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Management of chronic pain control in cancer - Essay Example

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Management of chronic pain control in cancer

In one year more than 500 people in 100,000 will be diagnosed with cancer within the United Kingdom (Cancer Research UK, 2012). The same site states that the survival rate for all cancers has now reached 50%, with some types having a very high 5 year survival rate of 95% and with women generally having a higher survival rate than men. Treatment will have included such things as surgery, radiotherapy and chemotherapy, all of which play their part in either removing or destroying cancer cells. Such treatment though has its costs and it is a normal experience to have some pain after cancer surgery. Most of this will fade after time, but in some cases pain can persist for months or years, especially if nerves are damaged. After radiation therapy there may be pain which eventually resolves. In some cases though pain can develop a long way down the line. Chemotherapy can also result in pain and numbness. Some people may also find that they are liable to migraines, low back pain and other types of pain ( Cancer.net, 2012). All of these pains require treatment, but often patients are worried about taking large amounts of analgesics, and may not reveal the extent of their problems. Fullen et al( 2006) point within schools of both medicine and nursing the amount of time spent teaching students about pain relief varies considerably, which will contribute to a patchy service when it comes to pain relief, simply because of inadequate training in some areas. This in turn means that more patients suffer to a greater extent than they need do, and also increase time off work and in hospital, at great cost to themselves and to the country’s health service., Chronic pain has been defined as” having pain on a daily basis for more than six months” (Fullen et al, 2006). Cancer is a term used for more than one hundred diseases in which abnormal cells divide uncontrollably and invade surrounding tissues as well as spreading to other parts of the body through such means as the lymphatic and circulatory systems. It affects both organs and mechanisms. This multiplicity of possibilities requires very individualised treatment at every stage from diagnosis on through treatment and into survivorship. The Alliance for Cervical Cancer Prevention (2004) describes how a diagnosis can mean a person feels isolated, anxious, angry and depressed. It might well be assumed that once a cure has been achieved all this could be put behind them, but persistent pain is a very real issue in many cases, as could be psychological issues. Some will feel exalted that they have survived such a major threat, but others may continue to see themselves as a victim, especially if there are long term physical differences, as for example if there is the need for a permanent colostomy, or a man becomes impotent. Within the United Kingdom in 2012 it was declared that treatment for cancer is becoming ever more successful (Department of Health, 2012). The cure is not always the final end of pain however. The patient and his family have had to deal with the shock of diagnosis, the progress of the disease and then the joy of the ...Show more

Summary

Management of Chronic Pain Control in Cancer Contents Abstract page 1 Introduction Page 1 Thesis Page 3 Justification Page 4 Method Literature Review Discussion Page 8 Conclusion Page 8 References Page 9 Abstract This document considers the topic of chronic pain, in particular after treatment for cancer, whether the pain experienced is somatic and so associated with such things as swellings in joints, skin and deep tissues, neuropathic and visceral pain from organs among cancer survivors, and the best ways to deal with this, using a multidisciplinary approach, involving a variety of techniques, some newer than others…
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