Pain management in cancer patients: different strategiestowardone outcome
Background:The International Association for the Study of Pain (IASP) defines pain as an unpleasant sensory and emotional experience associated with actual or potential tissue damage.Pain is a universal human experience and it is the common question for people to seek health care. Different modalities reported to be an effective for painmanagement. Objective: The study aimed to describe the efficacy and roles of different strategies in control of pain in metastatic cancerous patients. Methods: This is a prospective observational study carried out at the Neurosurgery Department in Gulan General Hospital, from the 1st of March 2020 to the 30th of May 2020. Patients were assessed before receiving pain control modalities, at beginning, and at the end of treatment. Pain scoring used from 0 (no pain) to 10 (the worst pain). Result: There were 59% males and41% females with the mean age were46.58±14.22 years. The breast cancer was the most types studied. The most pain site was backache which figured in 50% of patients. Sharp pain was commonly described by 45% patients. Frequent pain was more presented in 60% of patients. Night was commonest timing of pain. Pain mostly relief by taking medication in 65%.Before treatment, the most common scoring was (9) in 30% of patients, followed by score (10) as 25%. Aftermedication the scoring shift downward toward borderline and low scoring with significant associations for scoring (5-10) (P=0.047, 0.049, 0.05, 0.049, 0.05, 0.05), respectively. The follow-up after one month, stable status found in 59% patients, whereas those felt bad were 10%. Conclusion: After receiving treatment, several medications like simple analgesia, NSAIDs, and narcotic cause shifting of the pain scoring downward and move from left to right. Combination of more than strategies more efficient than use single option for pain management in cancerous patients with better outcome.