Pain Management for
Cancer Patients

Tumor-related pain


Treatment-related pain:
Chemotherapy
Radiation therapy
Neuropathic pain
Phantom pain


Phases of Care
Considerations

Interventions

Pharmacologic

Nonpharmacologic

Acupuncture
Biofeedback
Medication
Massage
Relaxation techniques
Physical therapy
Essential oil therapy

Nonopioids

Opioids


Adjuvant Analgesics

Acetaminophen
NSAIDs

Antidepressants
Anticonvulsants
Corticosteroids
Ketamine
Tramadol

Phenylpiperidines
Phenanthrenes
Phenylheptylamines

Types of
Pain

Causes of
Cancer Pain

Intraoperative

Postoperative

Preoperative

Hospital Pain
Management

Initial assessment of cancer pain
Current regimen for pain control
Psychological factors precipitating pain
Proposed interventions and associated pain


Surgical Procedure
Anesthetic technique
Pharmacologic Agents

Postoperative pain control requrement
Discharge status

Approach to
Pain Management

Management
Considerations

Pharmacologic Therapies


Side effects

Type of pain

Finding the
Proper Balance

Stage of cancer

Type of cancer

Barriers related to opioid use

Classifications

Acute
Chronic
Breakthrough

Nociceptive
Neuropathic
Somatic
Visceral

Specific patient population

Duration of pain management required

Patient pain management values and goals