Critical Assessment and Management of Cancer Pain in a Tertiary Care Centre in India
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 2
Abstract
Background: Pain is one of the most common associated symptoms of cancer. It comprises of not only physical component but psychological, social, emotional, and spiritual components as well. Due to its complex nature, most of the time pain of cancer patients is either neglected or undertreated by the physicians. So the aim of the study is to assess the characteristics of pain in patients of different cancers and to manage it critically using different modalities of pain management while following the principles of WHO analgesic ladder. Materials & Methods: It’s a hospital based prospective study in which 693(n) cancer patients who had complaint of pain during a study duration of 1 year(from Jan 2013- Jan 2014) has been assessed critically and managed as per WHO analgesic ladder. The patients who had grade iii pain were randomized consecutively in 2 groups of 40 each to compare the efficacy in pain control and side effect profile between oral morphine and transdermal fentanyl patch after a follow up for a minimum of 3 weeks. Results: The mean age was 52 yrs, 52.5% (364) patients are male and 47.5 % (329) are female. 9.1 % (63) had grade I (mild) pain, 57.4% (398) had grade II (moderate) pain and 33.5% (232) had grade III (severe) pain on Numerical rating scale. Mean pain relief percent was 41.94%, 57.42%, 70.98% after 1st, 2nd and 3rd week respectively. With Transdermal fentanyl pain control was better. The frequency 0f breakthrough pain and constipation was less compared to oral morphine. Conclusion: The Numerical rating scale, visual analogue scale and Brief pain inventory are important tools to assess quality and quantity of cancer pain. The WHO 3 step analgesic ladder is a novel and simplistic approach for the management of cancer pain which can provide adequate pain relief in about 70-80% patients. Opioids are the backbone of cancer pain management.
Authors and Affiliations
Irfan Khan, Ashok Kumar Diwan
Keywords
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- EP ID EP543961
- DOI 10.21276/ijmrp.2017.3.2.033
- Views 71
- Downloads 0
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