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Cancer Pain
Aka: Cancer Pain, Pain in Terminally Ill Patients
- See also
- Cancer Pain Management
- Cancer Pain Medications
- Cancer Pain Narcotics
- Goals of Cancer Pain Management
- Overall Strategy
- Palliative Care is active treatment, not passive
- Approach
- Identify the cause of pain
- Prevent the pain from recurring
- Erase the memory of the pain
- Maintain a clear sensorium and normal affect
- Pathophysiology: Cancer Pain
- Address all components to achieve effective management
- Components
- Physical (biological) component 25%
- Psychological (emotional) component 25%
- Social Component 25%
- Spiritual Component 25%
- Symptoms
- Use a systematic approach to defining severity of pain
- See Pain Scale
- See Pain Assessment in Advanced Dementia Scale
- Characterize the pain types and source (e.g. Neuropathic pain, Bone pain, Non-malignant pain)
- References
- Abrahm (1999) Ann Intern Med 131:37-46
- Cherny (2000) CA Cancer J Clin 50(2):70-116
- Levy (1996) N Engl J Med 335:1124-32
- Miller (2001) Am Fam Physician 64(7):1227-34