Chapter

Pain palliation

Derek Doyle, David Jeffrey and Kenneth Calman

in Palliative Care in the Home

Published in print October 2000 | ISBN: 9780192632272
Published online November 2011 | e-ISBN: 9780191730245 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780192632272.003.0003
Pain palliation

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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

Chapter.  4553 words.  Illustrated.

Subjects: Palliative Medicine

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