Page 22 - CPG - Clinical Practice Guidelines - Management of Cancer Pain

Management of Cancer Pain (Second Edition)

Source: Franklin AE, Lovell MR. Pain and Pain Management. In: Roderick Duncan
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A multidisciplinary team is often required to address the many needs
of a patient. A team comprising healthcare professionals of different
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pain relief through various treatment methods. 8, level I The core team
should consist of a physician, nurse, pharmacist, clinical psychologist,
social worker, physiotherapist, occupational therapist and spiritual
care provider. Other healthcare providers may be included based on
the patient’s needs. High-intensity interprofessional collaboration in
managing cancer pain has shown: 9
• improvement in mean patient satisfaction
• less uncertainty and concerns among patients
• adequacy in pain management

A cohort study showed that a multidisciplinary palliative care team
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patients. 12, level II-2 Another study on the impact of a clinical pharmacist-led
team showed that it improved standardisation of opioid administration,
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compared with usual care in cancer pain. 13, level II-1

Healthcare providers should involve the patient and their family/caregiver
to understand the patient’s values and preferences when planning
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with the patient and their family/caregiver during decision-making will
ensure optimal care is provided in the patient’s best interest. 10, level I
Furthermore, the involvement of patients and their family/caregiver in
managing cancer pain reduces barriers to analgesic use and decreases
the worst pain score.
9
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response to pain is highly individualised. There are many factors that
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may help in providing individualised care and alleviating pain more
effectively. 10, level I

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