PROSPECTIVE OBSERVATIONAL STUDY ON PAIN MANAGEMENT IN PATIENTS WITH CANCER
Dr. Basavanna P. L.*, Dr. Muhammad Nabeel, Dr. Priya George and Dr. Raslimarva C.
ABSTRACT
Cancer is a major public health problem worldwide. Pain is among the most common symptoms in patients with cancer. Hence we aimed to assess cancer pain interference, and adequacy of cancer pain treatment in the oncology ward of Mysore teaching hospital. A prospective observational analysis of cancer cases admitted to k r hospital over a period of 6 month from November 2019 to April 2020 was carried out with a sample size of 120 patients demographic data were collected by using patients data collection form and severity and interference on functioning was carried out by using brief pain inventory short form and numeric pain rating scale. Data obtained was analyzed by using spss version 20. In our result majority of the patients were female (n=72) and age group was 31-45 yrs. Breast cancer (n=44, 36.7%) was the major type of cancer and stage 2 (n=47) was the major stage of cancer and followed by stage 3 (n=37). Most of the patients shows nociceptive type of pain (n=64) and moderate pain (n=51). 51 patients shows mild pain interfere on functioning. Non opioid +_ adjuvant was the commonest analgesics prescribed for the pain management. ie, paracetamol and/or diclofinac (n=61, 50.8%) followed by weak opioid + non opioid +_ adjuvant (n=38, 31.7%). 63 (52.5%) were receiving inadequate cancer pain treatment. Therefore it is vital to anticipate and assess pain of the cancer patients as routine clinical practice to optimize analgesic therapy and to identify and overcome barriers to adequate pain management.
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