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Penny Moore

providers evaluate and establish a treatment plan which may include diagnostic evaluation, intravenous fluids, antibiotics, anti-emetics, pain management, and transfusion of blood products and wound management. Results: Patient volume in the ICC has

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Crystal S. Denlinger, Jennifer A. Ligibel, Madhuri Are, K. Scott Baker, Wendy Demark-Wahnefried, Debra L. Friedman, Mindy Goldman, Lee Jones, Allison King, Grace H. Ku, Elizabeth Kvale, Terry S. Langbaum, Kristin Leonardi-Warren, Mary S. McCabe, Michelle Melisko, Jose G. Montoya, Kathi Mooney, Mary Ann Morgan, Javid J. Moslehi, Tracey O’Connor, Linda Overholser, Electra D. Paskett, Muhammad Raza, Karen L. Syrjala, Susan G. Urba, Mark T. Wakabayashi, Phyllis Zee, Nicole McMillian and Deborah Freedman-Cass

ineffectively managed. Barriers to optimal pain management in cancer survivors include health care providers’ lack of training, fear of side effects and addiction, and reimbursement issues. 6 Pain has 2 predominant mechanisms: nociceptive and neuropathic. 7

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Jamie H. Von Roenn, Raymond Voltz and Alain Serrie

median score was 7 (based on a numeric rating scale of 0-10, with higher numbers signifying better). However, when presented with 2 clinical vignettes regarding pain management, 87% provided incorrect responses to the first, and 60% gave unacceptable

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Emily J. Martin, Eric J. Roeland, Madison B. Sharp, Carolyn Revta, James D. Murphy, Katherine E. Fero and Heidi N. Yeung

require higher doses of opioids to achieve analgesia. 30 , 31 This finding, if reproducible in larger prospective studies, may have clinical implications regarding the approach to pain management in young adults with cancer. Pain severity has also been

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Fractures Caused by Malignant Disease Rastogi Rahul MB, BS Patel Trusharth MD Swarm Robert A. MD 09 2010 8 8 9 9 1095 1095 1102 1102 0081095 10.6004/jnccn.2010.0078 Chronic Pain Management in Cancer Survivors Moryl Natalie MD

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Jamie H. Von Roenn

professionals; and the importance of developing best practices in symptom management using breakthrough pain management as an example (see article by Von Roenn et al in this supplement). Palliative care is an essential component of excellent cancer care. All

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Robert Swarm, Amy Pickar Abernethy, Doralina L. Anghelescu, Costantino Benedetti, Craig D. Blinderman, Barry Boston, Charles Cleeland, Nessa Coyle, Oscar A. deLeon-Casasola, June G. Eilers, Betty Ferrell, Nora A. Janjan, Sloan Beth Karver, Michael H. Levy, Maureen Lynch, Natalie Moryl, Barbara A. Murphy, Suzanne A. Nesbit, Linda Oakes, Eugenie A. Obbens, Judith A. Paice, Michael W. Rabow, Karen L. Syrjala, Susan Urba and Sharon M. Weinstein

is essential to ensure proper pain management. Failure to adequately assess pain frequently leads to poor pain control. These guidelines begin with the premise that all patients with cancer should be screened for pain (page 1048) during the initial

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appropriate opioid therapy to any patients who suffer acute or chronic pain from conditions such as cancer and sickle cell disease, but rather to ensure that physicians and patients consider all safe and effective treatment options for pain management with the

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Janet L. Abrahm

smoked.” Symptom management training was similarly lacking. Like most oncologists practicing in the last 3 decades of the twentieth century, I learned pain management through trial and error. 11 As the treatments became more toxic, even the patients

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Rodger J. Winn

SI Du Pen AR Polissar N . Implementing guidelines for cancer pain management: results of a randomized controlled clinical trial . J Clin Oncol 1999 ; 17 : 361 – 370 .