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Palliative care for adults: strong opioids for pain relief
National Institute for Health and Care Excellence
When offering pain treatment with strong opioids to a patient with advanced and progressive disease, ask them about concerns such as:
fears that treatment implies the final stages of life
Provide verbal and written information on strong opioid treatment to patients and carers, including the following:
when and why strong opioids are used to treat pain
how effective they are likely to be
taking strong opioids for background and breakthrough pain, addressing:
how, when and how often to take strong opioids
how long pain relief should last
side effects and signs of toxicity
follow-up and further prescribing
information on who to contact out of hours, particularly during initiation of treatment
Offer patients access to frequent review of pain control and side effects
Management of asthma in adults over 65 years of age
Development group: Gruffydd-Jones, McArthur, Murphy, Russell & Wise.
This management algorithm was developed by a multidisciplinary expert panel: Gruffydd-Jones K et al with the support of a grant from Teva UK Limited.