• Primary care · Jun 2011

    Review

    Assessment and management of pain in the terminally ill.

    • Shalini Dalal and Eduardo Bruera.
    • Department of Palliative Care and Rehabilitation Medicine - Unit 1414, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX 77030, USA. sdalal@mdanderson.org
    • Prim. Care. 2011 Jun 1;38(2):195-223, vii-viii.

    AbstractRegular assessment for the presence of pain and response to pain management strategies should be high priority in terminally ill patients. Pain management interventions are most effective when treatments are individualized based on the various physical and nonphysical components of pain at the end of life, and patients and family are educated and involved in the decision making. Opioids remain the cornerstone of pain management, and adjuvant analgesics and nonpharmacologic options are usually considered after relative stabilization of pain. This article describes the various issues that are pertinent to the assessment and treatment of pain in terminally ill patients.Copyright © 2011 Elsevier Inc. All rights reserved.

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