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Analgesia and Pain Management01:25

Analgesia and Pain Management

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Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
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Cancer02:18

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The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
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Treatment Resistant Cancers02:56

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Cancer Therapies02:49

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Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
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A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery
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Cancer Pain Management in Developing Countries.

Shalini Saini1, Sushma Bhatnagar2

  • 1Department of Anesthesiology, BLK Super Speciality Hospital, New Delhi, India.

Indian Journal of Palliative Care
|November 3, 2016
PubMed
Summary
This summary is machine-generated.

Cancer pain management is crucial, especially in developing nations where late diagnoses and limited access to care worsen outcomes. Addressing barriers to palliative care, including knowledge gaps and opioid access, is vital for improving patient comfort and quality of life.

Keywords:
Cancer painDeveloping countriesOpioidPalliative care

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Area of Science:

  • Oncology
  • Palliative Care
  • Global Health

Background:

  • Over 60% of new cancer cases in 2012 were in developing regions, leading to poorer survival rates due to late diagnosis and treatment access issues.
  • Cancer pain affects 70-80% of patients in advanced stages, exacerbated by poverty, illiteracy, and social stigma.
  • The global demand for palliative care is rising due to aging populations and increasing cancer incidence, highlighting a significant service gap.

Approach:

  • This analysis focuses on the critical need for effective symptom management and comfort care in advanced cancer.
  • It identifies key barriers to adequate pain relief, including physician and patient knowledge deficits.
  • The review also addresses challenges in the supply, procurement, and dispensing of essential pain-relief medications like opioids.

Key Points:

  • Late-stage cancer diagnosis and limited treatment access in developing countries contribute to poor survival rates.
  • Pain is a prevalent and severe symptom in advanced cancer, significantly impacting patient quality of life.
  • Barriers to palliative care include insufficient knowledge, drug accessibility issues, bureaucratic hurdles, poverty, and illiteracy.

Conclusions:

  • Improving palliative care is a major global health priority requiring immediate attention.
  • Addressing the gap between palliative care demand and services is essential for managing cancer symptoms effectively.
  • Overcoming barriers to pain management, particularly in resource-limited settings, is crucial for enhancing patient comfort and care.