Assessment and treatment of irruptive cancer pain
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://onco.news/index.php/journal/article/view/127 |
Resumo: | The breakthrough cancer pain (BTCP) consists of a transitory exacerbation of pain that occurs either spontaneously or triggered by a specific factor (predictable or unpredictable), despite the relatively stable and adequate control of the background pain. It is essential to clearly identify that it is an episode of BTP and not a poorly controlled chronic pain.Pharmacological treatment can consist of rescue medication - Short Acting Opioid - SAO (eg. Sevredol®, Oramorph®) and Rapid Opioid Onset - ROO such as sublingual fentanyl sublingual, buccal film and transmucosal (eg. Abstral®, Breakyl® and Actiq®).It is essential nurses know how to make a proper assessment of BTP, how to teach the patient to manage the therapeutic regimen and how to reassess. The objectives of the reassessment determine the efficacy and tolerability of treatment of BTP and any change in its nature. Improper reassessment could lead to the continuation of an ineffective and/or inappropriate treatment. |
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Assessment and treatment of irruptive cancer painAvaliação e tratamento da dor irruptiva oncológicaDor irruptiva oncológicaDIOdor oncológicatratamento da dormorfinafentaniloBreakthrough Cancer PainBTCPoncologic painpain treatmentmorphinefentanylThe breakthrough cancer pain (BTCP) consists of a transitory exacerbation of pain that occurs either spontaneously or triggered by a specific factor (predictable or unpredictable), despite the relatively stable and adequate control of the background pain. It is essential to clearly identify that it is an episode of BTP and not a poorly controlled chronic pain.Pharmacological treatment can consist of rescue medication - Short Acting Opioid - SAO (eg. Sevredol®, Oramorph®) and Rapid Opioid Onset - ROO such as sublingual fentanyl sublingual, buccal film and transmucosal (eg. Abstral®, Breakyl® and Actiq®).It is essential nurses know how to make a proper assessment of BTP, how to teach the patient to manage the therapeutic regimen and how to reassess. The objectives of the reassessment determine the efficacy and tolerability of treatment of BTP and any change in its nature. Improper reassessment could lead to the continuation of an ineffective and/or inappropriate treatment.A dor irruptiva oncológica (DIO) é definida como uma exacerbação transitória da dor que ocorre quer espontaneamente quer desencadeada por um fator específico (previsível ou imprevisível), apesar do relativamente estável e adequado controlo da dor basal. É fundamental identificar claramente que se trata de um episódio de DIO e não de dor crónica basal mal controlada.O tratamento farmacológico consiste em medicação de resgate – formulações orais de libertação normal de morfina (p.ex. Sevredol®, Oramorph® - Short Acting Opioid - SAO) e formulações de libertação rápida como o fentanilo sublingual, película bucal e transmucoso (p.ex. Abstral®, Breakyl® e Actiq® - Rapid Onset Opioid - ROO).É essencial que os enfermeiros saibam realizar uma avaliação adequada da DIO, saibam ensinar o doente a gerir o esquema terapêutico e saibam reavaliar. Os objetivos da reavaliação são determinar a eficácia e tolerabilidade do tratamento da DIO e se houve ou não alguma alteração da sua natureza. Uma reavaliação inadequada pode levar à continuação de um tratamento ineficaz e/ou inapropriado.AEOP – Associação de Enfermagem Oncológica Portuguesa2015-09-10info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://onco.news/index.php/journal/article/view/127Onco.news; No. 28 (2015): Onco.News Journal; 10-18Onco.News; N.º 28 (2015): Revista Onco.News; 10-182183-69141646-7868reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://onco.news/index.php/journal/article/view/127https://onco.news/index.php/journal/article/view/127/140Direitos de Autor (c) 2023 Juliana Santos, Carina Raposo, António Oliveira, Ana Leonor Ribeiroinfo:eu-repo/semantics/openAccessSantos, JulianaRaposo, CarinaOliveira, AntónioLeonor Ribeiro, Ana2024-03-16T07:55:21Zoai:oai.onco.news:article/127Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T04:01:22.981329Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Assessment and treatment of irruptive cancer pain Avaliação e tratamento da dor irruptiva oncológica |
title |
Assessment and treatment of irruptive cancer pain |
spellingShingle |
Assessment and treatment of irruptive cancer pain Santos, Juliana Dor irruptiva oncológica DIO dor oncológica tratamento da dor morfina fentanilo Breakthrough Cancer Pain BTCP oncologic pain pain treatment morphine fentanyl |
title_short |
Assessment and treatment of irruptive cancer pain |
title_full |
Assessment and treatment of irruptive cancer pain |
title_fullStr |
Assessment and treatment of irruptive cancer pain |
title_full_unstemmed |
Assessment and treatment of irruptive cancer pain |
title_sort |
Assessment and treatment of irruptive cancer pain |
author |
Santos, Juliana |
author_facet |
Santos, Juliana Raposo, Carina Oliveira, António Leonor Ribeiro, Ana |
author_role |
author |
author2 |
Raposo, Carina Oliveira, António Leonor Ribeiro, Ana |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Santos, Juliana Raposo, Carina Oliveira, António Leonor Ribeiro, Ana |
dc.subject.por.fl_str_mv |
Dor irruptiva oncológica DIO dor oncológica tratamento da dor morfina fentanilo Breakthrough Cancer Pain BTCP oncologic pain pain treatment morphine fentanyl |
topic |
Dor irruptiva oncológica DIO dor oncológica tratamento da dor morfina fentanilo Breakthrough Cancer Pain BTCP oncologic pain pain treatment morphine fentanyl |
description |
The breakthrough cancer pain (BTCP) consists of a transitory exacerbation of pain that occurs either spontaneously or triggered by a specific factor (predictable or unpredictable), despite the relatively stable and adequate control of the background pain. It is essential to clearly identify that it is an episode of BTP and not a poorly controlled chronic pain.Pharmacological treatment can consist of rescue medication - Short Acting Opioid - SAO (eg. Sevredol®, Oramorph®) and Rapid Opioid Onset - ROO such as sublingual fentanyl sublingual, buccal film and transmucosal (eg. Abstral®, Breakyl® and Actiq®).It is essential nurses know how to make a proper assessment of BTP, how to teach the patient to manage the therapeutic regimen and how to reassess. The objectives of the reassessment determine the efficacy and tolerability of treatment of BTP and any change in its nature. Improper reassessment could lead to the continuation of an ineffective and/or inappropriate treatment. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-09-10 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://onco.news/index.php/journal/article/view/127 |
url |
https://onco.news/index.php/journal/article/view/127 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://onco.news/index.php/journal/article/view/127 https://onco.news/index.php/journal/article/view/127/140 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2023 Juliana Santos, Carina Raposo, António Oliveira, Ana Leonor Ribeiro info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Direitos de Autor (c) 2023 Juliana Santos, Carina Raposo, António Oliveira, Ana Leonor Ribeiro |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
AEOP – Associação de Enfermagem Oncológica Portuguesa |
publisher.none.fl_str_mv |
AEOP – Associação de Enfermagem Oncológica Portuguesa |
dc.source.none.fl_str_mv |
Onco.news; No. 28 (2015): Onco.News Journal; 10-18 Onco.News; N.º 28 (2015): Revista Onco.News; 10-18 2183-6914 1646-7868 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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