative Cancer Therapies, 6(3), 235-241.            DOI: 10.1177/1534735407305871.
  31. Tsang, K. L., Carlson, L. E., & Olson, K. (2007). Pilot crossover trial of Reiki versus rest for treating cancer-related fatigue. Integrative Cancer Therapies, 6(1), 25-35.              DOI: 10.1177/1534735406298986.
  32. Sood, A., Barton, D. L., Bauer, B. A., & Loprinzi, C. L. (2007). A critical review of complementary therapies for cancer-related fatigue. Integrative Cancer Therapies, 6(1), 8-13.            
    DOI: 10.1177/1534735406298143.
  33. Psychosocial Nursing Care Along the Cancer Continuum, 2nd Edition
      - Carroll-Johnson, R. M., Gorman, L. M., & Bush, N.J.
        (2006). PA: Oncology Nursing Society
      - Chapter 32: Complementary and Alternative
         Medicine: Moving Toward Integrative Cancer Care 
  34. Nurses Herbal Medicine Handbook, 3rd Edition
      - Webb, S.  (2005). NY: Lippincott, Williams &
          Wilkins. ISBN #: 158255417.
  35. Menzies, V., Taylor, G., & Bourguignon, C. (2006). Effects of guided imagery on outcomes of pain, functional status, and self-efficacy in persons diagnosed with fibromyalgia. The Journal of Alternative and Complementary Medicine, 12(1), 23-30.
  36. Wright, L. D. (2005). The use of motion sickness bands to control nausea and vomiting in a group of hospicepatients. American Journal of Hospice & Palliative Medicine, 22(1), 49-53.
    DOI: 10.1177/104990910502200111.
  37. Woods, D. L. Craven, R. F., & Witney, J. (2005). The effect of therapeutic touch on behavioral symptoms of persons with dementia. Alternative Therapies in Health and Medicine, 11(1), 66-74.  
  38. Roffe, L, Schmidt, K., & Ernst, E. (2005). A systematic review of guided imagery as an adjuvant cancer therapy.Psycho-Oncology, 14, 607-617.         DOI: 10.1002/pon.889.
  39. Tsao, J. C. I. & Zeltzer, L. K. (2005). Complementary and alternative medicine approaches for pediatric pain: A review of the state-of-the-science. eCAM, 2(2), 149-159. DOI: 10.1093/ecam/neh092. 
  40. Deng, G., Cassileth, B. R. (2005). Integrative oncology: Complementary therapies for pain, anxiety, and mood disturbance. CA: A Cancer Journal for Clinicians, 55(2), 109-116.
    DOI: 10.3322/canjclin.55.2.109.
  41. Cassileth, B. R., & Vickers, A. J. (2004). Massage therapy for symptom control: Outcome study at a major cancer center. Journal of Pain and Symptom Management, 28(3), 244-249.
    DOI: 10.1016/j.jpainsymman.2003.12.016.
  42. Vickers, A. J., Straus, D. J., Fearon, B., & Cassileth, B. R. (2004). Acupuncture for postchemotherapy fatigue: A phase II study. Journal of Clinical Oncology, 22(9), 1731-1735. DOI: 10.1200/JCO.2004.04.102.
  43. Cassileth, B. R., & Deng, G. (2004). Complementary and alternative therapies for cancer. The Oncologist, 9, 80-89. 
  44. Barnes, P. M., Powell-Griner, E, McFann, K., & Nahin, R. L. (2004). Complementary and alternative medicine use among adults: United States, 2002. Advance Data from Vital Health Statistics, 343. DOI: 10.1016/j.sigm.2004.07.003.
  45. Hilliard, R. E. (2003). Music therapy in pediatric palliative care: Complementing the interdisciplinary approach. Journal of Palliative Care, 19(2), 127-132.
  46. Walach, H., Güthlin, C., & König, M. (2003). Efficacy of massage therapy in chronic pain: A pragmatic randomized trial. The Journal of Alternative and Complementary Medicine, 9(6), 837-846. 
  47. Tsai, J-C, Wang, W-H, Chan, P., Lin, L-J, Wang, C-H, Tomlinson, B., et al. (2003). The beneficial effects of Tai Chi Chuan on blood pressure and lipid profile and anxiety status in a randomized controlled trial. The Journal of Alternative and Complementary Medicine, 9(5), p. 747-754. 
  48. Women and Pain: Why It Hurts and What You Can Do
     - Young, M. & Baar, K. (2002). NY: Hyperion.  ISBN
        #: 078688679.
    Especially Chapter 14: Foods That Heal, Chapter 15:
        Manual Muscle Strategies, Chapter 16: Natures
         Remedies, Chapter 17: Exercise for Relief and
         Prevention, Chapter 18: Mind-Body Therapies,
         Chapter 19: Acupuncture and Reflexology
  49. Choices in Healing: Integrating the Best of Conventional Complementary Approaches to Cancer
    -Lerner, M. (1996).  MA: The MIT Press. ISBN #:

       Educational Materials/Curriculum

  1. Academy for Guided Imagery
    Interactive guided imagery self paced audio/video/DVD study course. 
  2. Coping Skills for Bone Marrow Transplantation and Relaxation and Imagery  
    This handbook identifies and explains coping skills for Bone Marrow Transplantation, including relaxation and imagery. The accompanying CD focuses on relaxation and imagery with a theme of increasing comfort during treatment.  
  3. Core Curriculum for Holistic Nursing  - American Holistic Nurses Association  
    Nurses are increasingly aware of the need to blend technology, mind, and spirit in creating optimal circumstances for healing. Barbara Dossey, a pioneer and leader in the field, has created a core curriculum that will provide a blueprint for what it means to be a holistic nurse.       
  4. ECaP (Exceptional Cancer Patients) 
    Bernie Siegel, MD started ECaP more than 3 decades ago. ECaP uses Carefrontation which helps patients interpret their drawings, dreams and images to express their feelings about the healing process. The physical, spiritual, and psychological benefits that emerge strengthen the immune system, a direct response to the power of the Mind-Body Connection. There are also has a listing of Dr. Siegel’s articles and books and a blog post where he answers patients questions.
  5. Fast Facts and Concepts – Palliative Care Network of Wisconsin (PCNOW)    
             For a complete listing of Fast Facts 
             - Guided Imagery for Anxiety #211

             - Insomnia: Non-pharmacologic Treatments #104
             - Music Therapy #108

  6. Treatment Guidelines - American Cancer Society (ACS) 
              -     Complementary and Alternative Methods and


          Other Organizational Links
          Academic Consortium for Complementary &

Health Care
         American Academy of Medical Acupuncture

         American Art Therapy Association 

         American Holistic Nurses Association
         American Music Therapy Association

         Andrew Weil, MD - What is Integrative Medicine  

         Arizona Center for Integrative Medicine  

         Association for Applied and Therapeutic Humor 

         Complementary and Alternative Medicine ~ American
       Cancer Society

         Complementary and Alternative Medicine ~ Merck
         Complementary and Alternative Medicine ~ National
      Cancer Institute: 

         Healing Beyond Borders

         National Center for Complementary and

         NIH Senior Health Complementary Health Approaches

         Office of Cancer Complementary & Alternative Medicine

         Simonton Cancer Center

         The Center for Health & Healing

      Key References

  1. Complementary Pain Management Information
    Complementary Pain Management Bibliography      
  2. Complementary Pain Management Resource List             
      -Music as Medicine Bibliography

      Position Statements/Standards

  1. American Holistic Nurses Association (AHNA) 
    -Position Statements    
  2. California Board of Registered Nursing
    -Complementary and Alternative Therapies in Registered Nursing Practice      
  3. Hospice and Palliative Nurses Associates (HPNA)
    -Complementary Therapies in Palliative Care Nursing Practice
  4. Oncology Nursing Society 
    -Complementary and Alternative Therapies in Cancer Care  



Image result for city of hope