Klin Farmakol Farm. 2007;21(2):59-61

Pain management in dying patients

Ondřej Sláma
Masarykův onkologický ústav, Brno

The terminal phase is characterised by changing quality and intensity of pain. Beside physical pain important psychosocial and existencial issues are usualy displayed. To relieve the suffering of dying patient requires close attention to all these dimensions. The problem gets more complicated by delirium, cognitive impairement, which is quite common in dying. Symptomatic management of delirium is an important part of terminal care. To manage refractery physical symptoms the pharmacologic palliative sedation is sometimes needed.

Keywords: terminal phase, suffering, pain, delirium, palliative sedation

Published: October 1, 2007  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Sláma O. Pain management in dying patients. Klin Farmakol Farm. 2007;21(2):59-61.
Download citation

References

  1. Ševčík P, Vorlíček J. Bolest a možnosti jejího léčení In: Vorlíček J, Adam Z et al. Paliativní medicína. 2. vyd, Praha: Grada Publishing 2004, 537 s.
  2. WHO: Cancer pain relief: report of a WHO Expert Committee. 1st edition. Geneva, World Health Organisation, 1990 (WHO Technical Report Series, No. 804), 2nd edition, WHO, 1996.
  3. Kolektiv autorů. Metodické pokyny pro farmakoterapii bolesti. Update, Bolest, 9, 2006, Supplementum 3.
  4. Fainsinger R, Miller MJ, Bruera E, Hanson J. Symptom control during the last week of life on a palliative care unit. J Palliat Care7 (1); 1991: 5-11. Go to original source...
  5. Lichter I, Hunt E. The last 48 hours of life. J Palliat Care 6 (4); 1990: 7-15. Go to original source...
  6. Nauck F. Symptomkontrolle in der Finalphase. Schmerz 15; 2001: 362-369. Go to original source... Go to PubMed...
  7. Vorlíček J, Adam Z, Pospíšilová Y. Paliativní medicína. 2. vyd, Praha: Grada Publishing 2004, 537 s.




Clinical Pharmacology and Pharmacy

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.