By Dermot R. Fitzgibbon MB BCh, John D. Loeser MD

This ebook presents, in one cohesive resource, the entire details a medical professional must diagnose and choose applicable remedies for the sufferer with soreness linked to melanoma. Cancer discomfort: review, prognosis, and Management is clinically orientated and comprehensively addresses the entire concerns surrounding glossy melanoma ache administration. The authors supply designated info on universal yet tough to regard melanoma soreness situations. assurance comprises state of the art details on healing procedures and discussions of the effect of radiation, chemotherapy, and surgical procedure on discomfort management.

This authoritative, complete scientific reference is key for all clinicians who deal with sufferers with melanoma, together with clinical oncologists, radiation oncologists, surgeons, discomfort experts, anesthesiologists, basic care physicians, internists, and nurses.

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Extra resources for Cancer Pain: Assessment, Diagnosis, and Management

Sample text

Mechanisms of skeletal muscle degradation and its therapy in cancer cachexia. Histol Histopathol. 2007;22:805–814. 33. Mense S. Nociception from skeletal muscle in relation to clinical muscle pain. Pain. 1993;54:241–289. 34. Schafers M, Sorkin LS, Sommer C. Intramuscular injection of tumor necrosis factor-alpha induces muscle hyperalgesia in rats. Pain. 2003;104:579–588. 35. Levin MI, Mozaffar T, Al-Lozi MT, et al. Paraneoplastic necrotizing myopathy: clinical and pathological features. Neurology.

Nonetheless, sustained nocicep- 21 tion in and of itself can produce suffering because of its ability to create negative emotional arousal and elicit stress responses. 39 The perceived threat to the self may encompass the body, the psychosocial self or both. Suffering related to cancer is inherently emotional, unpleasant, complex, and enduring. The physician should recognize that, although suffering may be a consequence of pain, it is separate from pain and not a synonym for it. It differs from pain in that it entails additional cognitive and affective activities.

40 We concur with the author of this study who stated that suffering is a multidimensional experience strongly related to physical symptoms, but with significant contributions from psychological distress, existential concerns, and interpersonal concerns. PSYCHOLOGICAL FACTORS AND THE COMPLEXITIES OF CANCER PAIN Patients who transform distress and global suffering into pain and other symptom expression are labeled somatizers, implying that mental processes and not tissue damage are responsible for the complaint of pain.

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