Chronic pain: Challenges in the assessment and management of cancer pain Journal Article


Author: Payne, R.
Article Title: Chronic pain: Challenges in the assessment and management of cancer pain
Abstract: Assessing and managing pain while caring for the whole patient is a challenge for physicians. Barriers to pain management include clinician- , patient- , and health system-related issues. The traditional model of care is focused on disease-specific treatments. If these treatments fail, the focus shifts to palliation. A new model of care integrates disease-specific treatments with palliative care and rehabilitation. This model includes prevention and treatment of suffering. An essential element of this model is evaluation of the patient's concerns about the future and fear. Treating patient pain with quality pain management and palliative care involves a holistic pain assessment and management strategy. Copyright (C) 2000 U.S. Cancer Pain Relief Committee.
Keywords: case report; conference paper; neoplasms; palliative care; pain; opiate; palliative therapy; cancer pain; models, theoretical; chronic disease; paracetamol; nonsteroid antiinflammatory agent; chronic pain; opioids; morphine; alprazolam; hydromorphone; analgesia; analgesic agent; oxycodone; codeine; amitriptyline; anesthetic agent; acute pain; n methyl dextro aspartic acid receptor blocking agent; cancer; humans; human; dextromethorphan
Journal Title: Journal of Pain and Symptom Management
Volume: 19
Issue: 1 Suppl.
ISSN: 0885-3924
Publisher: Elsevier Inc.  
Date Published: 2000-01-01
Start Page: S12
End Page: S15
Language: English
DOI: 10.1016/s0885-3924(99)00123-2
PUBMED: 10687333
PROVIDER: scopus
DOI/URL:
Notes: Export Date: 18 November 2015 -- Source: Scopus
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