Oncology Ny
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In the patient with advanced cancer, effective symptom control requires a multidisciplinary, multimodal approach. Considerations involved in the control of pain can serve as a model for management of other symptoms, such as anorexia and dyspnea, as well.
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Identifying the cancer patient who is at increased risk for suicide is the first step in prevention, and allows for appropriate psychosocial interventions to be initiated. The author presents a list of vulnerability factors that contribute to high suicide potential.
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The National Hospice Study of 1986 has not only revealed that hospices do a better job of meeting pain-control goals than do hospitals, but also elucidated a number of important differences in hospice and hospital care that account for this finding.
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Administration of opioids by less conventional routes may produce pain relief of more rapid onset, of longer duration, and fewer side effects in comparison with conventional oral or parenteral administration. This review will discuss the indications, efficacy, complications and potential advantages of these novel routes of administration.
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Many terminally ill cancer patients suffer from unnecessary pain as a result of inadequate pain management. This study analyzes analgesics and other drugs used in a hospice setting over a five-year period to control pain and improve patient care.