[Pain treatment in cancer patients.].

Der Schmerz
R Twycross

Abstract

Freedom from cancer pain is one of the four priorities of the WHO Cancer Control Programme. Every day 3.5 million people are suffering from cancer pain, and most do not receive adequate relief. A lack of training in cancer pain management at most nursing and medical schools is the principal reason for this, coupled with limited availability of oral strong opioids in many countries. Education is the key to progress in cancer pain management. Health workers must appreciate that: 1. Attention must be paid to all aspects of suffering -physical, psychological, social and spiritual. 2. In advanced cancer, most patients with pain have multiple pain. 3. Pain experienced in carcinoma is not always caused by the tumour. 4. There is more to pain management than the use of analgesics. 5. In the case of opioid-responsive pains, analgesics should be administered by mouth according to a regular time-schedule and with dose increments. 6. Adjuvant medication is generally necessary. 7. Opioid-resistant pains require other forms of treatment. 8. Pain is the physiological antagonist to the central depressant effects of opioids. 9. Opioid tolerance is not a problem in practice. 10. Psychological dependence does not occur in patients receiving opioi...Continue Reading

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Citations

Dec 1, 1994·Der Schmerz·R FreynhagenM Strumpf
Jun 1, 1991·Der Schmerz·B Kossmann, U Thoden
Dec 1, 1993·Der Schmerz·H Seemann
Mar 1, 1991·Der Schmerz·M Zenz
Sep 1, 1993·Der Schmerz·H W StriebelN Boerger
Sep 1, 1996·Journal of Neurosurgery·M Winkelmüller, W Winkelmüller
Mar 1, 1993·Journal of the American Academy of Child and Adolescent Psychiatry·B Pfefferbaum, C A Hagberg
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Feb 23, 2002·Complementary Therapies in Nursing & Midwifery·N Kanji
Jul 1, 1993·Pain·W M O'Neill, J S Sherrard
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Jul 1, 1996·The Journal of Social Issues·N I Cherny
May 21, 2005·Journal of Pain and Symptom Management·Andrew Broadbent, Paul Glare
Mar 9, 2002·The American Journal of Hospice & Palliative Care·M WebbL A Mason
Apr 1, 1996·Palliative Medicine·S H DrummondP A Keefe
Jan 1, 1995·Palliative Medicine·S RedmanD Hennrikus
Apr 25, 2002·British Journal of Community Nursing·D Latham

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