Author:
V. Sholjakova Marija,M. Durnev Vesna
Abstract
Pain as an integral part of palliative care (PC) is often present at the end of the life. Today, many different analgesics from opioids and non- opioids origin are in use. The integration of their use is the most effective method for pain relief. The aim of this chapter is to discuss different therapeutic approaches to pain management in palliative care. Palliative care is being confronted between the expectations and the possibilities to provide an efficient relief from the symptoms, the pain and the stress. The possibility to use opioids for pain management, with all side effects, and non-addictive drugs as additional treatment, improves the quality and the duration of life for the patients in palliative care. Since the origin of the pain is different, the use of analgesic therapy should be individualized and adapted to the real need of every person. Finally, only a good organization and institutionalization of palliative care in the society could allow for better prevention of suffering at the end of the life.
Reference96 articles.
1. Greer S., Joseph M: Palliative Care, a Holistic Discipline. Integr Cancer Ther. 2016; 15(1):5-9. doi.org/10.1177/1534735415617015.
2. Clinical Quality and Patient Safety Unit, Queensland Ambulance Service: Palliative Care. 2016; :321-322.
3. Rizk D: Palliative care managements. Hospital Medicine. 2017.
4. Sholjakova M, Durnev V, Kartalov A, Kuzmanovska B: Pain relief as an integral part of the palliative care, OA MJMS 2018; 6(40:739-741 doi:10.3889/oamjms.2018.163
5. International Association for the Study of Pain: Pain terms: a current list with definitions and notes on usage. Available at www.iasp-pain.org/ (Accessed January 2020).