[Cancer pain, a challenge for the nurse's own role]. / La douleur cancéreuse, un enjeu pour le rôle propre infirmier.

Because of its many specific features, cancer pain requires special management and a sound knowledge base. This article aims to take a fresh look at this type of pain, and share some of the elements that make it so specific. It also aims to provide a reminder of what cancer pain is, as well as clarifying the specific role of the state-registered nurse in its management.

[Development of pain resource nurses: towards a national cooperation protocol]. / Évolution des infirmiers ressource douleur : vers un protocole de coopération national.

Improving access to specialized pain management centers for the 20% of French people suffering from chronic pain is a major challenge for our healthcare system. Less than 3% of these people receive appropriate care in one of the Chronic Pain Centers (SDC) in France. The current care offer is therefore not sufficient despite the constant increase in the number of SDC. Recognition of the expertise of Pain Resource Nurses (IRD) working in these structures and the delegation of protocolized activities would be one possible response to improve access to care and the quality of care for chronic pain patients by freeing up medical time for the care of new patients.

Physical Activity as the Best Supportive Care in Cancer: The Clinician's and the Researcher's Perspectives.

Multidisciplinary supportive care, integrating the dimensions of exercise alongside oncological treatments, is now regarded as a new paradigm to improve patient survival and quality of life. Its impact is important on the factors that control tumor development, such as the immune system, inflammation, tissue perfusion, hypoxia, insulin resistance, metabolism, glucocorticoid levels, and cachexia. An increasing amount of research has been published in the last years on the effects of physical activity within the framework of oncology, marking the appearance of a new medical field, commonly known as "exercise oncology". This emerging research field is trying to determine the biological mechanisms by which, aerobic exercise affects the incidence of cancer, the progression and/or the appearance of metastases. We propose an overview of the current state of the art physical exercise interventions in the management of cancer patients, including a pragmatic perspective with tips for routine practice. We then develop the emerging mechanistic views about physical exercise and their potential clinical applications. Moving toward a more personalized, integrated, patient-centered, and multidisciplinary management, by trying to understand the different interactions between the cancer and the host, as well as the impact of the disease and the treatments on the different organs, this seems to be the most promising method to improve the care of cancer patients.