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Case Reports
. 2024 Jun 1;27(2):77-81.
doi: 10.14475/jhpc.2024.27.2.77.

Early Hospice Consultation Team Engagement for Cancer Pain Relief: A Case Report

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Case Reports

Early Hospice Consultation Team Engagement for Cancer Pain Relief: A Case Report

Jisoo Jeong. J Hosp Palliat Care. .

Abstract

This case report explores the challenges and complexities associated with opioid management of cancer pain, emphasizing the importance of early involvement of a hospice consultation team and the adoption of a multidisciplinary approach to care. A 56-year-old man with advanced pancreatic cancer experienced escalating pain and inappropriate opioid prescriptions, highlighting the shortcomings of traditional pain management approaches. Despite procedural intervention by the attending physician and increased opioid dosages, the patient's condition deteriorated. Subsequently, the involvement of a hospice consultation team, in conjunction with collaborative psychiatric care, led to an overall improvement. The case underscores the necessity of early hospice engagement, psychosocial assessments, and collaborative approaches in the optimization of patient-centered palliative care.

Keywords: Hospice care; Opiate overdose; Pain management.

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Conflict of interest statement

CONFLICT OF INTEREST No potential conflict of interest relevant to this article was reported.

Figures

Figure 1
Figure 1
A rapid decrease in fentanyl patch dosage (µg) is evident following the intervention of the hospice consultation team and the psychiatry department on day 50. LOS: length of stay (days).

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