TITLE

Use of Opioids in the Treatment of Severe Pain in Terminally Ill Patients -- Dying Should Not Be Painful

AUTHOR(S)
Moynihan, Timothy J.
PUB. DATE
November 2003
SOURCE
Mayo Clinic Proceedings;Nov2003, Vol. 78 Issue 11, p1397
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Pain is a common symptom at the end of life. The vast majority of pain can be readily managed if simple principles of practice are followed. Chronic pain requires continuous analgesia, and severe pain requires use of strong analgesics, most commonly the opioids. In addition to drugs administered continually, short-acting medications must be available for "breakthrough" pain. This article reviews the principles of pain management in terminally ill patients, using a case-based demonstration.
ACCESSION #
11286514

 

Related Articles

  • Why is the pain relief of dying patients often unsuccessful? The relatives' perspectives. Miettinen, T.T.; Tilvis, R.S.; Karppi, P.; Arve, S. // Palliative Medicine;1998, Vol. 12 Issue 6, p429 

    In order to determine relatives' opinions of the pain relief of dying patients a postal questionnaire was sent to close relatives (n=371) of aged patients (mean age 80.1 years) who had died one to two years earlier. In the relatives' opinions, 57% of the patients (n=211) had suffered from...

  • Chemical neurolysis, analgesics improve QOL in cancer pain.  // PharmacoEconomics & Outcomes News;3/13/2004, Issue 448, p10 

    Discusses research being done on the improvement of pain relief with chemical neurolysis. Reference to a study by G. Y. Wong and colleagues published in a March 2004 issue of the "Journal of the American Medical Association"; Assessment of pain intensity, quality of life and survival of...

  • Comparison of analgesic effects of nimesulide, paracetamol, and their combination in animal models. Ahmed, Mushtaq; Upadhyaya, Prerna; Seth, Vikas // Indian Journal of Pharmacology;Dec2010, Vol. 42 Issue 6, p354 

    Objectives: To compare the analgesic activity of nimesulide and paracetamol alone and their combination in animal models for the degree of analgesia and the time course of action. Materials and Methods: Analgesia was studied in albino rats using formalin test and in albino mice using writhing...

  • Defeating Pain: The Brutal Way. Asudani, Deepak // Internet Journal of Alternative Medicine;2002, Vol. 1 Issue 1, p16 

    While the analgesics and pain management has seen remarkable advancements, there are places, where still inhumane methods are employed. A brutal practice found in India is described and its existence in the era of modern analgesia and anesthesia is criticized.

  • Lack of Efficacy of Ketorolac Tromcthaminc for Analgesia on Patients Undergoing Colonoscopy. Deal, Stephen E.; Pandak, William M.; Heuman, Douglas M. // American Journal of Gastroenterology;Jul1993, Vol. 88 Issue 7, p1050 

    Ketorolac tromethamine (KT) is a new non-narcotic parenteral analgesic which lacks the respiratory depressant and hypotensive side effects off narcotics. Our aim was to determine whether KT can reduce requirements for narcotics and narcotic side effects in colonoscopy. In a randomized,...

  • Cancer pain management-current status. Thapa, Deepak; Rastogi, V.; Ahuja, Vanita // Journal of Anaesthesiology Clinical Pharmacology;Apr2011, Vol. 27 Issue 2, p162 

    Cancer pain is still one of the most feared entities in cancer and about 75% of these patients require treatment with opioids for severe pain. The cancer pain relief is difficult to manage in patients with episodic or incidental pain, neuropathic pain, substance abuse and with impaired cognitive...

  • Primary impediments to pain relief prescriptions for chronically, terminally ill patients described.  // Insurance Advocate;05/31/97, Vol. 108 Issue 22, p18 

    Describes the primary impediments to the prescription of adequate relief to chronically and terminally ill patients who suffer intractable pain in the United States. Government restrictions on prescription of pain killing drugs; Inadequacy of physicians' training in pain management.

  • Soothe the ache. Duncan, Debbie // Good Medicine (Australian Consolidated Press);Oct2005, p16 

    Offers ideas on how to deal with toothache which includes applying over-the-counter medication that contains benzocaine or analgesic.

  • Acetaminophen. Ameer, Barbara; Greenblatt, David J. // Annals of Internal Medicine;Aug77, Vol. 87 Issue 2, p202 

    Acetaminophen is an effective mild analgesic and antipyretic agent. In double-blind, controlled experimental pain studies of short duration, acetaminophen is superior to placebo and produces analgesia comparable to that produced by aspirin. The frequency of adverse reactions to therapeutic doses...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics