Cancer pain: part 1: Pathophysiology; oncological, pharmacological, and psychological treatments: a perspective from the British Pain Society endorsed by the UK Association of Palliative Medicine and the Royal College of General Practitioners.

نویسندگان

  • Jon Raphael
  • Sam Ahmedzai
  • Joan Hester
  • Catherine Urch
  • Janette Barrie
  • John Williams
  • Paul Farquhar-Smith
  • Marie Fallon
  • Peter Hoskin
  • Karen Robb
  • Michael I Bennett
  • Rebecca Haines
  • Martin Johnson
  • Arun Bhaskar
  • Sam Chong
  • Rui Duarte
  • Elizabeth Sparkes
چکیده

OBJECTIVE This discussion document about the management of cancer pain is written from the pain specialists' perspective in order to provoke thought and interest in a multimodal approach to the management of cancer pain, not just towards the end of life, but pain at diagnosis, as a consequence of cancer therapies, and in cancer survivors. It relates the science of pain to the clinical setting and explains the role of psychological, physical, interventional and complementary therapies in cancer pain. METHODS This document has been produced by a consensus group of relevant health care professionals in the United Kingdom and patients' representatives making reference to the current body of evidence relating to cancer pain. In the first of two parts, pathophysiology, oncological, pharmacological, and psychological treatment are considered. CONCLUSIONS It is recognized that the World Health Organization (WHO) analgesic ladder, while providing relief of cancer pain towards the end of life for many sufferers worldwide, may have limitations in the context of longer survival and increasing disease complexity. To complement this, it is suggested that a more comprehensive model of managing cancer pain is needed that is mechanism-based and multimodal, using combination therapies including interventions where appropriate, tailored to the needs of an individual, with the aim to optimize pain relief with minimization of adverse effects.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

PALLIATIVE CARE SECTION Cancer Pain: Part 1: Pathophysiology; Oncological, Pharmacological, and Psychological Treatments: A Perspective from the British Pain Society Endorsed by the UK Association of Palliative Medicine and the Royal College of General Practitioners

Objective. This discussion document about the management of cancer pain is written from the pain specialists’ perspective in order to provoke thought and interest in a multimodal approach to the management of cancer pain, not just towards the end of life, but pain at diagnosis, as a consequence of cancer therapies, and in cancer survivors. It relates the science of pain to the clinical setting ...

متن کامل

Cancer pain: part 2: physical, interventional and complimentary therapies; management in the community; acute, treatment-related and complex cancer pain: a perspective from the British Pain Society endorsed by the UK Association of Palliative Medicine and the Royal College of General Practitioners.

OBJECTIVE This discussion document about the management of cancer pain is written from the pain specialists' perspective in order to provoke thought and interest in a multimodal approach to the management of cancer pain, not just towards the end of life, but pain at diagnosis, as a consequence of cancer therapies, and in cancer survivors. It relates the science of pain to the clinical setting a...

متن کامل

مراقبت تسکینی از درد در سرطان: تحلیل محتوا

 Aim and Background : Cancer patients require palliative care for reduction of their pain. The purpose of this study was identifying perception of nurses from palliative care of pain in cancer. Methods and Materials : This study done with qualitative approach and using content analysis method. In this study, 15 nurses were selected through purposive sampling and face- to- face interviewed with ...

متن کامل

Psychological Factors effect on feedback to pain and chronic low back pain treatments: confrontation or withdrawal of pain?

 Aims and background: Back pain is one of the most common health problems. Dysfunctions and inability due to pain, make serious troubles for patient, the family and the society. If the treatments have not been effective, the damages would increase. The main goal of this study was to investigate effects of psychological factors on feedback to pain and its treatment in patients with chronic back ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • Pain medicine

دوره 11 5  شماره 

صفحات  -

تاریخ انتشار 2010