WHO GUIDELINES FOR THE AND RADIOTHERAPEUTIC MANAGEMENT PHARMACOLOGICAL OF CANCER PAIN IN ADULTS AND ADOLESCENTS
IN ADULTS AND ADOLESCENTS
WHO GUIDELINES CANCER PAIN FOR WHO GUIDELINES FOR THE PHARMACOLOGICAL AND RADIOTHERAPEUTIC MANAGEMENT OF CANCER PAIN IN ADULTS THE MANAGEMENT OF AND ADOLESCENTS 9 789241 548397
FOR THE PHARMACOLOGICAL AND RADIOTHERAPEUTIC MANAGEMENT OF
20 Avenue Appia
CH-1211 Geneva 27 ISBN 978 92 4 155039 0 Switzerland www.who.int/ CANCER PAIN WHO GUIDELINES
18.1 CASES 9.6 DEATHS 1 / 6 DEATHS MILLION of cancer/year MILLION from cancer/year is due to cancer
is an unpleasant sensory and emotional experience associated with actual or PAIN potential damage of tissues. Individuals experience and express pain differently. 55 % 66 % of patients of patients who undergoing have advanced treatment metastatic for cancer or terminal experience pain cancer experience pain
improves the quality of life PAIN RELIEF of patients with cancer. The goal of pain Patients with cancer Better results in terms of pain and symptom management is may require pain management can be achieved when: to relieve pain to relief at all stages - palliative care is introduced early in the course a level that allows of their disease and of illness; for an acceptable not only at the end - an approach tailored to each individual is adopted quality of life. of life. together with disease-modifying therapies.
ACCESS TO PAIN RELIEF AND PALLIATIVE CARE IS A HUMAN RIGHT AND AN ESSENTIAL PART OF UNIVERSAL HEALTH COVERAGE. WHO GUIDELINES FOR THE MANAGEMENT OF CANCER PAIN
The main components of the WHO Guidelines are:
INITIATION OF PAIN RELIEF MAINTENANCE OF PAIN RELIEF (Non-opioids and opioids) (Opioids)
MANAGEMENT OF PAIN RELATED TO ADJUVANT MEDICINES BONE METASTASES for cancer pain (Steroids) (Bisphosphonates and radiotherapy)
ADMINISTRATION OF ANALGESIC MEDICINE by the clock
BY MOUTH BY THE CLOCK FOR THE Oral administration Analgesics should INDIVIDUAL, WITH for the individual/with ATTENTION TO by mouth attention to detail is preferred be given on a DETAIL to parenteral regular basis by the The dose of an administration. clock rather than analgesic should be on demand. determined on an individual basis.
THREE-STEP ANALGESIC LADDER Planning and implementing palliative care FREEDOM FROM CANCER PAIN The concept services: a guide for programme of a ladder managers • Opioid for moderate to severe pain • +/ - Non-opioid explains the 3 • +/ - Adjuvant need for pain
WHO list of priority assessment and medical devices for PAIN PERSISTING OR INCREASING cancer management WHO list for appropriate WHO Medical device technical series of priority medical devices
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WHO WHO • Non-opioid guidelines on guidelines the pharmacological
OTHER RELATED PUBLICATIONS: RELATED OTHER on the • +/ - Adjuvant treatment of persisting 1 pain in children with pharmacological medical illnesses treatment of persisting pain in children with medical illnesses
https://www.who.int/ncds/management/en/
ACCESS TO PAIN RELIEF AND PALLIATIVE CARE IS A HUMAN RIGHT AND AN ESSENTIAL PART OF UNIVERSAL HEALTH COVERAGE.
WHO/NMH/NVI/19.1