“In this guide, published by the American Cancer Society (ACS) It exposed in a practical way how to deal with pain in cancer patients. The publication begins by detailing the causes of pain in these patients, and the types of pain, with special mention of breakthrough pain. Subsequently it exposed the different possibilities to treat, describing both opioids, their properties and side effects, and non-pharmacological methods. A complete and quick-read guide, because it uses a language accessible to anyone”
” This link will find very useful information for patients and families on fentanyl, drug of choice in the treatment of breakthrough cancer pain. the presentations are detailed, its indications, Method and its main side effects. There is still little information among patients, even professional and family, on the usefulness of this molecule in the treatment of episodes of severe pain and short-lived, and its features make it suitable for it”
” This document, easy to read and very practical in use, contains essential information for cancer patients in palliative care pain sufferers information and also for their families. Through clear and concise diagrams us about the practical use of opioids, the management of its side effects, etc.. Useful in day to day for those patients who require treatment with analgesics such”.
“This paper developed for patients, we can find very practical explanations and simple recommendations for cancer patients with pain. It highlights the need to inform the doctor of any change in that pain we are trying it out, or the effects of mediation. Breakthrough pain is explained, types and handling, understandable to patients. A daily manual handling and accessible for anyone.”
“Through this link, will have access to an interesting video, by the American Cancer Society, in which, a very entertaining, and understandable English, shows the number of cancer patients experience pain, influence in their life, etc and include tips from the pros that can help control. To have a good time can make us reflect on the reality, everyday, many of our patients”
During the visit to your doctor must be able to describe the intensity and duration of pain.
The intensity of pain, mild, moderate to severe, can be adjusted to a scale 0 a 10. Zero is the absence of pain and 10 is the worst pain imaginable.
Duration is the time you've had pain, if it was an episode of pain has been constant or.
There are some questions and answers that will help your doctor make a correct diagnosis and best treatment for your pain.
How and when the pain started?
What caused it?
Did it begin gradually or suddenly?
Where does it hurt? Can you bring to the area where it hurts?
Does the pain moves to other parts of the body?
When does it hurt? Is it worse at certain times of day or after specific activities?
How do you experience? Is it continuous or intermittent?
Do you have other symptoms associated with pain, as numbness?
What is it that your pain worse or better?
In addition to this information, your doctor may perform a complete physical examination to assess their fitness or conduct some additional tests that help to diagnose.
It is important to be honest and sincere about your pain. Minimized because they do not want to be a nuisance, or feel you should be able to “endure”. Nor should exaggerate the pain, for fear of not getting the help you need.
When you go to the doctor's office, is very important to speak clearly of your pain so you can make a correct diagnosis and prescribe the right treatment.
The pain are high subjective; Not everyone experiences pain in the same way. The pain may be so deep or more at the body surface; may be constant or intermittent; can be fixed in one place or radiate to other parts of the body; the pain may be sharp, punzante or deaf, can feel like a tingling or even pain intensity does not feel the same all over the world.
For all this, is very important that when you visit your doctor be prepared to answer these questions:
When and how did your pain?
Did it begin suddenly and gradually?
Identify the parts of the body most painful
Do you have pain in one place or radiate to other places?
Do you feel more pain at certain times of day or any movement or activity?
Does your pain is fixed or intermittent?
Do you have any other symptoms, as numbness, besides pain?
Is there something that makes the pain worse or better?
Much better if, also, your doctor can discuss the intensity of their pain; can measure between 0 (no pain) to 10 (considered as maximum intensity pain), between 4 and 6 we can speak of moderate pain.
We want to give some tips that can be useful for patients with breakthrough cancer pain and their families and carers.
Breakthrough pain can and should be treated.- The pain known as breakthrough pain is a normal pain that can occur even if the pain is well controlled background pain medication prescribed for you.
We want to assure you that this pain, sometimes unpredictable and very intense, can be treated and controlled and need not suffer.
Your doctor may prescribe a different treatment to be prepared for these attacks of breakthrough pain. Not only effective treatment may consist of an analgesic, There are other methods that can help, as heat or cold in the place of pain, relaxation techniques, massage, etc..
Do not increase your dose of pain medication without consulting your doctor.- Increasing the dose of medication you are taking for back pain, without consulting your doctor, may increase the side effects and, even, may need extra doses to achieve the same analgesic effect. Do not forget that opioid analgesics are controlled drugs and can only be prescribed and monitored by a specialist.
Any medication, even the-counter analgesics, not be taken without consulting your doctor as you may alter the prescribed treatment and increase the side effects.
If breakthrough pain occurs do not panic.- The appearance of this high intensity pain and appearance without notice, not necessarily mean that your condition has deteriorated.
Contact your doctor to prescribe the appropriate pain medication and be prepared for this attack if pain recurs. Much better to be safe and , along with the standard treatment for back pain, a special treatment for breakthrough pain, to take only if the pain of high intensity occurs.
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