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Cancer pain: characteristics and management
Abstract
Fifty seven patients with advanced cancer under treatment in an
oncologic unit were evaluated. The analgesic regimen used and the
reason for their use were analyzed according of the intensity of the
pain. Pain was moderate in most of the patients, and severe in 1/5 of
them, lasting 10 months in average. In 40.9% of cases, there was
preference for 12 descriptions of pain words of the McGill
questionnaire to describe pain. The affective descriptors were more
frequently used by patients with pain (p<0,05). Pain control was not
achieved by most of the patients. The pain management index was
negative in 49.1% of the cases, suggesting that the potency of the
analgesics was not adequate to the intensity of pain. There was not
correlation between the intensity of pain and the potency of drugs
prescribed by WHO. The intensity of pain was lower in patients using
analgesics regularly (p<0,05).
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