May 2005, Volume 35 Number 5 , p 17 - 17
Outline Multiple pains, multiple approaches
More aggressive techniques
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QUESTION: I'm caring for an older adult with cancer who has a mix of chronic and acute pain: chemotherapy-related neuropathy in her feet, low back pain from spinal metastases, and abdominal pain from recent surgery. Although her overall condition is stable, she rates her pain as 8 on a 0-to-10 scale. Her drug regimen includes a 50-mcg transdermal fentanyl patch, morphine elixir for breakthrough pain (15 mg every 4 hours as needed), and 300 mg of gabapentin taken twice a day.
My patient wants to get this pain under control so she can stay as active as possible. What's the best approach?
ANSWER: Because of treatment advances, Americans are living longer with chronic illness, including cancer. This means health care providers must adopt a broader concept of palliative care. More ...