TY - CHAP M1 - Book, Section TI - Pain Management in End of Life: Palliative Care A1 - Vijayan, Jaya A1 - Muir, J. Cameron A1 - Kestenbaum, Matthew G. A2 - Bajwa, Zahid H. A2 - Wootton, R. Joshua A2 - Warfield, Carol A. PY - 2016 T2 - Principles and Practice of Pain Medicine, 3e AB - The basic principles of the diagnosis and management of pain syndromes are similar across all clinical settings. Details of the application of these principles, however, can vary significantly depending on the clinical context. One context that is especially important is the care of patients with incurable, progressive, and ultimately fatal illnesses who are in or approaching the terminal phase. This is sometimes referred to in the context of “palliative care,” and this term, although not fully satisfactory,1 is used throughout most of the discussions in this chapter. The range of pain syndromes that arise in these situations includes most of the acute and chronic pain syndromes addressed in detail in other chapters in this text, and their management primarily involves the same diagnostic and therapeutic strategies and skills. Nonetheless, pain management in the palliative care setting often raises clinical and ethical issues that are at least somewhat different from those in other settings. This chapter focuses primarily on those differences. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - neurology.mhmedical.com/content.aspx?aid=1131935568 ER -