Kenner D J
Aust Fam Physician. 1994 Jul;23(7):1285-9, 1292.
A holistic pain assessment and management plan for patients with advanced cancer is presented, together with treatment guidelines for each component of the process. The integration of these components into the clinical assessment of patients with cancer pain requires practice and continued clinical review by the attending clinicians. When mastered, the holistic approach should ensure optimum pain management in individual patients, and hopefully avoid some of the pitfalls of therapeutic endeavour. It is suggested that clinicians try to ascribe an approximate 'percentage input' to each component, and weight respective treatment strategies accordingly. An individual algorithm of pain management can then be developed for each patient. If the task is performed to the best of one's ability, we clinicians can rest assured that although not all suffering will be completely relieved, we will have managed the pain relief process in a scientific, rational and humane manner.
本文介绍了针对晚期癌症患者的全面疼痛评估与管理计划，以及该过程各组成部分的治疗指南。将这些组成部分整合到癌症疼痛患者的临床评估中，需要主治临床医生进行实践并持续进行临床审查。一旦掌握，整体方法应确保个体患者获得最佳疼痛管理，并有望避免治疗过程中的一些陷阱。建议临床医生尝试为每个组成部分确定一个大致的“贡献百分比”，并相应地权衡各自的治疗策略。然后可以为每个患者制定个性化的疼痛管理算法。如果我们临床医生尽最大能力完成这项任务，尽管不能完全消除所有痛苦，但我们可以放心，我们是以科学、合理和人道的方式管理疼痛缓解过程的。
