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Cancer Pain (Paperback, Softcover reprint of the original 1st ed. 1989)
Loot Price: R1,440
Discovery Miles 14 400
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Cancer Pain (Paperback, Softcover reprint of the original 1st ed. 1989)
Series: Current Management of Pain, 3
Expected to ship within 10 - 15 working days
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The diagnosis of cancer inspires fear, in part because of the high
mortality rate associated with most malignancies, and in part
because of the perception that cancer is a painful disease.
Recently compiled statistics tend to support patients' fears. Pain
is a major symptom in 70% of patients with advanced cancer [1].
Half of all patients undergoing anticancer therapy experience pain
[2]. It has been estimated by members of the World Health
Organization that 3. 5 million people worldwide suffer from cancer
pain. One study of the severity of cancer pain estimates that pain
is moderate to severe in 50% of cancer pain patients, very severe
or excruciating in 30% [3]. An analysis of several reports of
patients in developed countries estimates that 50-80% of patients
had inadequate relief [2]. In underdeveloped countries, adequacy of
treatment may be far lower because of lack of availability of
medical facilities and legal constraints on the use of potent
narcotics. The picture need not be this bleak. The reality is that,
for most patients, cancer pain is relatively easy to control with
simple, inexpensive measures. Several studies have indicated that
cancer pain can be well controlled with oral morphine in over 90%
of patients [4,5]. Long-acting orally effective opiate preparations
such as time release morphine, methadone, and levorphanol allow
patients to sleep comfortably through the night. When the oral
route is impossible, narcotics can be administered rectally or by
intravenous or subcutaneous infusion.
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