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Pain Management 

Pain Management
Chapter:
Pain Management
Author(s):
DOI:
10.1093/med/9780190239442.003.0002
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date: 18 June 2019

This chapter reviews important principles of pain management in serious illness and at the end of life. Based on a comprehensive assessment of the pain, treatment of pain involves a combination of pharmacological approaches and nondrug interventions. The chapter reviews the types of pain common in serious illness and pharmacological treatment including clinical nonopioids, opioids, and adjuvant analgesics. Important issues such as breakthrough pain, opioid rotation, equianalgesic dosing, and side effect management are described. Nonpharmacological therapies include cognitive-behavioral approaches, physical techniques, and integrative therapies as well as interventional strategies. The management of pain in special populations, such as those with substance misuse disorder, is included.

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