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Managing pain in the dying patient.

P S Whitecar1, A P Jonas, M E Clasen

  • 1Wright State University School of Medicine, Dayton, Ohio, USA.

American Family Physician
|March 1, 2000
PubMed
Summary

Family physicians can effectively manage end-of-life pain in dying patients using analgesics and other medications. Addressing fears surrounding pain management is crucial for successful treatment and improving patient comfort.

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Area of Science:

  • Palliative Care
  • Family Medicine
  • Pain Management

Background:

  • End-of-life care presents complex challenges for family physicians.
  • Significant pain is prevalent in dying patients and frequently undertreated.
  • Available medications and technology are often underutilized for pain relief.

Purpose of the Study:

  • To outline effective strategies for pain management in end-of-life care.
  • To emphasize the role of family physicians in alleviating patient suffering.
  • To address barriers to adequate pain control, including fear of analgesics.

Main Methods:

  • Implementing appropriate pain assessment protocols.
  • Adhering to established guidelines for analgesic use.
  • Utilizing a multimodal approach including pharmacologic and non-pharmacologic interventions.

Main Results:

  • Successful pain relief can be achieved in nearly 90% of dying patients.
  • Anticonvulsants show particular efficacy in managing neuropathic pain.
  • Prompt management of medication side effects is essential for maintaining pain control.

Conclusions:

  • Family physicians can successfully manage end-of-life pain through guideline-adherent analgesic use.
  • Overcoming fears associated with narcotic analgesics is vital for effective pain management.
  • A team approach, incorporating home visits, optimizes holistic care for dying patients.

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