Initial Experiences With Integration of Palliative Medicine and Specialist Pain Services in a Tertiary Cancer Care Center in India

Pain management constitutes a pivotal aspect of palliative care. Certain instances of distressing pain are significantly relieved through interventional pain methodologies, demanding the expertise of pain specialists. Our perspective revolves around the integration of these 2 facets, envisaging a sy...

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Bibliographic Details
Published in:Journal of pain & palliative care pharmacotherapy 2024-06, Vol.38 (2), p.95-102
Main Authors: Damani, Anuja, Ghoshal, Arunangshu, Thota, Raghu, Jain, Parmanand N
Format: Article
Language:English
Subjects:
Adult
Aged
Cancer Pain - therapy
Female
Humans
India
Male
Middle Aged
Neoplasms - complications
Neoplasms - therapy
Pain Management - methods
Palliative Care - methods
Palliative Medicine
Prospective Studies
Referral and Consultation
Tertiary Care Centers
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Summary:Pain management constitutes a pivotal aspect of palliative care. Certain instances of distressing pain are significantly relieved through interventional pain methodologies, demanding the expertise of pain specialists. Our perspective revolves around the integration of these 2 facets, envisaging a symbiotic relationship that could enhance patient outcomes. A prospective assessment was carried out within a collaborative clinic, uniting the realms of pain management and palliative medicine. Anonymized patient information was scrutinized to grasp the advantages of this amalgamation and identify strategies to address any inherent deficiencies. Furthermore, an illustrative case study was delineated, spotlighting the collaborative dynamics at a systemic level. During the period spanning from November 2020 to June 2021, a total of 43 patients received consultations at this collaborative clinic. Each patient was exposed to a comprehensive pain management regimen, with the most frequently conducted procedure being an intercostal nerve block, which was administered in 9.30% of cases. For the provision of effective pain relief within the palliative care context, the confluence of joint consultations from cancer pain specialists emerges as a requisite measure. This approach carries the promise of optimizing pain control and augmenting the quality of palliative care.
ISSN:1536-0288
1536-0539
DOI:10.1080/15360288.2024.2320379