Interventional pain management in the palliative care patient

Marlene E. McHugh, Debbie Miller-Saultz, Elsa Wuhrman, Boleslav Kosharskyy

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

For the majority of patients, cancer pain can be treated using the World Health Organization cancer pain guidelines; however, for 10-20% of patients with advanced cancer, adequate pain control cannot be achieved using these methods owing to disease pathophysiology preventing administration/absorption of pain medications or intolerance due to opioid toxicities. The need to expand analgesic treatment when oral, transdermal, and intravenous therapies fail requires exploration of interventional pain management techniques such as neuraxial (e.g. epidural and intrathecal) infusion therapies and neurolytic interventions. Nurses caring for patients with cancer pain should develop their knowledge of these multimodal approaches to cancer pain management.

Original languageEnglish (US)
Pages (from-to)426-433
Number of pages8
JournalInternational Journal of Palliative Nursing
Volume18
Issue number9
DOIs
StatePublished - Sep 2012

Keywords

  • Cancer pain
  • Implantable drug delivery systems (IDDSs)
  • Neuraxial (epidural and intrathecal) infusion therapies
  • Neurolytic interventions

ASJC Scopus subject areas

  • Advanced and Specialized Nursing

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