The need for a multidisciplinary approach to pain management in advanced cancer: A clinical case

被引：14

作者：

Didwaniya, Neha ^{[1
]}

Tanco, Kimberson ^{[2
]}

de la Cruz, Maxine ^{[2
]}

Bruera, Eduardo ^{[2
]}

机构：

[1] North Bend Med Ctr, Dept Internal Med, Coos Bay, OR USA

[2] Univ Texas MD Anderson Canc Ctr, Dept Palliat Care & Rehabil Med, Houston, TX 77030 USA

来源：

PALLIATIVE & SUPPORTIVE CARE | 2015年 / 13卷 / 02期

关键词：

Cancer pain; Multidisciplinary approach; Opioid management; Palliative care unit; Total pain; PALLIATIVE CARE; METHYLPHENIDATE; DEPRESSION; DISTRESS; OPIOIDS;

D O I：

10.1017/S1478951514000108

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Advanced cancer patients are often affected by multiple complex symptoms brought about by persistent nociceptive stimuli and intense psychosocial distress. One such complex symptom, cancer pain, has continued to pose a challenge in medical management even though the concept of total pain was described several years ago by Cicely Saunders. Oftentimes, the application of a multidisciplinary approach is delayed after numerous opioid dose escalations and invasive procedures have been performed. The case presented here highlights the importance of timely multidisciplinary intervention and the use of an acute palliative care unit, which resulted in adequate pain control after multiple medical and invasive procedures that caused toxicities.

引用

页码：389 / 394

页数：6

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