title: [Specifics of Analgesia in Palliative Care Patients at Home].
abstract: Pain management at home for a patient, suffering from one or more advanced progressive diseases, goes beyond the prescription of an opioid. Apart from the importance of finding the most suitable analgesic drug (controlled pain with least possible adverse effects), three important dimensions will be addressed: interprofessionnal care (shared care goals, evaluation, monitoring of pain and other symptoms; physiotherapy, etc.) information, education and support for patients and relatives in particular on the use of opioids, and finally the importance of anticipation. This includes for example the requirement of breakthrough pain treatment in case of pain exacerbation or the definition of the place of hospitalization in case of worsening general condition or of death.
authors.affiliation: Service de médecine de premier recours, Hôpitaux Universitaires de Genève.
authors.forename: Sophie
authors.initials: S
authors.lastname: Pautex
mesh_terms: D000230:Adenocarcinoma / Q000150:complications*; D000368:Aged; D000698:Analgesia / Q000379:methods*; D000700:Analgesics / Q000008:administration & dosage / Q000009:adverse effects; D000701:Analgesics, Opioid / Q000008:administration & dosage / Q000009:adverse effects; D002637:Chest Pain / Q000188:drug therapy*; D003131:Combined Modality Therapy; D004359:Drug Therapy, Combination; D018575:Home Care Services, Hospital-Based; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications*; D008297:Male; D010147:Pain Measurement; D010166:Palliative Care / Q000379:methods*
chemical_list: D000700:Analgesics; D000701:Analgesics, Opioid
keywords: Analgetika; Opioidverabreichung und Dosierung; Palliativpflege; Pflege zuhause; Schmerztherapie; administration et dosage des opioïdes; analgesics; approche pharmacologique de la douleur; home care; opioid/administration and dosage; pain/drug therapy; palliative care; soins palliatifs; soins à domicile