Download Diagnosis and Treatment of Breakthrough Pain: Oxford by Perry Fine PDF

By Perry Fine

Leap forward discomfort (BTP) is episodic discomfort that emerges throughout the remedy of differently well-managed power historical past ache. referred to as ache flare or temporary soreness, BTP negatively impacts the functionality and caliber of lifetime of the sufferer and infrequently ends up in a few different actual, mental and social difficulties. leap forward ache is a typical incidence affecting nearly two-thirds of the envisioned 50 to a hundred million continual discomfort victims within the US. it may possibly have a number of motives with a number of pathophysiologies, and will current with quite a few medical beneficial properties and issues. The medical beneficial properties range from person to person, and should fluctuate inside someone over the years. The profitable administration of step forward ache will depend on right overview, therapy, and reassessment. insufficient review can result in useless or beside the point remedy. equally, insufficient reassessment could lead on to continuance of useless or maybe damaging remedy. in recent times, the necessity to train physicians approximately soreness administration has been garnering elevated cognizance from admired scientific institutions and the media. regardless of ongoing efforts to enhance discomfort remedy, even though, the necessity persists for evidence-based academic fabrics for physicians within the sector of ache analysis and administration. a part of the Oxford American soreness Library, this hugely useful consultant covers present techniques and new advancements within the evaluate and administration of step forward ache, together with either cancer-related soreness and non-cancer continual soreness. It addresses the jobs of opioid and non-opioid pharmacotherapy and provides non-pharmacologic interventions, besides. This concise but finished reference on leap forward discomfort is perfect for palliative care medical professionals, anesthesiologists, discomfort medication experts and oncologists, in addition to for fundamental care physicians and internists at the frontlines of care.

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The impact of delirium on the circadian distribution of breakthrough analgesia in advanced cancer patients. Journal of Pain and Symptom Management. 2001;22:826–833. Gómez-Batiste X, Madrid F, Moreno F, et al. Breakthrough cancer pain: Prevalence and characteristics in patients in Catalonia, Spain. Journal of Pain and Symptom Management. 2002;24:45–52. Gourlay GK, Plummer JL, Cherry DA. Chronopharmacokinetic variability in plasma morphine concentrations following oral doses of morphine solution.

Cancer-Related Breakthrough Pain. Oxford, UK: Oxford University Press, 2006. Fine PG, Busch MA. Characterization of breakthrough pain by hospice patients and their caregivers. Journal of Pain and Symptom Management. 1998;16:179–183. Fine PG, Herr KA. Efficacy, safety and tolerability of pharmacotherapy for management of persistent pain in older persons. Annals of Long-term Care: Clinical Care and Aging. 2006;14(3):25–33. Foley KM. The treatment of cancer pain. New England Journal of Medicine. 1985;313:84–95.

American Journal of Hospice and Palliative Care. 2003;20:229–230. CHAPTER 4 Hwang SS, Chang VT, Kasimis B. Cancer breakthrough pain characteristics and responses to treatment at a VA medical center. Pain. 2003;101:55–64. Indelicato RA, Portenoy RK. Opioid rotation in the management of refractory cancer pain. Journal of Clinical Oncology. 2003;21(Suppl):87s–91s. Mercadante S, Villari P, Ferrera P, Casuccio A. Optimization of opioid therapy for preventing incident pain associated with bone metastases.

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