Clinical Case Database / Category: Prescribing
Pain control in palliative care
Publication details
Becky Hirst MA, MBChB, MRCGP, Irene Lawrence MPharmS
Foundation Years Journal, volume 2, issue 4, p.193 (123Doc Education, London, April 2008)
Abstract
Peter is a 62-year-old man who has recently been diagnosed with locally invasive prostate cancer. He comes to see you complaining of pelvic pain. It is somewhat relieved by paracetamol, but is waking him up at night. What would you prescribe?
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Authors
Becky Hirst MA, MBChB, MRCGP (Corresponding author)
Specialist Registrar in Palliative Medicine
Academic Unit of Supportive Care
University of Sheffield
rebeccahirst@nhs.net
Irene Lawrence MPharmS
Pharmacist
Macmillan Palliative Care Unit
Northern General Hospital
Sheffield
References
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4. Ahmedzai A, Boland J. Opioids for chronic pain: molecular and genomic basis of actions and adverse effects. Curr Opin Support P alliatr Care 2007; 1:117–25.
5. Passik S, Portenoy R. Substance abuse issues in palliative care. In: A. Berger (ed), Principles and P ractice of Supportive Oncology . Lippincott-Raven, Philadelphia, 1998, pp. 513–529.
6. Portenoy RK. Tolerance to opioid analgesics: clinical aspects. Cancer Surveys 1994; 21:49–65.
7. At a glance guide to the current medical standards of fitness to drive. http://www.dvla.gov.uk/medical/ataglance.aspx (accessed 10/04/2008).
8. Twycross R, W ilcock A. Palliative Care Formulary . Third edition (2007), Palliativedrugs.com Ltd, Nottingham.
9. Sykes N. The relationship between opioid use and laxative use in terminally ill cancer patients. Palliative Med 1998; 12:375–82.
10. Zylicz Z, Twycross R. Opioid-induced hyperalgesia may be more common than previously thought. J Clin Oncol 2008; 26:1564.
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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