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Review
. 2021 Nov 1:2:688511.
doi: 10.3389/fpain.2021.688511. eCollection 2021.

A Comprehensive Strategy to Pain Management for Cancer Patients in an Inpatient Rehabilitation Facility

Terrence M Pugh  1   2   3 , Fabiana Squarize  4 , Allison L Kiser  5
Affiliations
Review

A Comprehensive Strategy to Pain Management for Cancer Patients in an Inpatient Rehabilitation Facility

Terrence M Pugh et al. Front Pain Res (Lausanne). .

Abstract

Cancer pain has been shown to have a significant negative impact on health-related quality of life (HRQoL) for people experiencing it. This is also true for patients admitted to inpatient rehabilitation facilities (IRFs). An interdisciplinary approach is often needed to fully address a person's pain to help them attain maximum functional independence and to ensure a safe discharge home. Improving a patient's performance status in an IRF may also be a crucial determinant in their ability to continue receiving treatment for their cancer. However, if a person is determined to no longer be a candidate for aggressive, disease modulating treatment, IRFs can also be utilized to help patients and family's transition to comfort directed care with palliative or hospice services. This article will discuss the interventions of the multidisciplinary inpatient rehabilitation team to address a person's pain.

Keywords: cancer; inpatient rehabilitation facility; pain; performance status; quality of life.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Post-acute care rehabilitation options.
Figure 2
Figure 2
Transition from the original WHO three-step analgesic ladder (A) to the revised WHO fourth-step form (B). The additional step 4 is an “interventional” step and includes invasive and minimally invasive techniques. This updated WHO ladder provides a bidirectional approach.
See this image and copyright information in PMC

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