Cancer pain : Coping with cancer and treatment

Cancer pain : Coping with cancer and treatment 150 150 Tony Guo

Cancer pain

  • Patient report should always be believed and accepted as primary source for pain assessment data
  • Drug therapy should be used to control pain
  • Inadequate pain assessment is single greatest barrier to effective cancer pain management
    • Management of cancer pain
      • Fear of addiction is unwarranted
      • Numerous drug options for pain management
      • Nonpharmacologic interventions, including relaxation therapy and imagery, can be used effectively
    • Moderate to severe pain occurs in approximately 50% of patients who are receiving active treatment for their cancer and in 80% to 90% of patients with advanced cancer.
    • It is essential to perform a comprehensive pain assessment on an ongoing basis and to enact a pain management plan that addresses both components of pain if they are present.

Coping with cancer and treatment

  • Nursing assessment and support are key
    • Pervasive anxiety and fear
      • Fears of dependency
      • Loss of control
      • Family relationship stress
      • Financial burden
      • Fear of death
        • Be available, especially during difficult times
        • Exhibit caring
        • Actively listen
        • Provide symptom relief
        • Provide accurate information
        • Build trust
        • Use touch
        • Assist setting realistic goals
        • Support usual lifestyle patterns
        • Maintain hope
        • Reassure of ongoing support
        • Offer support from survivors
          • Improvement in early detection and treatment
          • > 14.5 million in the United States

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