Analgesic management in hospice care

VernacularTitle:安宁疗护中的镇痛管理
Author: Tonghui FENG ¹ ; Xinyu CHEN ; Mengting GU ; Qiaozhen XIANG ; Yujia LI ; Yanfei XIA
Author Information

1. 浙江医院麻醉手术部，杭州　310012
Keywords: Terminal care; Pain; Opioid; Hospice care
From: Chinese Journal of Geriatrics 2024;43(7):797-801
CountryChina
Language:Chinese
Abstract: Pain is a prevalent symptom in both cancer and non-cancer end-stage diseases, often being the most feared by patients and significantly impacting their quality of life.Hospice care aims to address physical, psychological, spiritual, and other needs of patients and their families during this stage, with a focus on alleviating pain and discomfort.Effective pain management is a crucial component of hospice care, particularly given the increasing prevalence of cancer and chronic diseases in China and the growing elderly population.To provide analgesic management for hospice patients, a thorough assessment of pain is essential to identify its type and characteristics.Treatment approaches may include etiological interventions, pharmacotherapy, interventional therapy, physiotherapy, psychotherapy, and comfort care, all aimed at achieving comprehensive pain management.The use of opioid should be carefully guided by scientific principles to minimize adverse effects and optimize pain relief, ultimately enhancing patients' end-of-life quality of life.