As with any insidious disease, the treatment of cancer pain represents a significant challenge, particularly when managing patients at the extremes of age and/or the cognitively disabled. Unfortunately, inadequate treatment in this patient population remains ubiquitous despite decades of clinically based research and physician experience. What follows is a summary of these challenges as well as recommendations to best manage cancer pain in these special populations.
KeywordsCancer pain Special populations Children Elderly Cognitively disabled
- 1.Jacox A, Carr DB, Payne R, et al. Management of cancer pain. Clinical Practice Guideline No. 9. AHCPR Publication No. 94-0592. Rockville, MD. Agency for Health Care Policy and Research, U.S. Dept of Health and Human Services, Public Health Service, March 1994.Google Scholar
- 2.Casillas J, Zeltzer L. Cancer pain in children. In: Bonica’s management of pain. 4th ed. Baltimore: Lippincott, Williams & Wilkins; 2010. p. 669–80.Google Scholar
- 3.McGrath P, Crawford E. Evaluation pain for children with cancer. In: Cancer pain: assessment and management. 2nd ed. Cambridge/New York: Cambridge University Press; 2010. p. 130–44.Google Scholar
- 4.Edwards R, Berde C. Pain assessment. In: Essentials of pain medicine. 3rd ed. London: Elsevier; 2011. p. 30–3.Google Scholar
- 5.Lebel A. Control of pain in children with chronic and terminal disease. In: Massachusetts General Hospital handbook of pain management. Philadelphia: Saunders/Elsevier; 2006. p. 481–90.Google Scholar