The need for a multidisciplinary approach to pain management in advanced cancer: A clinical case

Neha Didwaniya; Kimberson Tanco; Maxine De La Cruz; Eduardo Bruera

doi:10.1017/S1478951514000108

The need for a multidisciplinary approach to pain management in advanced cancer: A clinical case

Neha Didwaniya, Kimberson Tanco, Maxine De La Cruz, Eduardo Bruera

Research output: Contribution to journal › Article › peer-review

12 Scopus citations

Abstract

Advanced cancer patients are often affected by multiple complex symptoms brought about by persistent nociceptive stimuli and intense psychosocial distress. One such complex symptom, cancer pain, has continued to pose a challenge in medical management even though the concept of total pain was described several years ago by Cicely Saunders. Oftentimes, the application of a multidisciplinary approach is delayed after numerous opioid dose escalations and invasive procedures have been performed. The case presented here highlights the importance of timely multidisciplinary intervention and the use of an acute palliative care unit, which resulted in adequate pain control after multiple medical and invasive procedures that caused toxicities.

Original language	English (US)
Pages (from-to)	389-394
Number of pages	6
Journal	Palliative and Supportive Care
Volume	13
Issue number	2
DOIs	https://doi.org/10.1017/S1478951514000108
State	Published - 2015

Keywords

Cancer pain
Multidisciplinary approach
Opioid management
Palliative care unit
Total pain

ASJC Scopus subject areas

General Nursing
Clinical Psychology
Psychiatry and Mental health

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title = "The need for a multidisciplinary approach to pain management in advanced cancer: A clinical case",

abstract = "Advanced cancer patients are often affected by multiple complex symptoms brought about by persistent nociceptive stimuli and intense psychosocial distress. One such complex symptom, cancer pain, has continued to pose a challenge in medical management even though the concept of total pain was described several years ago by Cicely Saunders. Oftentimes, the application of a multidisciplinary approach is delayed after numerous opioid dose escalations and invasive procedures have been performed. The case presented here highlights the importance of timely multidisciplinary intervention and the use of an acute palliative care unit, which resulted in adequate pain control after multiple medical and invasive procedures that caused toxicities.",

keywords = "Cancer pain, Multidisciplinary approach, Opioid management, Palliative care unit, Total pain",

author = "Neha Didwaniya and Kimberson Tanco and {De La Cruz}, Maxine and Eduardo Bruera",

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AU - Tanco, Kimberson

AU - De La Cruz, Maxine

AU - Bruera, Eduardo

PY - 2015

Y1 - 2015

N2 - Advanced cancer patients are often affected by multiple complex symptoms brought about by persistent nociceptive stimuli and intense psychosocial distress. One such complex symptom, cancer pain, has continued to pose a challenge in medical management even though the concept of total pain was described several years ago by Cicely Saunders. Oftentimes, the application of a multidisciplinary approach is delayed after numerous opioid dose escalations and invasive procedures have been performed. The case presented here highlights the importance of timely multidisciplinary intervention and the use of an acute palliative care unit, which resulted in adequate pain control after multiple medical and invasive procedures that caused toxicities.

AB - Advanced cancer patients are often affected by multiple complex symptoms brought about by persistent nociceptive stimuli and intense psychosocial distress. One such complex symptom, cancer pain, has continued to pose a challenge in medical management even though the concept of total pain was described several years ago by Cicely Saunders. Oftentimes, the application of a multidisciplinary approach is delayed after numerous opioid dose escalations and invasive procedures have been performed. The case presented here highlights the importance of timely multidisciplinary intervention and the use of an acute palliative care unit, which resulted in adequate pain control after multiple medical and invasive procedures that caused toxicities.

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KW - Multidisciplinary approach

KW - Opioid management

KW - Palliative care unit

KW - Total pain

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The need for a multidisciplinary approach to pain management in advanced cancer: A clinical case

Abstract

Keywords

ASJC Scopus subject areas

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