Chronic Pain in Survivors of Adult Cancers
Key Points
Key Points
- Chronic pain can be a serious, negative consequence of surviving cancer.
- Although estimates vary, the prevalence of pain in cancer survivors has been reported to be as high as 40%.
Diagnosis
...gnosis...
...and Comprehensive Assessment
...hould screen for pain at each encounter....
...linicians should conduct an initial compreh...
...uld be aware of chronic pain syndromes result...
...hould evaluate and monitor for recurrent disea...
Treatment
Treatment
...eatment and Care Op...
...icians should aim to enhance comfort, improv...
...ld engage patient and family/careg...
...uld determine the need for other health profess...
...rmacologic Intervent...
Clinicians may prescribe directly or refe...
...macologic Interventions
Miscellaneous Analgesics
...cians may prescribe the following syst...
...s may prescribe topical analgesics (s...
...orticosteroids are NOT recommended f...
...d assess the risks of adverse effects of pharma...
...linicians may follow specific state reg...
...pioids
...ans may prescribe a trial of opioids in car...
...should assess risks of adverse effects...
...Mitigation, and Universal Precaution...
...d assess the potential risks and benefits when...
...ians should clearly understand terminology s...
...ns should incorporate a universal precaut...
...ns should understand pertinent laws an...
...d educate patients and family members regardin...
...are no longer warranted, clinicians should taper...
...nic Pain Syndromes Associated With Cancer Tr...
...e 2. Disciplines and Interventions for Chroni...
Physical medicine and rehabilitation...
...ive therapies Massage Acupuncture Music...
...nterventional therapies Nerve blocks Neurax...
...pproaches Cognitive behavioral therapy Dist...
...ulatory therapies Transcutaneous electrical nerv...
...versal Precautions in Chronic Canc...
...k Stratification and Adherence MonitoringHavi...
...Adverse Effects Associated With Long-Term Opio...