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Palliative Care in the Home$
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Derek Doyle and David Jeffrey

Print publication date: 2000

Print ISBN-13: 9780192632272

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780192632272.001.0001

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Pain palliation

Pain palliation

Chapter:
(p.52) 3 Pain palliation
Source:
Palliative Care in the Home
Author(s):

Derek Doyle

David Jeffrey

Kenneth Calman

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780192632272.003.0003

Most of the patients suffering from cancer believe that pain is an inevitable consequence of their disease and diagnostics. Although pain is one of the most common symptoms particularly in patients with advanced cancer, it can be managed by implementing simple guidelines. However, some doctors fail to address the suffering of the patients even when effective analgesics exist. This chapter focuses on pain palliation. It begins with the principles of pain and the two broad types of cancer pain: nociceptive and neuropathic. The latter sections of the chapter focus on cancer pain management, with an emphasis on the principles of the analgesic ladder, including the application of these to the palliation of bone pain, visceral pain, and neuropathic pain. The chapter ends with the non-drug methods of analgesia and the necessary approach needed to be undertaken by the multidisciplinary team in providing the best pain palliation.

Keywords:   pain, cancer, pain palliation, analgesics, nociceptive pain, neuropathic pain, pain management, analgesic ladder, non-drug methods

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