title: Stereotaxic placement of a ventricular catheter and reservoir for the administration of morphine sulfate.
abstract: Patients with intractable pain due to cancer present a unique challenge to both medical and nursing personnel. This case study illustrates a unique home hospice managed pain control regime that has been implemented for a terminal cancer patient with intractable pain. A ventricular catheter attached to a reservoir was stereotaxically implanted for the administration of preservative-free morphine sulfate. The presentation will include the history of intraspinal morphine, the surgical placement of the ventricular access devise, and the procedure for intraventricular morphine administration. Also, the preoperative nursing assessment and patient family education will be discussed. Education of hospice nurses in the technique of injection, postoperative pain assessment, monitoring of side effects and discharge planning will conclude the presentation.
authors.forename: K A
authors.initials: KA
authors.lastname: Smith
authors.forename: E
authors.initials: E
authors.lastname: Frank
mesh_terms: D000328:Adult; D006801:Humans; D007276:Injections, Intraventricular / Q000295:instrumentation / Q000379:methods / Q000451:nursing*; D008297:Male; D009020:Morphine / Q000008:administration & dosage* / Q000627:therapeutic use; D009369:Neoplasms / Q000503:physiopathology*; D010146:Pain / Q000188:drug therapy* / Q000451:nursing; D010351:Patient Discharge; D013238:Stereotaxic Techniques
chemical_list: D009020:Morphine