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: Pathophysiology of Cancer Cell Death Environmental Factors Oncology and Health Care Policy Cancer Pharmacology Infection in the Patient with Cancer Superior Vena Cava Syndrome 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: Pathophysiology of Cancer Cell Death Environmental Factors Oncology and Health Care Policy Cancer Pharmacology Infection in the Patient with Cancer Superior Vena Cava Syndrome 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
