Glajchen M, Blum D, Calder K
Health Soc Work. 1995 Aug;20(3):200-6. doi: 10.1093/hsw/20.3.200.
Quality of life has become increasingly important in the management of cancer, because patients with the disease are surviving longer. Although effective therapies exist, more than half of all cancer patients suffer unrelieved pain during illness and treatment. Undertreated and unnecessary pain represents a failure of the multidisciplinary team, including the social worker, to respond appropriately to the needs of cancer patients. This article increases social workers' awareness of the prevalence of cancer-related pain, identifies the barriers that undermine effective pain relief, and develops a model for social work intervention. Skills such as communication, assessment, problem solving, and psychological support are explored in detail.
在癌症治疗中，生活质量变得越来越重要，因为患有这种疾病的患者存活时间更长。尽管存在有效的治疗方法，但超过一半的癌症患者在患病和治疗期间遭受着无法缓解的疼痛。未得到充分治疗和不必要的疼痛表明多学科团队（包括社会工作者）未能适当地满足癌症患者的需求。本文提高了社会工作者对癌症相关疼痛普遍性的认识，确定了阻碍有效缓解疼痛的障碍，并开发了一种社会工作干预模式。详细探讨了沟通、评估、解决问题和心理支持等技能。
