RT Book, Section A1 Forrow, Lachlan A1 Smith, Howard S. A2 Warfield, Carol A. A2 Bajwa, Zahid H. SR Print(0) ID 3417635 T1 Chapter 47. Pain Management in End of Life: Palliative Care T2 Principles & Practice of Pain Medicine, 2e YR 2004 FD 2004 PB The McGraw-Hill Companies PP New York, NY SN 9780071443494 LK accessanesthesiology.mhmedical.com/content.aspx?aid=3417635 RD 2024/03/29 AB 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 as the context of “palliative care,” and that term, while not fully satisfactory,1 is used throughout most of the discussions in this chapter. The range of pain syndromes that arise in these situations include 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 “end-of-life” or “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.