RT Book, Section
A1 Vijayan, Jaya
A1 Muir, J. Cameron
A1 Kestenbaum, Matthew G.
A2 Bajwa, Zahid H.
A2 Wootton, R. Joshua
A2 Warfield, Carol A.
SR Print(0)
ID 1131935568
T1 Pain Management in End of Life: Palliative Care
T2 Principles and Practice of Pain Medicine, 3e
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 9780071766838
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1131935568
RD 2024/04/19
AB The  basic  principles  of  the  diagnosis  and  management  of  pain  syndromes  are  similar  across  all  clinical  settings.  Details  of  the  application  of  these  principles,  however,  can  vary  significantly  depending  on  the  clinical  context.  One  context  that  is  especially  important  is  the  care  of  patients  with  incurable,  progressive,  and  ultimately  fatal  illnesses  who  are  in  or  approaching  the  terminal  phase.  This  is  sometimes  referred  to  in  the  context  of  “palliative  care,”  and  this  term,  although  not  fully  satisfactory,1  is  used  throughout  most  of  the  discussions  in  this  chapter.  The  range  of  pain  syndromes  that  arise  in  these  situations  includes  most  of  the  acute  and  chronic  pain  syndromes  addressed  in  detail  in  other  chapters  in  this  text,  and  their  management  primarily  involves  the  same  diagnostic  and  therapeutic  strategies  and  skills.  Nonetheless,  pain  management  in  the  palliative  care  setting  often  raises  clinical  and  ethical  issues  that  are  at  least  somewhat  different  from  those  in  other  settings.  This  chapter  focuses  primarily  on  those  differences.