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Unrelieved pain caused by cancer is experienced by more than 5 million people worldwide, and over the past 50 years has been accepted as unnecessary by both clinicians and politicians. Major innovations in the understanding of pain and our ability to treat it have been made. This Witness Seminar, chaired by Professor David Clark, describes the development of clinics, the introduction of the hospice in Britain, and global implementation of innovative technologies for cancer pain relief and advances in research during the latter part of the twentieth century, including the '3-step pain ladder' to pain relief. International health planners argue that the outstanding challenge is to put this knowledge into practice in healthcare settings around the world, often where resources are limited. An extract from an annotated Physiological Society interview with Patrick Wall in 1999 plus a note on the optimal potential for benefit of morphine by Professor Jan Stjernswärd appear as appendices. Participants include Professor Sir Michael Bond, Dr Suresh Kumar, Dr Colin, Murray Parkes, Dame Cicely Saunders, Professor Jan Stjernswärd, the late Dr Mark Swerdlow, Dr Robert Twycross and Professor Duncan Vere.

Specifically designed to address the needs of all specialists involved in the care of chronic pain patients, this source clarifies the ethical and legal issues associated with the diagnosis, assessment, and care of patients suffering from long-term pain. Divided into five comprehensive sections, this source covers a variety of topics to help the chronic pain clinician gain perspective on the interaction between ethics, the law, and the provision of medical services

Patients with cancer have diverse symptoms, impairments in physical and psychological functioning, and other difficulties that can undermine their quality of life. If inadequately controlled, pain can have a profoundly adverse impact on the patient and his or her family. The critical importance of pain management as part of routine cancer care has been forcefully advanced by WHO, international and national professional organizations, and governmental agencies. ; Pasien kanker memiliki berbagai gejala, gangguan fungsi fisiologis maupun psikologis dan keterbatasan lain yang akan menurunkan kualitas hidupnya. Jika tidak dikelola dengan baik, nyeri dapat menimbulkan dampak yang besar bagi pasien dan keluarganya. Pentingnya pengelolaan nyeri sebagai bagian dari penatalaksanaan rutin pada pasien kanker telah dianjurkan oleh WHO maupun organisasi profesi nasional dan internasional serta pemerintah.

The last three years have seen significant changes in the Defence Medical Services approach to trauma pain management. This article seeks to outline these changes that have occurred at every level of the casualty's journey along the chain of evacuation, from the point of injury to rehabilitation and either continued employment in the Services or to medical discharge. Particular attention is paid to the evidence for the interventions used for both acute pain and chronic pain management. Also highlighted are possible differences in pain management techniques between civilian and military casualties.

Pain Management for Veterinary Technicians and Nurses guides readers through the important concepts of animal pain management, providing specific approaches to managing pain in a wide variety of veterinary conditions. Emphasizing the technician's role in advocating for the patient, the book equips technicians with the knowledge needed to manage pain in dogs, cats, horses, livestock, exotics, and zoo animals. Logically and comprehensively covering this difficult subject, Pain Management for Veterinary Technicians and Nurses provides both introductory material on the tenets of pain management and specific techniques to apply in the clinical setting.

Objective: To identify the main therapeutic modalities used by the nursing staff in the treatment of pain, the consistency of their use, and degree of satisfaction in institutionalized oncology patients. Method: This was a descriptive-exploratory study carried out in a reference hospital in cancer treatment with a sample was composed of 50 patients. Data were collected through a questionnaire and analyzed by descriptive statistics and measures of association between variables using the Chi-square test. Results: Pharmacological and non-pharmacological conducts were implemented in the management of pain in Oncology; however, nursing professionals have restricted their practice to the administration of painkillers that is described by most of the participants in the study as the most satisfactory conduct for pain relief. Conclusion: Pain control in oncology has been a challenge for the clinical practice of nursing professionals taking into consideration the magnitude of the problem and the subjectivity of the painful phenomenon.

"In this book, public health ethicist Daniel S. Goldberg sets out to characterize the subjective experience of pain and its undertreatment within the US medical establishment, and puts forward public policy recommendations for ameliorating the undertreatment of pain. The book begins from the position that the overwhelming focus on opioid analgesics as a means for improving the undertreatment of pain is flawed, and argues instead that dominant Western models of biomedicine and objectivity delegitimize subjective knowledge of the body and pain in the US. This general intolerance for the subjectivity of pain is part of a specific American culture of pain in which a variety of actors take part, including not only physicians and health care providers, but also pain sufferers, caregivers, and policymakers. Concentrating primarily on bioethics, history, and public policy, the book brings a truly interdisciplinary approach to an urgent practical ethical problem. Taking up the practical challenge, the book culminates in a series of policy recommendations that provide pathways for moral agents to move beyond contests over drug policy to policy arenas that, based on the evidence, hold more promise in their capacity to address the devastating and inequitable undertreatment of pain in the US. "--

Due to the critical role of family caregivers in cancer pain management, this systematic review was undertaken to examine what is known about of their experiences and needs. Searches were conducted using electronic databases, and research reports from 1991 to 2007 were analyzed using a matrix method. Family caregivers were actively engaged in assisting with pain management and experienced significant needs and concerns related to this role. Myths and fears about opioid use remain widespread across cultures studied and across care settings. Family caregivers need education about pain management, training in problem-solving skills, and recognition from providers about their role in pain management. When clinicians better understand and respond to the needs of the family caregivers, they can enhance the quality of life and care outcomes for both patients and their caregivers.