II. Approach: Goals of Cancer Pain Management

  1. Overall Strategy
    1. Palliative Care is active treatment, not passive
  2. Approach
    1. Identify the cause of pain
    2. Prevent the pain from recurring
    3. Erase the memory of the pain
    4. Maintain a clear sensorium and normal affect

III. Pathophysiology: Cancer Pain

  1. Address all components to achieve effective management
  2. Components
    1. Physical (biological) component 25%
    2. Psychological (emotional) component 25%
    3. Social Component 25%
    4. Spiritual Component 25%

IV. Symptoms

  1. Use a systematic approach to defining severity of pain (consistently use the same scale or assessment tools)
    1. See Pain Scale
    2. See Pain Assessment in Advanced Dementia Scale
  2. Characterize the pain types and source
    1. Somatic Pain (aching or gnawing pain)
    2. Visceral Pain (cramping or shifting pain)
    3. Neuropathic pain (burning, shooting or shock-like pain)
  3. Distinguish pain related to terminal illness (e.g. Cancer Pain) from Chronic Pain from other cause (non-malignant)
    1. Treat Chronic Pain with focus on improving quality of life (but differentiating from the terminal illness related pain)

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Ontology: Cancer pain (C0596240)

Definition (CSP) somewhat localized sensation of discomfort, distress or agony resulting from the stimulation of specialized nerve endings in the process of cancer growth, or from cancer therapy.
Concepts Sign or Symptom (T184)
Italian Dolore da cancro
Japanese 癌疼痛, ガントウツウ
Czech Rakovinová bolest
English cancer pain, Cancer pain
Hungarian Rákos fájdalom
Portuguese Dor Cancroosa
Spanish Dolor canceroso
Dutch kankerpijn
French Douleur cancéreuse
German Krebsschmerzen