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J Pain Symptom Manage · Jul 2012
Case ReportsA successful palliative care intervention for cancer pain refractory to intrathecal analgesia.
- Akhila Reddy, David Hui, and Eduardo Bruera.
- Department of Palliative Care and Rehabilitation Medicine, The University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030, USA. asreddy@mdanderson.org
- J Pain Symptom Manage. 2012 Jul 1;44(1):124-30.
AbstractIntrathecal delivery of opioid medications has been increasingly used to treat cancer pain that is refractory to conventional oral opioid therapy. We present a patient with complex and refractory cancer pain who failed both oral and intrathecal opioid therapy but responded to the interdisciplinary palliative care intervention in the acute palliative care unit. His morphine equivalent daily dose decreased by 94% over a 10-day period, and he had better pain control and improved function. This case highlights the importance of addressing and treating the psychosocial distress that contributes to the total pain expression.Copyright © 2012 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.
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