Cancer-Related Pain Management and the Optimal Use of Opioids

Detalhes bibliográficos
Autor(a) principal: Reis-Pina, Paulo
Data de Publicação: 2015
Outros Autores: Lawlor, Peter G., Barbosa, António
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5801
Resumo: Pain relief is vital to the treatment of cancer. Despite the widespread use and recognition of clinical recommendations for the management of cancer-related pain, avoidable suffering is still prevalent in patients with malignant disease. A gap exists between what is known about pain medical management and actual practices of patients, caregivers, healthcare professionals and institutions. Opioids are the pillar of the medical management of moderate to severe pain. The prescription of opioid analgesics – by a registered medical practitioner for absolute pain control – is a legitimate practice. In this article we look at patients’ fears and physicians’ generalhesitations towards morphine and alike. We examine misconceptions that yield fallacies on the therapeutically use of opioids and, therefore, sustain inadequate pain management.
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spelling Cancer-Related Pain Management and the Optimal Use of OpioidsO Tratamento da Dor Oncológica e a Utilização Idónea de OpióidesAnalgesicsOpioidNeoplasms/complicationsPain/drug therapyPain MeasurementPalliative Care.Analgésicos OpióidesCuidados PaliativosDor/tratamentoMedição da DorNeoplasias/complicações.Pain relief is vital to the treatment of cancer. Despite the widespread use and recognition of clinical recommendations for the management of cancer-related pain, avoidable suffering is still prevalent in patients with malignant disease. A gap exists between what is known about pain medical management and actual practices of patients, caregivers, healthcare professionals and institutions. Opioids are the pillar of the medical management of moderate to severe pain. The prescription of opioid analgesics – by a registered medical practitioner for absolute pain control – is a legitimate practice. In this article we look at patients’ fears and physicians’ generalhesitations towards morphine and alike. We examine misconceptions that yield fallacies on the therapeutically use of opioids and, therefore, sustain inadequate pain management.O controlo da dor é fundamental no tratamento do cancro. Apesar da vasta utilização e do reconhecimento das normas de orientação clínica para o controlo da dor oncológica, o sofrimento evitável é ainda prevalente em doentes com cancro. Existe um hiato entre o conhecimento e a prática clínica no que concerne a uma adequada gestão da dor pelos doentes, cuidadores, profissionais e instituições de saúde. Os opióides representam o pilar do tratamento farmacológico da dor moderada a insuportável. A prescrição de analgésicos opióides - por um médico credenciado, para o controlo absoluto da dor, - é uma prática legítima. Neste artigo debruçamo-nos sobreas hesitações dos médicos e os receios dos doentes perante a morfina e similares. Examinamos os preconceitos que promovem o fracasso do uso terapêutico dos opióides e, consequentemente condicionam o controlo inadequado da dor.Ordem dos Médicos2015-06-08info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5801oai:ojs.www.actamedicaportuguesa.com:article/5801Acta Médica Portuguesa; Vol. 28 No. 3 (2015): May-June; 376-381Acta Médica Portuguesa; Vol. 28 N.º 3 (2015): Maio-Junho; 376-3811646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5801https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5801/4355https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5801/7545Reis-Pina, PauloLawlor, Peter G.Barbosa, Antónioinfo:eu-repo/semantics/openAccess2022-12-20T11:04:31Zoai:ojs.www.actamedicaportuguesa.com:article/5801Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:10.831572Repositório 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 Cancer-Related Pain Management and the Optimal Use of Opioids
O Tratamento da Dor Oncológica e a Utilização Idónea de Opióides
title Cancer-Related Pain Management and the Optimal Use of Opioids
spellingShingle Cancer-Related Pain Management and the Optimal Use of Opioids
Reis-Pina, Paulo
Analgesics
Opioid
Neoplasms/complications
Pain/drug therapy
Pain Measurement
Palliative Care.
Analgésicos Opióides
Cuidados Paliativos
Dor/tratamento
Medição da Dor
Neoplasias/complicações.
title_short Cancer-Related Pain Management and the Optimal Use of Opioids
title_full Cancer-Related Pain Management and the Optimal Use of Opioids
title_fullStr Cancer-Related Pain Management and the Optimal Use of Opioids
title_full_unstemmed Cancer-Related Pain Management and the Optimal Use of Opioids
title_sort Cancer-Related Pain Management and the Optimal Use of Opioids
author Reis-Pina, Paulo
author_facet Reis-Pina, Paulo
Lawlor, Peter G.
Barbosa, António
author_role author
author2 Lawlor, Peter G.
Barbosa, António
author2_role author
author
dc.contributor.author.fl_str_mv Reis-Pina, Paulo
Lawlor, Peter G.
Barbosa, António
dc.subject.por.fl_str_mv Analgesics
Opioid
Neoplasms/complications
Pain/drug therapy
Pain Measurement
Palliative Care.
Analgésicos Opióides
Cuidados Paliativos
Dor/tratamento
Medição da Dor
Neoplasias/complicações.
topic Analgesics
Opioid
Neoplasms/complications
Pain/drug therapy
Pain Measurement
Palliative Care.
Analgésicos Opióides
Cuidados Paliativos
Dor/tratamento
Medição da Dor
Neoplasias/complicações.
description Pain relief is vital to the treatment of cancer. Despite the widespread use and recognition of clinical recommendations for the management of cancer-related pain, avoidable suffering is still prevalent in patients with malignant disease. A gap exists between what is known about pain medical management and actual practices of patients, caregivers, healthcare professionals and institutions. Opioids are the pillar of the medical management of moderate to severe pain. The prescription of opioid analgesics – by a registered medical practitioner for absolute pain control – is a legitimate practice. In this article we look at patients’ fears and physicians’ generalhesitations towards morphine and alike. We examine misconceptions that yield fallacies on the therapeutically use of opioids and, therefore, sustain inadequate pain management.
publishDate 2015
dc.date.none.fl_str_mv 2015-06-08
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://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5801
oai:ojs.www.actamedicaportuguesa.com:article/5801
url https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5801
identifier_str_mv oai:ojs.www.actamedicaportuguesa.com:article/5801
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5801
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5801/4355
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5801/7545
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Ordem dos Médicos
publisher.none.fl_str_mv Ordem dos Médicos
dc.source.none.fl_str_mv Acta Médica Portuguesa; Vol. 28 No. 3 (2015): May-June; 376-381
Acta Médica Portuguesa; Vol. 28 N.º 3 (2015): Maio-Junho; 376-381
1646-0758
0870-399X
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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