Page 21 - CPG - Clinical Practice Guidelines - Management of Cancer Pain
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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
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                  The principles of cancer pain management have remained similar over
                  the years and their importance has been strengthened by research. A
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                  HGLWLRQ RI WKH 0DOD\VLDQ &3* RQ 0DQDJHPHQW RI &DQFHU 3DLQ  10, level I

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                                                                9
                  principle  in providing  good cancer pain management.  A  detailed
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                  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

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