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Titlebook: Supportive Care in Cancer Patients II; Hans-Jörg Senn,Agnes Glaus Conference proceedings 1991 Springer-Verlag Berlin Heidelberg 1991 cance

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Cancer Pain: Pathogenesis, Therapy, and Assessment84; Bond 1985; Müller-Busch 1988; Schara 1988). This is because the pain is associated with the prospect of a restricted lifespan, irreversibility of the disease, and the inability of the physicians to cure the disease. In view of these multiple negative functional associations, pain in the cancer p
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Opiate-Resistant Pain: A Therapeutic Dilemmaassociated with a number of cancer pain syndromes and patient profiles characterized by psychosocial distress, metabolic abnormalities, idiosyncratic reactions to opiate therapy, or the rapid development of tolerance. In the first group nerve damage pain, activity-related (incident) pain, muscle spa
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Is the Therapeutic Use of Opioids Adversely Affected by Prejudice and Law?is remains true even though treatment is so easy and effective with non-narcotic analgesics and opioids (Twycross and Lack 1983). Just with these drugs, pain relief can be achieved in as many as 90% of our patients. But opioids are not used enough in chronic pain treatment. The reasons for this defi
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Treatment of Severe Cancer Pain by Continuous Infusion of Subcutaneous Opioids a three-step treatment as proposed by the World Health Organisation are widely accepted [2]. With this therapeutic strategy, using the WHO analgesic ladder, cancer pain relief can be achieved in a majority of patients [3].
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Coping with Cancer Painjority of these publications cite prevalence data to show that cancer pain is a problem that deserves attention (Foley 1979; Bonica 1979; Twycross and Fairfield 1982). They are almost exclusively concerned with (differential) diagnostics (e.g. Foley 1987) and the treatment of cancer pain from the va
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Present Role of Corticosteroids as Antiemeticsnd vomiting. We need more effective agents and combinations thereof in this fight for a major goal in the quality of life of our patients. Indeed, total and not partial control of emesis is considered by most patients as the only clearly significant benefit from antiemetic treatment [1]. Should this
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Use of Nonpharmacological Techniques to Prevent Chemotherapy-Related Nausea and Vomitingcancer centers throughout the world. The advantages of these techniques—relaxation therapy, desensitization therapy, guided imagery, and self-hypnosis—extend beyond specific symptom management to potentiating the placebo effect on medication and improving patient-provider relationships. In addition,
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Optimizing Palliative Surgical Support of Cancer Patients with Visceral Obstructionsliary obstruction) or indirectly from complications (e.g. cholecystitis and septicaemia) which in turn can be rapidly fatal. Visceral obstruction often causes a rapid downturn in quality of life (e.g. with pain, distension and vomiting from bowel obstruction); it usually needs rapid and careful reas
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