Nonvisceral Cancer Pain Management

Nonvisceral Cancer Pain Management

Skin, Soft Tissue and Bone Pain Management

Monitoring

Medications

Every 4 to 6 hours monitoring

Round the clock medication for continuous pain

Pain Score (0-10)

0 – none

1-3 – mild

4-6 – moderate

7-9 – severe

10 – worst

For patients with continuous skin and soft tissue and bone cancer pain –

Get baseline or trending pain score – overall or average in the whole day (mild, moderate, severe, worst) or identify at which time pain is intolerable (4-10)

Give analgesics based on average or give stronger analgesics before the onset of the intolerable pain.

Mild analgesics – mild pain

Stronger analgesics – moderate pain

Strong analgesics – severe pain

Strongest analgesics – worst pain

Mild analgesics – paracetamol

Stronger analgesics – NSAIDs, selective NSAIDs (COX2 Inhibitors)

Strong analgesics – Opiods (tramadol, morphine, fentanyl)

Strongest analgesics – Opiods (morphine, fentanyl)

Other options:

• Combination analgesics

• Breakthrough pain

• Adjuvant analgesics