Managing pain from advanced cancer in the palliative care setting

Betty Ferrell, Michael H. Levy, Judith Paice

Research output: Contribution to journalArticle

Abstract

Managing complex pain at the end of life is an essential aspect of palliative care. Such care is best guided by a comprehensive evaluation of the physiologic sources of pain to determine appropriate analgesia. Using the case of Mrs. J, a woman with advanced ovarian cancer, key principles of complex pain management at the end of life are reviewed, including optimum use of opioids and co-analgesics. In addition to physical assessment, total care of the patient and family facing imminent death should be based on an assessment of psychological, social, and spiritual factors. The assessment and management of pain and suffering are guided by an interdisciplinary team focused on goals of comfort and facilitating a death that respects the life of the patient who is dying.

Original languageEnglish (US)
Pages (from-to)575-581
Number of pages7
JournalClinical journal of oncology nursing
Volume12
Issue number4
DOIs
StatePublished - Aug 1 2008

ASJC Scopus subject areas

  • Oncology
  • Oncology(nursing)

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