Pain is a challenging area to understand for any healthcare professional, and quality training on the subject is required if nurses are to provide effective pain management and person-centred care. Based on the curriculum developed by the International Association for the Study of Pain, this book offers an essential guide to managing pain. It begins with an examination of the biology of pain, and then goes on to consider pain management across the lifecourse, looking at key topics including acute pain, cancer pain and pharmacology. Case scenarios are included throughout the book to help readers apply the knowledge they have learned to their own practice.It will be valuable reading for undergraduate nurses, and essential for those taking continuing professional development and postgraduate courses in pain management.

Cancer Pain

Cancer pain

Learning Objectives

The learning objectives of this chapter are to:

  • recognize the extent of the global problem of under-treated cancer pain
  • know the major domains of cancer pain which require assessment
  • recognize the importance of measuring pain as the fifth vital sign and distress as the sixth vital sign in cancer care
  • understand the five phrases of the WHO Analgesic Ladder and the implications of each for optimal cancer pain relief


Cancer pain often massively reduces the patient's quality of life, and the quality of life of his or her close others, and impacts negatively on the socio-economic aspects of every country. The need for the comprehensive addressing of cancer pain is recognized by many governments, and has resulted in the publication of guidelines in the USA, ...

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