Managing pain from advanced cancer in the palliative care setting.
Managing pain from advanced cancer in the palliative care setting.
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在姑息治疗环境中管理晚期癌症引起的疼痛。
DOI：
10.1188/08.cjon.575-581
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发表时间：
2008
影响因子：
1.1
通讯作者：
J. Paice
中科院分区：
文献类型：
--
作者：
B. Ferrell;M. Levy;J. Paice
管理临终时的复杂疼痛是姑息治疗的一个重要方面。这种护理最好通过对疼痛的生理来源的综合评估来指导，以确定适当的镇痛方法。以患有晚期卵巢癌的 J 女士为例，我们回顾了临终时复杂疼痛管理的关键原则，包括阿片类药物和辅助镇痛药的最佳使用。除了身体评估之外，对面临即将死亡的患者及其家人的全面护理还应基于对心理、社会和精神因素的评估。对疼痛和痛苦的评估和管理由跨学科团队指导，该团队专注于舒适和促进死亡的目标，尊重临终患者的生命。
Managing complex pain at the end of life is an essential aspect of palliative care. Such care is best guided by a comprehensive evaluation of the physiologic sources of pain to determine appropriate analgesia. Using the case of Mrs. J, a woman with advanced ovarian cancer, key principles of complex pain management at the end of life are reviewed, including optimum use of opioids and co-analgesics. In addition to physical assessment, total care of the patient and family facing imminent death should be based on an assessment of psychological, social, and spiritual factors. The assessment and management of pain and suffering are guided by an interdisciplinary team focused on goals of comfort and facilitating a death that respects the life of the patient who is dying.