Chapter 40 Cancer-Related Pain Stuart A. Grossman and Suzanne Nesbit Summary of Key Points Major Presenting Symptom of Malignancies • Cancer pain affects more than 30% of patients undergoing antineoplastic therapy. • Moderate to severe pain occurs in more than 70% of patients during the later phases of their illness. • Cancer pain significantly affects quality of life. • Cancer pain is frequently managed poorly. Etiology of Complication • Cancer pain can be of nociceptive, neuropathic, or sympathetically maintained origin. • Cancer pain can be a result of direct tumor involvement (70%), evaluation or therapy (20%), or illness unrelated to the malignancy (<10%). Evaluation of the Patient • Determining the etiology of pain is key to appropriate therapy. • Pain should be treated aggressively during evaluation. • The pain should be fully evaluated using a careful history, physical examination, and selected laboratory tests. Grading of the Complication • Measurements of pain intensity should be performed with use of validated pain assessment scales. • Results should be recorded serially as an integral part of the medical record. Treatment • In 85% of patients, pain can be well palliated using simple, inexpensive, “low-technology,” oral analgesics. Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: Imaging Disorders of Blood Cell Production in Clinical Oncology Neurologic Complications Diseases of the Pleura and Mediastinum Carcinoma of Unknown Primary Adult T-Cell Leukemia-Lymphoma Stay updated, free articles. Join our Telegram channel Join Tags: Abeloffs Clinical Oncology Review Jun 13, 2016 | Posted by admin in ONCOLOGY | Comments Off on Cancer-Related Pain Full access? Get Clinical Tree
Chapter 40 Cancer-Related Pain Stuart A. Grossman and Suzanne Nesbit Summary of Key Points Major Presenting Symptom of Malignancies • Cancer pain affects more than 30% of patients undergoing antineoplastic therapy. • Moderate to severe pain occurs in more than 70% of patients during the later phases of their illness. • Cancer pain significantly affects quality of life. • Cancer pain is frequently managed poorly. Etiology of Complication • Cancer pain can be of nociceptive, neuropathic, or sympathetically maintained origin. • Cancer pain can be a result of direct tumor involvement (70%), evaluation or therapy (20%), or illness unrelated to the malignancy (<10%). Evaluation of the Patient • Determining the etiology of pain is key to appropriate therapy. • Pain should be treated aggressively during evaluation. • The pain should be fully evaluated using a careful history, physical examination, and selected laboratory tests. Grading of the Complication • Measurements of pain intensity should be performed with use of validated pain assessment scales. • Results should be recorded serially as an integral part of the medical record. Treatment • In 85% of patients, pain can be well palliated using simple, inexpensive, “low-technology,” oral analgesics. Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: Imaging Disorders of Blood Cell Production in Clinical Oncology Neurologic Complications Diseases of the Pleura and Mediastinum Carcinoma of Unknown Primary Adult T-Cell Leukemia-Lymphoma Stay updated, free articles. Join our Telegram channel Join Tags: Abeloffs Clinical Oncology Review Jun 13, 2016 | Posted by admin in ONCOLOGY | Comments Off on Cancer-Related Pain Full access? Get Clinical Tree
