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- $Unique_ID{BRK00285}
- $Pretitle{}
- $Title{Should Cancer Patients Use Narcotics to Ease Pain?}
- $Subject{cancers cancer medications PCA patient controlled analgesia
- intravenous narcotics patient-activated infusion pump medication accidental
- deliberate overdose narcotic}
- $Volume{R-0,B-0}
- $Log{}
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- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- Should Cancer Patients Use Narcotics to Ease Pain?
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- QUESTION: I suppose that everyone knows that drugs are addicting, but I
- thought medications were supposed to be something else, to be used to help
- people in pain. Now it is my mother that needs relief from her constant pain
- from cancer. What do you think about allowing cancer patients to administer
- narcotics to themselves to better control pain?
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- ANSWER: Patient controlled analgesia (PCA) was developed in 1968 as a
- technique whereby small amounts of intravenous narcotics can be administered
- on demand by a patient-activated infusion pump. It was perfected because many
- believe that pain-relieving requirements are difficult if not impossible to
- predict and very decidedly different from patient to patient.
- Recently a noted researcher reported that allowing a hospitalized patient
- to decide when to receive pain medication is likely to reduce total narcotic
- use and produce near-ideal pain relief while minimizing sedation and side
- effects. Risks of accidental or deliberate overdose seems minimal since only
- a tiny amount of drug can be delivered and a mechanized device controls the
- interval between doses.
- Other studies have shown that patient anxiety caused by having to wait a
- specific amount of time or to continually ask for pain medication increases
- the total drug requirement and may lead to addiction.
- PCA seems to be an enlightened approach to analgesia, yet there are many
- who find it a very hard concept to accept.
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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