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Pain in Respiratory Disease

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Integrated Palliative Care of Respiratory Disease

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Abstract

Pain may be classified as nociceptive or neuropathic and somatic or visceral. Neuropathic pain can be further subdivided into that due to nerve compression, nerve destruction or sympathetically maintained pain. The chapter describes the assessment and diagnosis of the cause of pain and the concepts of total pain and regular and breakthrough pain. Management starts with explanation and general non-drug measures. Disease modification runs alongside the use of non-opioid analgesics and then the WHO opioid ladder. Oral morphine is the main strong opioid used, but the indication for alternative drugs and routes is considered. Neuropathic pain ­usually requires the use of adjuvant analgesics. The role of other adjuvants in certain circumstances is described as well as the use of topical analgesics and anesthetic interventions.

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Author information

Authors and Affiliations

  1. Department of Palliative Care, Wansbeck General Hospital, Woodhorn Lane, Ashington, Northumberland, NE63 9JJ, UK

    Eleanor Grogan B.Sc., M.B.B.S., M.A., FRCP

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  1. Eleanor Grogan B.Sc., M.B.B.S., M.A., FRCP
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Correspondence to Eleanor Grogan B.Sc., M.B.B.S., M.A., FRCP .

Editor information

Editors and Affiliations

  1. , Department of Respiratory Medicine, Royal Victoria Infirmary, Newcastle upon Tyne, NE1 4LP, United Kingdom

    Stephen J. Bourke

  2. , Palliative Care Unit, North Tyneside General Hospital, Rake Lane, North Shields, NE29 8NH, United Kingdom

    Edwin Timothy Peel

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Grogan, E. (2013). Pain in Respiratory Disease. In: Bourke, S., Peel, E. (eds) Integrated Palliative Care of Respiratory Disease. Springer, London. https://doi.org/10.1007/978-1-4471-2230-2_5

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  • DOI: https://doi.org/10.1007/978-1-4471-2230-2_5

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-2229-6

  • Online ISBN: 978-1-4471-2230-2

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