Cancer Support Group

Saturday, Jul 11th

Last update:06:42:40 AM GMT

Psychosocial Aspects and Care for Terminal Illness

Pain Relief
Pain Relief Pain Relief
Medication to be given
  • By the ladder
  • By the clock
  • By mouth
Morphine Fears
  • Fear that Morphine MORT – finish
  • Fear of Addiction
  • Fear of Intolerable Side – Effects
  • Fear that it will lose Efficacy
Early use of Morphine
  • Better Analgesia
  • Improves QOL
Side Effects
  • Nausea / Vomiting
  • Drowsiness
  • Constipation
  • Restlessness / Disorientation
  • DOSE
Morphine Myths
  • To be given when death is imminent
  • Makes the patient like a zombie
  • Causes respiratory depression
  • Causes addiction
Under treatment of Cancer/AIDS Pain could be due to:
  • Clinician’s knowledge & attitudes
  • Patients under reporting & non – compliance
  • System–wide impediments to Optimal Analgesic Therapy
Patient’s reaction on Diagnosis
  • Anger – why me ??
  • Denial
  • Bargaining
  • Depression
  • Acceptance
Proper Communication
Depends on Listening
  • Which builds trust
  • Which increase compliance
Poor Communication causes more SUFFERING than any other problem except unrelieved pain

Aims of Explanation
  • To convey information
  • To reduce uncertainty
  • To increase trust
  • Clearer explanation can be Analgesic


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