Lewis Ramos Vanessa, Eti Serife
Department of Family and Social Medicine, Palliative Care Service, Montefiore Medical Center, Albert Einstein College of Medicine, 3347 Steuben Avenue, Bronx, NY 10467, USA.
Department of Family and Social Medicine, Palliative Care Service, Montefiore Medical Center, Albert Einstein College of Medicine, 3347 Steuben Avenue, Bronx, NY 10467, USA.
Prim Care. 2019 Sep;46(3):319-333. doi: 10.1016/j.pop.2019.05.001. Epub 2019 Jun 10.
The intent of this article is to help clinicians to have practical knowledge and skills related to both assessment and pharmacotherapy of chronic pain in the seriously ill patients. Treating patients with chronic pain and progressive disease should include assessment of "total pain" (physical, psychological, and spiritual suffering) and the care givers as part of treatment team. Effective management of chronic pain starts with thorough assessment and diagnosis of the pain syndrome. A worldwide consensus endorses use of multimodal approach and opioid pharmacotherapy as the mainstay approach to moderate to severe pain in cancer and pain associated with serious illness.
本文旨在帮助临床医生掌握与重症患者慢性疼痛评估及药物治疗相关的实用知识与技能。治疗患有慢性疼痛和进展性疾病的患者应包括对“整体疼痛”（身体、心理和精神痛苦）的评估，并将护理人员纳入治疗团队。慢性疼痛的有效管理始于对疼痛综合征的全面评估和诊断。全球共识支持采用多模式方法和阿片类药物治疗作为癌症中度至重度疼痛以及与重症相关疼痛的主要治疗方法。
