Read e-book online Cancer Pain PDF

By J. J. Bonica (auth.), Mark Swerdlow, Vittorio Ventafridda (eds.)

ISBN-10: 0852009909

ISBN-13: 9780852009901

ISBN-10: 9401091390

ISBN-13: 9789401091398

When the editors requested me to put in writing a foreword to this booklet I felt very honoured yet a little embarrassed. it's not that i am a doctor yet i've got spent decades facing the organizational difficulties of the care and suggestions of melanoma sufferers who've no wish of convalescing. The Floriani beginning grew to become lively in 1977 with a donation from my spouse and myself following a tragic kinfolk event. the purpose of this beginning is to aid examine, reports and diffusion of data with the intention to greater the standard of lifetime of humans struggling with debilitating continual sickness, an important of that's melanoma. long ago the Floriani starting place has subsidized and org.an­ ized congresses and conferences with reference to melanoma soreness reduction. The lawsuits of these conferences have been released and feature reached a constrained variety of humans, generally experts during this box. it really is as a result a excitement to were in a position to support the editors of this ebook which should still achieve a much broader viewers, quite between these basic practitioners within the constructed and constructing international locations who're without delay desirous about the therapy of those discomfort populations. i am hoping that the knowledge it comprises might be precious in supplying aid to those ache sufferers who nonetheless obtain little or no realization from scientific practice.

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The pain is characterized by a constant burning sensation in the area of sensory loss. Dysaesthesiae and intermittent shock-like pain may also be present. Phantom-limb pain Pain following surgical amputation of a limb is generally either stump pain or phantom-limb pain. These painful clinical conditions are different from phantom-limb sensation, which occurs in all patients following limb amputation. The phantom-limb pain is usually characterized by a burning, cramping pain in the phantom limb, often identical in nature and location to the preoperative pain.

The issues of hopelessness, death and dying become prominent and the suffering component must be attended to. Inadequate control of pain further exacerbates the suffering component and demoralizes both the family and care givers who feel that they have failed in treating the patient's pain at a time when adequate treatment may have mattered most. Analgesic drug therapy should be rapidly escalated and psychological symptoms should be adequately improved. Before considering the common pain syndromes which occur in cancer patients, certain general principles are summarized below.

It should be pointed out that often the patient's relatives become emotionally disturbed, and require clear communication and sensitive handling. The use of drugs for management of emotional disturbance Psychotropic drugs are used in only a small proportion of cases to deal specifically with emotional disturbances. Anxiolytics are used more frequently than antidepressants and chiefly for the control of minor states of tension or anxiety. Neither group of drugs appears to be used to any extent in the direct control of pain, although the neuroleptics or major tranquillizers are used to a limited extent as adjuvants to narcotic analgesics (see Chapter 7).

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Cancer Pain by J. J. Bonica (auth.), Mark Swerdlow, Vittorio Ventafridda (eds.)


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