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Current views on pain relief and terminal care

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The Therapy of Pain

Part of the book series: Current Status of Modern Therapy ((CSMT,volume 6))

Abstract

Sadly, the terminal stage could be defined as beginning at the moment when a clinician says, ‘There is nothing more to be done’ and begins to withdraw from contact with the patient. To say this, as Smithers has pointed out, ‘is inexcusable and seldom if ever true’1. Patients and their families are well aware when this happens and their feelings of isolation add to the total experience of pain.

‘The last act crowns the play’, (Francis Quarles)

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References

  1. Smithers, D. W. (1960). A Clinical Prospect of the Cancer Problem. (Edinburgh: Livingstone)

    Google Scholar 

  2. Parkes, C. M. (1978). Home or hospital? Patterns of care for the terminally ill cancer patient as seen by surviving spouses. J. R. Coll. Gen. Practitioners, 28, 19

    CAS  Google Scholar 

  3. Woodbine, G. (1977). The Care of Patients Dying From Cancer, A Cross-Sectional Study. MSc Thesis, University of Southampton

    Google Scholar 

  4. Hunt, J. M., Stollar, T. D., Littlejohns, D. W., Twycross, R. G. and Vere, D. W. (1977). Patients with protracted pain: A survey conducted at the London Hospital, J. Med Ethics, 3 61

    Article  PubMed  CAS  Google Scholar 

  5. Mount, B. M. (1979). Narcotic Analgesics. Presented at the International Seminar on Continuing Care of Terminal Cancer Patients, October 19–20, Milan

    Google Scholar 

  6. Melzack, R., Ofiesh, J. G. and Mount, B. M. (1976). The Brompton mixture: effects on pain in cancer patients. Canad. Med. Assoc. J., 115, 125

    PubMed  CAS  Google Scholar 

  7. Evans, R. J. (1971). Experiences in a pain clinic. Mod. Med. Canada

    Google Scholar 

  8. Wall, P. D. (1979). On the relation of injury to pain. The John J. Bonica Lecture. Pain, 6, 253

    Article  PubMed  CAS  Google Scholar 

  9. Beecher, H. K. (1960). Quantitative Effect of Drugs, (Harvard University) (London and New York: Oxford University Press)

    Google Scholar 

  10. Caiman, K. C., Murdoch, J. C. (1974). What does the general practitioner want to know about the cancer patient? Lancet, 2, 770

    Google Scholar 

  11. Bates, T. D. (1978). Radiotherapy in terminal care. In Saunders Cicely, M. (ed.) The Management of Terminal Disease (London: Edward Arno

    Google Scholar 

  12. Clarke, I. M. C. (1980). Personal communication

    Google Scholar 

  13. Baines, M. (1977). Drug Control of Common Symptoms World Medicine Publication

    Google Scholar 

  14. Baines, M. (1978). Control of other symptoms. In Saunders Cicely, M. (ed.) The Management of Terminal Disease. (London: Edward Arnold)

    Google Scholar 

  15. Mount, B. M. (1978). Palliative care of the terminally ill. Presented at the Annual Meeting of The Royal College of Physicians and Surgeons of Canada, January 27, Vancouver

    Google Scholar 

  16. Falkson, G. (1979). Personal communication

    Google Scholar 

  17. Bonica, J. J. (1979). Cancer Pain: Importance of the Problem. In Bonica, J. J. and Ventafridda, V. (eds.) Advances in Pain Research and Therapy Vol 2, pp. 1–12. (New York: Raven Press)

    Google Scholar 

  18. Morris, J. C. (1959). The management of cases in the terminal stages of malignant disease. St. Mary’s Hospital Gazette, 65, 4

    Google Scholar 

  19. Saunders, C. M. (1967). The Management of Terminal Illness. (London: Hospital Medicine Publications)

    Google Scholar 

  20. Vere, D. W. (1978). Topics in Therapeutics, 4. (London: Pitman)

    Google Scholar 

  21. Twycross, R. G. (1978). Relief of pain. In Saunders Cicely, M. (ed.) The Management of Terminal Disease. (London: Edward Arnold)

    Google Scholar 

  22. Mount, B. M., Ajemian, I. and Scott, J. F. (1976). Use of the Brompton mixture in treating the chronic pain of malignant disease, Canad. Med. J., 115, 122

    CAS  Google Scholar 

  23. Twycross, R. G. (1974). Clinical experience with diamorphine in advanced malignant disease, Int. J. Clin. Pharmacol., 9, 184

    Google Scholar 

  24. Twycross, R. G., Fry, D. E. and Wills, P. D. (1974). Br. J. Clin. Pharmacol., 1, 491

    PubMed  CAS  Google Scholar 

  25. Wynne Aherne, G., Piall, E. and Twycross, R. G. (1979). Serum morphine concentration after oral administration of diamorphine hydrochloride and morphine sulphate. Br. J. Clin. Pharmacol., 8, 577

    Google Scholar 

  26. Twycross, R. G. and Wald, S. J. (1976). Longterm use of diamorphine in advanced cancer. In Bonica J. J. and Albe-Fessard, D. (eds.) Advances in Pain Research and Therapy, Vol. 1. (New York: Raven Press)

    Google Scholar 

  27. Twycross, R. G. (1977). Choice of strong analgesic in terminal cancer: diamorphine or morphine? J. Int. Assoc. Stud. Pain, 3, 2

    Google Scholar 

  28. Twycross, R. G. (1976). Studies on the use of diamorphine in advanced malignant disease. DM Thesis, University of Oxford

    Google Scholar 

  29. Twycross, R. G. (1979). Effect of cocaine in the Brompton cocktail. In Bonica, J. J. and Albe-Fessard, D. (eds.) Advances in Pain Research and Therapy, Vol. 3. (New York: Raven Press)

    Google Scholar 

  30. Melzack, R., Mount, B. M. and Gordon, J. M. (1979). The Brompton mixture versus morphine solution given orally: effects on pain. Canad. Med. J., 120, 435

    CAS  Google Scholar 

  31. Parkes, C. M. (1973). Attachment and autonomy at the end of life. In R. Gosling (ed.) Support, Innovation and Autonomy, (London: Tavistock)

    Google Scholar 

  32. Hinton, J. (1979). Comparison of places and policies for terminal care. Lancet, 1, 29

    Article  PubMed  CAS  Google Scholar 

  33. Parkes, C. M. (1978). Psychological aspects. In Saunders Cicely, M. (ed.) The Management of Terminal Disease. (London: Edward Arno

    Google Scholar 

  34. Tolstoy, L. (1886). War and Peace. (London: Oxford University Press)

    Google Scholar 

  35. Ross, E. K. (1970). On Death and Dying. (London: Tavistock)

    Google Scholar 

  36. Hinton, J. (1970). Communication between husband and wife in terminal cancer. Presented at the Second International Conference on Social Science and Medicine, 7-11 September, Aberdeen

    Google Scholar 

  37. Lack, S. A. and Buckingham, R. W. (1978). First American Hospice: Three Years of Home Care. (New Haven, Connecticut: Hospice Inc.)

    Google Scholar 

  38. Parkes, C. M. (1980). Evaluation of an advisory domiciliary service for terminal care. (In press)

    Google Scholar 

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© 1981 MTP Press Limited

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Saunders, C. (1981). Current views on pain relief and terminal care. In: Swerdlow, M. (eds) The Therapy of Pain. Current Status of Modern Therapy, vol 6. Springer, Dordrecht. https://doi.org/10.1007/978-94-010-9879-3_9

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  • DOI: https://doi.org/10.1007/978-94-010-9879-3_9

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-9881-6

  • Online ISBN: 978-94-010-9879-3

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