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Farmakologisk smärtlindring har central roll i palliativ vård
Engelsk titel: Mechanism-based pain treatment in palliative care Läs online Författare: Lundström, Staffan Språk: Swe Antal referenser: 10 Dokumenttyp: Artikel UI-nummer: 16127118

Tidskrift

Läkartidningen 2016;113(47)2094-6 ISSN 0023-7205 E-ISSN 1652-7518 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Pain is common among patients in palliative care and one of the most feared symptoms. Knowledge about effective pain management is therefore essential for clinicians. Successful pain management is mainly based on the medical history and clinical examination, resulting in an understanding of the present pain mechanism(s). The pain mechanism then forms the basis for the pharmacological treatment strategy which should be individualized and take into account factors such as kidney function, expected side effects, route of administration and concomitant medication. Strong opioids are central components of the treatment and are often supplemented by COX-inhibitors, corticosteroids, anticholinergics or antineuropathic drugs. The main goal is freedom from pain at rest without troublesome side effects.