Pain in palliative care is rarely as simple as “give more morphine.”
In this episode of Prescribe or Pass: The PoP Pod, we start with the most important step: working out what kind of pain the patient is actually experiencing.
We explore nociceptive, neuropathic, visceral and bone pain, and how the likely mechanism should guide treatment. We also look at where paracetamol, NSAIDs, opioids and adjuvant medicines fit, and why radiotherapy, positioning, treating constipation or addressing other reversible causes can sometimes do more than another analgesic dose.
The key message: assess the pain first, then match the treatment to the mechanism and the patient’s goals.
Plus, reflective questions to help turn the episode into CPD.
Next up in Episode 3: a deeper dive into opioids including morphine, oxycodone, hydromorphone, fentanyl, buprenorphine and methadone, opioid rotation, equianalgesia, breakthrough dosing, renal impairment and common opioid myths.
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