Page 21 - CPG - Clinical Practice Guidelines - Management of Cancer Pain
P. 21
Management of Cancer Pain (Second Edition)
2. PRINCIPLES OF MANAGEMENT
• The guiding principles of cancer pain management are: 8, level I; 9; 10, level I
{ a comprehensive pain assessment
{ the application of the concept of Total Pain
{ the involvement of a multidisciplinary team
{ an emphasis on patient and family-centred care
{ WKH LQGLYLGXDOLVDWLRQ RI WKH SDLQ H[SHULHQFH DQG UHVSRQVH
The principles of cancer pain management have remained similar over
the years and their importance has been strengthened by research. A
V\VWHPDWLF UHYLHZ KDV UHDI¿UPHG WKH FRUH SULQFLSOHV RXWOLQHG LQ WKH ¿UVW
HGLWLRQ RI WKH 0DOD\VLDQ &3* RQ 0DQDJHPHQW RI &DQFHU 3DLQ 10, level I
&RPSUHKHQVLYH FDQFHU SDLQ DVVHVVPHQW UHPDLQV WKH ¿UVW DQG IRUHPRVW
9
principle in providing good cancer pain management. A detailed
KLVWRU\ SK\VLFDO H[DPLQDWLRQ SV\FKRORJLFDO DVVHVVPHQW VXLWDEOH
pain measurement tools and appropriate diagnostic procedures are
components of a good assessment. Regular reassessment is vital to
ensure that treatment is effective and safe. 11
Cancer pain assessment is further enhanced by the concept of Total
Pain (refer to Figure 1) which guides healthcare providers to view
the multidimensionality of pain. A holistic review of the physical,
psychological, social and spiritual aspects would provide a better
XQGHUVWDQGLQJ RI WKH LQGLYLGXDO¶V H[SHULHQFH RI SDLQ 8, level I
Figure 1. Concept of Total Pain
3
e-cpg inside text-Cancer pain-25/5/24.indd 3 09/08/2024 12:09 AM