Gautam A, Gautam A, Johnson S, Rahman F A
Queen Margaret University, Master of Public Health (MPH), Queen Margaret University Drive, Musselburgh, East Lothian, EH21 6UU, Scotland, United Kingdom.
Emergency Department, Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Hills Road, Cambridge, CB2 0QQ, United Kingdom.
Kathmandu Univ Med J (KUMJ). 2025 Jan-Mar;22(88):113-118.
Palliative care is a vital component of healthcare that aims to alleviate the suffering of patients with life-threatening conditions. This specialized medical care focuses on managing symptoms, addressing social, emotional, and physical needs, and enhancing the quality of life for patients and their families. Palliative care addresses the patient's medical, psychological, and spiritual requirements, and can be used as the primary focus of care or in conjunction with curative therapies. Pain management is a crucial aspect of palliative care, involving the control or reduction of pain through medication, therapy, and other treatments. However, pain is a subjective sensation, making quantification and effective relief challenging. This review highlights the complex issues associated with pain management in palliative care, emphasizing the need for improved training and accessible pain management techniques, such as the widely recognized "Wong-Baker Face Pain Scale", particularly in resource-constrained environments like Nepal. The complex nature of pain management in palliative care compromises patients' quality of life, influenced by factors like chemotherapy and terminal illness. Addressing this issue is imperative, especially in areas like Nepal where there is a shortage of appropriate training among medical personnel. Encouragingly, initiatives like mobile health teams, smartphone apps, and the establishment of a Palliative Care Training Center demonstrate progress in improving end-of-life care.
姑息治疗是医疗保健的重要组成部分，旨在减轻患有危及生命疾病的患者的痛苦。这种专门的医疗护理专注于管理症状、满足社会、情感和身体需求，并提高患者及其家人的生活质量。姑息治疗满足患者的医疗、心理和精神需求，可作为主要的护理重点或与治愈性疗法结合使用。疼痛管理是姑息治疗的一个关键方面，涉及通过药物、治疗和其他治疗方法控制或减轻疼痛。然而，疼痛是一种主观感觉，使得量化和有效缓解具有挑战性。本综述强调了与姑息治疗中疼痛管理相关的复杂问题，强调需要改进培训并提供可获得的疼痛管理技术，如广为人知的“面部表情疼痛量表”，尤其是在尼泊尔这样资源有限的环境中。姑息治疗中疼痛管理的复杂性会影响患者的生活质量，化疗和晚期疾病等因素会对此产生影响。解决这个问题势在必行，特别是在尼泊尔这样医疗人员缺乏适当培训的地区。令人鼓舞的是，移动健康团队、智能手机应用程序以及姑息治疗培训中心的设立等举措在改善临终护理方面取得了进展。
