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Indian Society for Study of Pain, Cancer Pain Special Interest Group Guidelines on Palliative Care Aspects in Cancer Pain Management

The Indian Society for Study of Pain (ISSP), Cancer Pain Special Interest Group guidelines on palliative care aspects in cancer pain in adults provide a structured, stepwise approach which will help to improve the management of cancer pain and to provide the patients with a minimally acceptable qual...

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Autores principales: Salins, Naveen, Thota, Raghu S, Bhatnagar, Sushma, Ramanjulu, Raghavendra, Ahmed, Arif, Jain, Parmanand, Chatterjee, Aparna, Bhattacharya, Dipasri
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7444566/
https://www.ncbi.nlm.nih.gov/pubmed/32874035
http://dx.doi.org/10.4103/0973-1075.285687
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author Salins, Naveen
Thota, Raghu S
Bhatnagar, Sushma
Ramanjulu, Raghavendra
Ahmed, Arif
Jain, Parmanand
Chatterjee, Aparna
Bhattacharya, Dipasri
author_facet Salins, Naveen
Thota, Raghu S
Bhatnagar, Sushma
Ramanjulu, Raghavendra
Ahmed, Arif
Jain, Parmanand
Chatterjee, Aparna
Bhattacharya, Dipasri
author_sort Salins, Naveen
collection PubMed
description The Indian Society for Study of Pain (ISSP), Cancer Pain Special Interest Group guidelines on palliative care aspects in cancer pain in adults provide a structured, stepwise approach which will help to improve the management of cancer pain and to provide the patients with a minimally acceptable quality of life. The guidelines have been developed based on the available literature and evidence, to suit the needs, patient population, and situations in India. A questionnaire based on the key elements of each sub draft addressing certain inconclusive areas where evidence was lacking was made available on the ISSP website and circulated by E-mail to all the ISSP and Indian Association of Palliative Care (IAPC) members. In a cancer care setting, approaches toward managing pain vary between ambulatory setting, home care setting, acute inpatient setting, and end-of-life care in hospice setting. We aim to expound the cancer pain management approaches in these settings. In an ambulatory palliative care setting, the WHO analgesic step ladder is used for cancer pain management. The patients with cancer pain require admission for acute inpatient palliative care unit for poorly controlled pain in ambulatory and home care settings, rapid opioid titration, titration of difficult drugs such as methadone, acute pain crisis, pain neuromodulation, and pain interventions. In a palliative home care setting, the cancer pain is usually assessed and managed by nurses and primary physicians with a limited input from the specialist physicians. In patients with cancer at the end of life, the pain should be assessed at least once a day. Moreover, physicians should be trained in assessing patients with pain who are unable to verbalize or have cognitive impairment.
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spelling pubmed-74445662020-08-31 Indian Society for Study of Pain, Cancer Pain Special Interest Group Guidelines on Palliative Care Aspects in Cancer Pain Management Salins, Naveen Thota, Raghu S Bhatnagar, Sushma Ramanjulu, Raghavendra Ahmed, Arif Jain, Parmanand Chatterjee, Aparna Bhattacharya, Dipasri Indian J Palliat Care REPUBLICATION: Special Article (Guidelines) The Indian Society for Study of Pain (ISSP), Cancer Pain Special Interest Group guidelines on palliative care aspects in cancer pain in adults provide a structured, stepwise approach which will help to improve the management of cancer pain and to provide the patients with a minimally acceptable quality of life. The guidelines have been developed based on the available literature and evidence, to suit the needs, patient population, and situations in India. A questionnaire based on the key elements of each sub draft addressing certain inconclusive areas where evidence was lacking was made available on the ISSP website and circulated by E-mail to all the ISSP and Indian Association of Palliative Care (IAPC) members. In a cancer care setting, approaches toward managing pain vary between ambulatory setting, home care setting, acute inpatient setting, and end-of-life care in hospice setting. We aim to expound the cancer pain management approaches in these settings. In an ambulatory palliative care setting, the WHO analgesic step ladder is used for cancer pain management. The patients with cancer pain require admission for acute inpatient palliative care unit for poorly controlled pain in ambulatory and home care settings, rapid opioid titration, titration of difficult drugs such as methadone, acute pain crisis, pain neuromodulation, and pain interventions. In a palliative home care setting, the cancer pain is usually assessed and managed by nurses and primary physicians with a limited input from the specialist physicians. In patients with cancer at the end of life, the pain should be assessed at least once a day. Moreover, physicians should be trained in assessing patients with pain who are unable to verbalize or have cognitive impairment. Wolters Kluwer - Medknow 2020 /pmc/articles/PMC7444566/ /pubmed/32874035 http://dx.doi.org/10.4103/0973-1075.285687 Text en Copyright: © 2020 Indian Journal of Palliative Care http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle REPUBLICATION: Special Article (Guidelines)
Salins, Naveen
Thota, Raghu S
Bhatnagar, Sushma
Ramanjulu, Raghavendra
Ahmed, Arif
Jain, Parmanand
Chatterjee, Aparna
Bhattacharya, Dipasri
Indian Society for Study of Pain, Cancer Pain Special Interest Group Guidelines on Palliative Care Aspects in Cancer Pain Management
title Indian Society for Study of Pain, Cancer Pain Special Interest Group Guidelines on Palliative Care Aspects in Cancer Pain Management
title_full Indian Society for Study of Pain, Cancer Pain Special Interest Group Guidelines on Palliative Care Aspects in Cancer Pain Management
title_fullStr Indian Society for Study of Pain, Cancer Pain Special Interest Group Guidelines on Palliative Care Aspects in Cancer Pain Management
title_full_unstemmed Indian Society for Study of Pain, Cancer Pain Special Interest Group Guidelines on Palliative Care Aspects in Cancer Pain Management
title_short Indian Society for Study of Pain, Cancer Pain Special Interest Group Guidelines on Palliative Care Aspects in Cancer Pain Management
title_sort indian society for study of pain, cancer pain special interest group guidelines on palliative care aspects in cancer pain management
topic REPUBLICATION: Special Article (Guidelines)
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7444566/
https://www.ncbi.nlm.nih.gov/pubmed/32874035
http://dx.doi.org/10.4103/0973-1075.285687
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