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Related Experiment Videos

Cancer pain management. Current strategy

N I Cherny1, R K Portenoy

  • 1Department of Neurology, Memorial Sloan Kettering Cancer Center, New York, New York 10021.

Cancer
|December 1, 1993
PubMed
Summary
This summary is machine-generated.

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Effective cancer pain management relies on a comprehensive strategy, including patient assessment and pharmacotherapy. Skilled application can relieve most pain, with specialists available for refractory cases.

Area of Science:

  • Oncology
  • Pain Management
  • Palliative Care

Background:

  • Cancer pain is a prevalent symptom significantly impacting patient quality of life.
  • Current clinical practice often results in suboptimal cancer pain management due to inadequate oncologist preparation.
  • A widely accepted strategy exists but requires skilled implementation for optimal outcomes.

Purpose of the Study:

  • To describe a comprehensive strategy for effective cancer pain management.
  • To outline key elements including patient assessment, pharmacotherapy, and advanced interventions.
  • To address challenges in managing refractory cancer pain.

Main Methods:

  • Detailed description of a multi-faceted pain management strategy.
  • Emphasis on patient assessment, primary therapies, and systemic analgesics (nonopioids and opioids).

Related Experiment Videos

  • Exploration of opioid pharmacotherapy practicalities: drug selection, dosing, administration routes, titration, and side effect management.
  • Inclusion of noninvasive (adjuvant analgesics, psychological therapies, physiatric techniques) and invasive interventions (intraspinal opioids, neural blockade, neuroablative techniques).
  • Discussion of sedation for refractory pain and the role of pain management specialists.

    • Main Results:

    • A well-implemented strategy can provide adequate pain relief for the majority of cancer patients.
    • Systemic pharmacotherapy is often sufficient for achieving pain control.
    • Specialized interventions and expert consultation are crucial for managing refractory pain.

    Conclusions:

    • Skilled application of the described pain management strategy is effective for most cancer patients.
    • Systemic pharmacotherapy alone can resolve pain in many cases.
    • Patients with refractory pain benefit from consultation with pain management or palliative medicine specialists.