Page 23 - CPG - Clinical Practice Guidelines - Management of Cancer Pain
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Management of Cancer Pain (Second Edition)
3. DIAGNOSIS AND ASSESSMENT
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are not only physiological, but also include behavioural, cognitive,
emotional, spiritual and social aspects. Effective treatment of pain
begins with a comprehensive assessment encompassing these
multidimensional components. The interpretation of pain and how the
sufferer responds to it behaviourally and emotionally is unique and
individualised. 9
Assessment of pain is a vital step in cancer pain management
and is the responsibility of all healthcare providers. Accurate and
comprehensive assessment should be performed prior to treatment
to plan for appropriate interventions and to assess their effectiveness
after initiation. 9
• Pain assessment aims to determine the:
{ nature and pathophysiology of pain
{ severity of pain
{ impact of pain on functions and quality of life
{ response to interventions
Like other clinical assessments, a complete pain assessment requires
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3.1 Clinical Presentation
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aetiology, pathophysiology, anatomical location of pain syndrome,
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characteristics of the pathophysiological classes of cancer pain are
shown in the following Table 1.
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