title: [Examination and care for cancer patients with difficult-to-assess pain - feed back on patients who received consultation from our palliative care team].
abstract: OBJECTIVE
  The care of cancer patients whose pain is difficult to assess is examined.
  
  
  METHODS
  Cancer patients who received a consultation because pain assessment by our palliative care team between September 2008 and November 2010 proved difficult, were evaluated retrospectively.
  
  
  RESULTS
  The corresponding cases were five cases(5. 6% of all cases who received consultation). The cause of the difficulty in the assessment of pain was due to dementia in two cases, mental retardation in one case, the patient's personality in another case, and the patient's believing in a third case. Useful observable items have been pointed out for difficult pain evaluation are of the patient, including expression and behavior. And the importance of chose consideration of the causes of difficult assessment of pain have also been pointed out.
  
  
  CONCLUSIONS
  Careful care according to the cause of the difficult assessment of pain and individual communication ability proved important.
authors.affiliation: Dept. of Surgery, Kyoto Miniren Chuo Hospital, Japan.
authors.forename: Takatoyo
authors.initials: T
authors.lastname: Kambayashi
authors.forename: Ai
authors.initials: A
authors.lastname: Tominaga
authors.forename: Hironobu
authors.initials: H
authors.lastname: Nakatsukasa
authors.forename: Akira
authors.initials: A
authors.lastname: Nozaki
authors.forename: Teruhiko
authors.initials: T
authors.lastname: Toyama
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000150:complications*; D010146:Pain / Q000209:etiology* / Q000523:psychology; D059408:Pain Management; D010166:Palliative Care; D010348:Patient Care Team; D012017:Referral and Consultation; D012189:Retrospective Studies