THE MANAGEMENT OF ORAL CANCER PAIN.
- Author:
Sung Woon PYO
;
Sung Ki MIN
;
Moo Hyuk CHUNG
;
Chang Hyun KIM
- Publication Type:Original Article
- MeSH:
Analgesics, Opioid;
Central Nervous System;
Clinical Protocols;
Hospices;
Humans;
Mouth Neoplasms*;
Pain Management;
Quality of Life
- From:Journal of the Korean Association of Oral and Maxillofacial Surgeons
1997;23(4):679-687
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pain from cancer is a major problem of managing the oral cancer patients in terminal stage. Overall, pain is reported by about 50% of patients at all stages of cancer and by over 70% with advanced neoplasms. Unrelieved pain can be incapaciting and preclude a satisfying quality of life. But, pain is often poorly assessed, and many clinicians lack sufficient knowledge to optimize cancer pain treatment. There are three basic approaches to the control of pain : modifying the source of pain, altering the central perception of pain, and blocking the transmission of pain to the central nervous system. The optimal use of these approaches and an individualized plan for pain control can maximize both quality and duration of life in dying patients. Opioid analgesics are are the mainstay of pharmacologic treatment. Practical opioid therapy include selection of both drug and route, dose titration, and management of side effects. We present our experienced pharmacologic treatment protocol for cancer pain management that collaborated by Dept. of Hospice, Catholic Medical Center. It will acts as a guideline for our colleague to facilitate the translation of current knowlegde into the clinical practice.
