Alleviation of Symptoms by Palliative Care Team in Two Cancer Patients Receiving Chemotherapy
10.2185/jjrm.60.31
- VernacularTitle:緩和ケアチームによる疼痛管理を積極的に行ない, 症状緩和が得られた化学療法患者の2例
- Author:
Hiroaki SHIBAHARA
;
Natsuko UEMATSU
;
Sanae KINOSHITA
;
Kaori MANO
;
Masahiro AOYAMA
;
Satoshi KOBAYASHI
;
Kenji TAKAGI
;
Daisaku NISHIMURA
- Publication Type:Journal Article
- From:Journal of the Japanese Association of Rural Medicine
2011;60(1):31-36
- CountryJapan
- Language:Japanese
-
Abstract:
One patient was intervened by our palliative care team (PCT) to relieve neuropathic pain due to postoperative recurrence of rectal cancer. The dosage controlled-release oxycodone was increased, analgesic adjuvant drugs were changed and the administration of betamethasone were started. Furthermore, the number of times the patient took controlled-release oxycodone increased two to three times a day. These changes in medication resulted in relief of symptoms. Cetuximab therapy was given twice during the course. The other patient was intervened by the PCT for right upper limb pain and dyspnea due to postoperative recurrence of breast cancer. Morphine sulfate hydrate and analgesic adjuvant were additionally given. As pain increased three days after the administeration of transdermal fentanyl patches, the patches were changed every other day, instead of every three days. FEC100 therapy was given twice during the course. In the present two cases, the PCT was intervened with great zeal and rapid relief of symptoms resulted. In the meantime chemotherapy proceeded uneventfully. We thought that trust of the chief doctor in the PCT was most important for effective intervention.
