[Diagnosis and therapy of tumor related pain].
The World Health Organization guidelines for cancer pain therapy from 1986 are still valid. A prerequisite for adequate pain palliation is an exact anamnesis and pain diagnosis. A multimodal, staged therapeutic concept then needs to be formulated according to the requirements of the patient. The pharmacological treatment starts with non-opioids. If pain control remains insufficient, weak opioids are added. In case of persistent pain these are replaced by strong opioids. The availability of new opioids and/or preparations admits a more sophisticated approach to metabolic disorders and specific pain syndromes. Depending on the presenting pain type, co-analgesics might be added.
Kloke
M
M
Zentrum für Palliativmedizin, Kliniken Essen-Mitte, 45136, Henricistrasse 92, Essen, Deutschland. m.kloke@kliniken-essen-mitte.de
D000700:Analgesics / Q000008:administration & dosage*; D006801:Humans; D038622:Internationality; D009369:Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy*; D010146:Pain / Q000175:diagnosis* / Q000188:drug therapy* / Q000209:etiology; D010147:Pain Measurement / Q000379:methods; D010166:Palliative Care / Q000379:methods* / Q000592:standards; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000592:standards; D013727:Terminal Care / Q000379:methods*
D000700:Analgesics