Methadone hydrochloride (Dolophine) is a synthetic opioid analgesic (Schedule II). Management of moderate to severe pain unresposive to non-narcotics; used in narcotic detoxification maintenance programs and for the treatment of iatrogenic narcotic dependence.Continue reading “Methadone – Pain Medication (reading & sharing)”
The prevalence of pain varies by dx, stage of disease, and setting of care. Approximately 1/3 of patients with cancer experience pain at the time of diagnosis, while 2/3 with metastatic disease report pain. Less is known about the prevalence of pain in those with diagnoses other than cancer.
Pain is described by the World Health Organization as a “multidimensional phenomenon with sensory, physiological, cognitive, affective, behavioral and spiritual components.” Pain is a complex biopsychosocial phenomenon, an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in these terms. (Pain is whatever the patient says it is.)Continue reading “Pain Management at the End of Life (Reading and Sharing)”
With palliative care, curative options are discontinued except those that relieves symptoms (such as palliative chemotherapy) – palliative care focuses on relief of symptoms.