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Pain relief in terminally ill patients
1Mayo Medical School, Rochester, Minnesota.
American Family Physician
|December 1, 1989
Summary
Effective cancer pain management involves identifying pain causes and using appropriate medications. Mild to moderate pain responds to NSAIDs, while severe pain requires morphine, with adjuvant drugs aiding treatment and managing side effects.
Area of Science:
- Oncology
- Pain Management
- Pharmacology
Background:
- Cancer pain is a significant issue impacting patient quality of life.
- Effective pain management requires a systematic approach to diagnosis and treatment.
Purpose of the Study:
- To outline a rational approach to cancer pain management.
- To discuss the appropriate use of analgesics and adjuvant drugs.
Main Methods:
- Review of current pharmacologic strategies for cancer pain.
- Discussion of drug classes including NSAIDs, opioids, and adjuvants.
Main Results:
- Non-opioid analgesics like aspirin, acetaminophen, and NSAIDs are effective for mild to moderate cancer pain.
- Morphine is the preferred agent for severe cancer pain.
- Adjuvant medications can enhance opioid efficacy and manage treatment side effects.
Conclusions:
- A systematic approach to pain assessment and rational pharmacotherapy is crucial for effective cancer pain relief.
- Pharmacologic interventions, including opioids and adjuvant drugs, can significantly improve the quality of life for cancer patients.
- Ensuring a peaceful death with dignity is paramount for terminally ill patients.