| Managing pain from advanced cancer in the palliative care setting. | |
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MedLine Citation:
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PMID: 18676325 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Managing complex pain at the end of life is an essential aspect of palliative care. Such care is best guided by a comprehensive evaluation of the physiologic sources of pain to determine appropriate analgesia. Using the case of Mrs. J, a woman with advanced ovarian cancer, key principles of complex pain management at the end of life are reviewed, including optimum use of opioids and co-analgesics. In addition to physical assessment, total care of the patient and family facing imminent death should be based on an assessment of psychological, social, and spiritual factors. The assessment and management of pain and suffering are guided by an interdisciplinary team focused on goals of comfort and facilitating a death that respects the life of the patient who is dying. |
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Authors:
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Betty Ferrell; Michael H Levy; Judith Paice |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Clinical journal of oncology nursing Volume: 12 ISSN: 1092-1095 ISO Abbreviation: Clin J Oncol Nurs Publication Date: 2008 Aug |
Date Detail:
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Created Date: 2008-08-04 Completed Date: 2008-10-31 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9705336 Medline TA: Clin J Oncol Nurs Country: United States |
Other Details:
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Languages: eng Pagination: 575-81 Citation Subset: N |
Affiliation:
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City of Hope National Medical Center, Duarte, CA, USA. bferrell@coh.org |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Analgesia
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methods*,
nursing Analgesics, Opioid / therapeutic use Anti-Inflammatory Agents / therapeutic use Antidepressive Agents, Tricyclic / therapeutic use Drug Therapy, Combination Female Holistic Health Humans Internet Middle Aged Nursing Assessment Oncologic Nursing / methods* Ovarian Neoplasms / complications* Pain / diagnosis, etiology, psychology, therapy* Pain Measurement / methods, nursing Palliative Care / methods* Patient Care Planning Patient Care Team / organization & administration Patient Selection Practice Guidelines as Topic Severity of Illness Index Spirituality Therapeutic Equivalency |
| Chemical | |
Reg. No./Substance:
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0/Analgesics, Opioid; 0/Anti-Inflammatory Agents; 0/Antidepressive Agents, Tricyclic |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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