Cancer Pain Relief and Palliative Care
Report of a WHO Expert Committee
Technical Report Series No 804
World Health Organization
ISBN-13    9789241208048 ISBN-10    924120804X
Order Number    11000804 Format    E-book collection (PDF)
Price    CHF    9.00 / US$    10.80 Developing countries:    CHF    6.30
English     1990        75   pages
Summary
Table of contents
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Summary
Considers what can - and should - be done to comfort patients suffering from the distressing symptoms of advanced cancer. Prepared by nine renowned experts in oncology, neurology, pain management and nursing care, the book draws together the evidence and arguments needed to define clear lines of action, whether on the part of the medical and nursing professions or in the form of national legislation. Throughout, arguments for palliative care take their force from the magnitude of unrelieved suffering currently borne by the majority of terminally ill patients. Although methods for the relief of pain are emphasized, other physical, psychological, and spiritual needs for comfort are also included in the report's comprehensive recommendations.
The concept of palliative care is explained in terms of its concern with quality of life and comfort before death, emphasis on the family as the unit of care, dependence on teamwork, and relationship to curative interventions. Subsequent sections concentrate on measures for the relief of pain and other physical symptoms, the psychosocial needs of the patient and family, and the need for spiritual comfort. A section devoted to ethics provides several important statements concerning the legal and ethical distinction between killing the pain and killing the patient, and the need to recognize the limits of medicine.
"... crammed with very valuable information ... an altogether excellent book..."
- Family Practice
"... a comprehensive report on cancer pain relief and active supportive care ... a valuable reference for those specializing in cancer care and for the generalist caring for dying patients..."
- Nursing and Health care
WHO definition of palliative care