title: [Pain management for adult patients relative to palliative care].
abstract: Pain management for a patient in palliative care requires a multi-functional approach that entails the physical, psychological, social and spiritual dimensions. It is based on a deep understanding of the pain physiopatology and its accurate assessment to optimize the treatment. This article provides guidelines to manage nociceptive and neuropathic pains, along with tips in case of refractory pains. It gives detailed instructions relative to the use of strong opiods taking advantage of the availability of new types of galenics. It proposes a decision tree relative to neuropatic pain management.
authors: Equipe mobile de soins palliatifs et de coordination en soins de support, CHU, 38000 Grenoble. nbeziaud@chu-grenoble.fr
authors: Nicolas
authors: N
authors: Béziaud
authors: Guillemette
authors: G
authors: Laval
authors: Sylvie
authors: S
authors: Rostaing
mesh_terms: D000328:Adult; D000701:Analgesics, Opioid / Q000627:therapeutic use; D006801:Humans; D059408:Pain Management; D010166:Palliative Care
chemical_list: D000701:Analgesics, Opioid