“My leg hurts right here.”
“I’m so worried about my wife.”
“I don’t know how I’ll get to my appointment.”
“Why did I get this disease?”
Have you noticed a fever?
How does it affect your life?
Have you lost weight?
How are you feeling overall?
Usually treated with anti-inflammatory agents
A result of disordered nerve function
Due to direct stimulation of intact nociceptors
Rarely responsive to opioid analgesics
Risk of overstepping regulatory limits
Strength of pill
Pain and symptom management
Psychological and spiritual support
Getting the patient to be DNR
Coordination of care
An increasing need for the drug over time
Complaint of pain exceeding that expected for a given medical problem
Development of withdrawal when the drug is stopped
Evidence of adverse life consequences from drug use
10 mg q4
15 mg q4
30 mg q4
45 mg q4
NSAIDs for adjuvant pain
Laxatives for constipation
Anti-depressants to supplement pain relief
Anti-emetic to treat nausea
Summarize the plan for care
Tell the family that all is gonna be okay.
Make them feel strong.
None of these
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