Articles: palliative-care.
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From 1983-1989, 106 patients with breast cancer were treated in our pain management unit on 6767 treatment days. Pain was caused by bone metastasis in 73% of patients. Neuropathic pain was reported by 32% of the patients. ⋯ Whilst 92% of patients reported more than moderate pain on admission, 45% obtained complete pain relief beginning from the first days of treatment. On 92% of the days, patients described their pain as moderate or less. Side effects were treated symptomatically and played a minor role in a reason to change therapy.
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Ugeskrift for laeger · May 1992
[Guanethidine blockade for palliative treatment in reflex dystrophy].
Guanethidine blockade was employed in 22 patients with causalgia, hyperpathia and reflex dystrophy in an upper limb. Guanethidine was administered by means of regional intravenous technique in which 20 mg guanethidine was mixed with 400 IU of heparin and 70 mg lignocaine. ⋯ In 68% of the patients, beneficial results occurred as they were relieved of pain or improved considerably. Employment of lignocaine in the injection solution made the blockade less painful.
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Palliative care services have traditionally tended to concentrate on the needs of patients with cancer. The philosophy of Yorkshire Health is to extend those services to all people with life-threatening diseases. The progress in service provision which has taken place in the region is described, but work still needs to be done in training professionals to provide the appropriate level of skilled care to patients in hospitals, hospices and community.
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Review Clinical Trial
Intrathecal drug administration. Present use and future trends.
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Geburtsh Frauenheilk · May 1992
Case Reports[Continuous ambulatory intravenous morphine infusion for pain therapy in advanced ovarian cancer].
We report on a female outpatient with cancer of the ovary, who received continuous intravenous morphine infusion for terminal pain control. The patient was treated over a period of 48 days with a morphine dosage ranging from 10 to 60 mg/h, which kept her free of pain. ⋯ At a later stage, we complemented the treatment with Diazepam and Haloperidol. No side-effects were observed over the whole period of morphine infusion.