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Jul 25, 2016 · Two systematic reviews with meta-analyses evaluating the effectiveness of psychosocial interventions including patient education, relaxation, guided imagery, meditation or hypnosis, and supportive group therapy on pain in patients with cancer and cancer survivors 52,53 found a statistically significant overall effect for the interventions.
- Pain Management for Patients With Advanced Cancer in the ...
We review the necessary components for adequately managing...
- Pain Management for Patients With Advanced Cancer in the ...
Recent developments in oncology have helped to better control pain. Targeted treatments may cure cancer disease and significantly increase survival. Therefore, a novel population of patients (cancer survivors) has emerged, also enduring chronic pain (27.6% moderate to severe pain).
Management of pain requires an interdisciplinary approach that includes pharmacologic treatments (both nonopioid and opioid drugs depending on the severity), physical therapy, and psychotherapy. There is moderate evidence that acupuncture can be used to manage general cancer pain or chronic musculoskeletal pain.
Surgical or oncological treatment of cancer can be effective in controlling cancer-related pain but can also be the cause of pain. About 10% of cancer patients have pain that is difficult to manage with oral or parenteral analgesic drugs.
- M Fallon, R Giusti, F Aielli, P Hoskin, R Rolke, M Sharma, C I Ripamonti
- 2018
- Diagnosis
- Risks
- Prevention
- Treatment
- Side effects
Reluctance of doctors to ask about pain or offer treatments. Health care professionals should ask people with cancer about pain at every visit. Some doctors don't know enough about pain treatment. In that case, request a referral to a pain specialist.
Given current concerns about opioid use and abuse, many doctors might be reluctant to prescribe these medications. Maintaining a close working relationship with your cancer specialists is essential to proper use of these medications. Fear of addiction. If you take medications when you're not in pain or to get high, then the chance of developing add...
You might develop a tolerance for your pain medication, which means you might need a higher dose to control your pain. Tolerance isn't addiction. If your medication isn't working as well as it once did, talk to your doctor about a higher dose or a different drug. Don't increase the dose on your own.
Strong pain medications. One of the common side effects of opioids is constipation. It can be treated with stool softeners and laxatives recommended by your doctor. Preventing constipation is easier than treating it, so before you start taking opioids ask your doctor what you should take to keep your bowels moving.
Other side effects of strong pain medications include nausea, vomiting and drowsiness. These commonly occur with the first several doses and go away after a few days of taking the medication.
Dec 23, 2022 · This topic review discusses a diverse group of noninvasive, nonpharmacologic therapies that are widely used as adjuncts to opioid therapy for patients with cancer pain. Included are the so called integrative (complementary) approaches and rehabilitative therapies that employ physical medicine techniques for analgesic purposes.
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May 17, 2019 · We review the necessary components for adequately managing pain in cancer patients and propose practical recommendations for: (1) the screening of all patients with cancer who require opioid therapy; (2) subsequent monitoring of patients depending on their risk of NMOU; and (3) when to initiate specialty referral to interdisciplinary supportive ...
