Page 25 - CPG - Clinical Practice Guidelines - Management of Cancer Pain

Management of Cancer Pain (Second Edition)
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3.2 Clinical Assessment
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Taking a good pain history is important for accurate clinical assessment
as most pain diagnoses can be made based on history alone.
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Characteristics of pain • Site(s) - single/multiple
• Quality - sharp/dull/throbbing/colicky, etc.
• Intensity - pain score
• Timing - persistent/episodic/on movement/
spontaneous
• Radiation of pain
• Aggravating and relieving factors
• Associated symptom - numbness/abnormal
sensation/ hyperalgesia/allodynia, etc.
Cancer history • Site(s) - primary/metastatic
• Treatment(s) - surgery/chemotherapy/
radiotherapy/targeted therapy
Medication • Analgesics and adjuvants
• Side effects
• Concurrent medications including traditional/
alternative medications
• Treatment response/adherence
Co-morbidities • Renal/liver disease
• Cardiac/respiratory disease
• Cognitive impairment
• Other pain conditions - acute/chronic
• Previous alcohol or drug abuse
Psychosocial-spiritual • Emotional/psychological - depression/
anxiety/stress, etc.
• Meaning of pain to the patient
• Effects on activities of daily living/appetite/sleep
• Effects on socio-economic functioning
• Perception of pain and pain medications
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clinical diagnosis. This helps to provide a comprehensive understanding
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