Baker J P
Compr Ther. 1984 May;10(5):48-54.
This new program of pain medication provides more even pain relief, avoiding the peaks and valleys of the traditional injections. Patients remain lucid, slightly euphoric, and pain free--even from deep pain. The family is capable of coping and treating the patient in their home, without having to contend with anger, hostility, and frustration. The patients are cooperative, not as demanding, and for the most part, are able to verbalize freely about their impending death to family members and friends in such a manner that when death does occur, it is peaceful . We have not encountered any addiction/habituation problems. We have not experienced any failures as long as the patient could take the oral medication. With continuous examination and evaluation, we have avoided any adverse drug reactions by tailoring the cocktail to the patient's needs and responses on a continuous basis. When changing from injections or other medications to the cocktail program, or when changing from one cocktail to another, the patient is assured that the old medication is available on demand. Should a patient become anxious or fearful that his cocktail will not always work, he is assured that there are others that will. A pain-free patient relieves the anxiety of the family, an important and welcome fact to be considered. By monitoring such factors as dosage, volume, taste, texture, and color, as well as offering other flavoring (cinnamon, lemon, cherry), we have not experienced any patient refusal. Once on the program, their self-respect is regained and their personal pride and sense of well-being are reestablished.(ABSTRACT TRUNCATED AT 250 WORDS)
这种新的止痛药物方案能更均匀地缓解疼痛,避免了传统注射带来的止痛效果起伏不定的情况。患者始终保持清醒,稍有欣快感,且无痛——即使是深部疼痛也能缓解。患者家属能够在家中应对并照顾患者,而不必应对患者的愤怒、敌意和沮丧情绪。患者配合度高,不那么苛求,而且在很大程度上能够自由地与家人和朋友谈论自己即将到来的死亡,这样当死亡真的发生时,也是平静的。我们尚未遇到任何成瘾/上瘾问题。只要患者能够服用口服药物,我们就没有经历过任何失败案例。通过持续的检查和评估,我们根据患者的需求和反应不断调整混合药物配方,从而避免了任何药物不良反应。当从注射或其他药物转换为混合药物方案时,或者从一种混合药物转换为另一种时,患者可以放心,如有需要可提供原来的药物。如果患者担心他的混合药物并非总能起效而感到焦虑或恐惧,他会得到保证,还有其他药物会起作用。无痛的患者减轻了家人的焦虑,这是一个值得考虑的重要且可喜的事实。通过监测剂量、体积、味道、质地和颜色等因素,以及提供其他调味剂(肉桂、柠檬、樱桃),我们没有遇到过任何患者拒绝服药的情况。一旦开始采用该方案,患者就能重拾自尊,重新建立个人自豪感和幸福感。(摘要截选至250词)