Evaluation of WHO guided pain management protocol in cases of cancer cervix

Introduction and Aims: Pain is a common debilitating symptom of cancer cervix. It occurs in 25-50% patients with newly diagnosed malignancies and in more than 75% of those with advanced disease. Yet, it is one of the most unattended problem. Henceforth, this study was planned to assess pain and to e...

Full description

Bibliographic Details
Main Authors: Shilu Goel, Uma Singh, Sabuhi Qureshi, Anita Malik, Nisha Singh, Pushpalata L Sankhwar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Indian Journal of Pain
Subjects:
Online Access:http://www.indianjpain.org/article.asp?issn=0970-5333;year=2015;volume=29;issue=1;spage=32;epage=35;aulast=Goel
_version_ 1818557701746065408
author Shilu Goel
Uma Singh
Sabuhi Qureshi
Anita Malik
Nisha Singh
Pushpalata L Sankhwar
author_facet Shilu Goel
Uma Singh
Sabuhi Qureshi
Anita Malik
Nisha Singh
Pushpalata L Sankhwar
author_sort Shilu Goel
collection DOAJ
description Introduction and Aims: Pain is a common debilitating symptom of cancer cervix. It occurs in 25-50% patients with newly diagnosed malignancies and in more than 75% of those with advanced disease. Yet, it is one of the most unattended problem. Henceforth, this study was planned to assess pain and to evaluate the response to pain management according to WHO step ladder protocol in cases of cancer cervix. Materials and Methods: This was a prospective cohort study that included patients of cancer cervix with pain. Patients of cancer cervix with severe systemic debilitating illness and those who had undergone major surgery in past 2 weeks were excluded from the study. The severity of pain was assessed by using visual analogue scale. Pain was managed according to WHO step ladder protocol for pain. Result: Total 61.5% patients of cancer cervix presented with pain. Success rate of WHO pain management protocol was 95.3%. Conclusion: Pain management was done effectively using WHO guided step ladder pain management protocol in 95.3% of cases. Oral Morphine is an effective drug for pain management. It is easily titratable and has a favorable benefit to risk ratio.
first_indexed 2024-12-14T00:03:01Z
format Article
id doaj.art-ecef112fc8a641008055f0a49614b2ab
institution Directory Open Access Journal
issn 0970-5333
language English
last_indexed 2024-12-14T00:03:01Z
publishDate 2015-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Indian Journal of Pain
spelling doaj.art-ecef112fc8a641008055f0a49614b2ab2022-12-21T23:26:13ZengWolters Kluwer Medknow PublicationsIndian Journal of Pain0970-53332015-01-01291323510.4103/0970-5333.145942Evaluation of WHO guided pain management protocol in cases of cancer cervixShilu GoelUma SinghSabuhi QureshiAnita MalikNisha SinghPushpalata L SankhwarIntroduction and Aims: Pain is a common debilitating symptom of cancer cervix. It occurs in 25-50% patients with newly diagnosed malignancies and in more than 75% of those with advanced disease. Yet, it is one of the most unattended problem. Henceforth, this study was planned to assess pain and to evaluate the response to pain management according to WHO step ladder protocol in cases of cancer cervix. Materials and Methods: This was a prospective cohort study that included patients of cancer cervix with pain. Patients of cancer cervix with severe systemic debilitating illness and those who had undergone major surgery in past 2 weeks were excluded from the study. The severity of pain was assessed by using visual analogue scale. Pain was managed according to WHO step ladder protocol for pain. Result: Total 61.5% patients of cancer cervix presented with pain. Success rate of WHO pain management protocol was 95.3%. Conclusion: Pain management was done effectively using WHO guided step ladder pain management protocol in 95.3% of cases. Oral Morphine is an effective drug for pain management. It is easily titratable and has a favorable benefit to risk ratio.http://www.indianjpain.org/article.asp?issn=0970-5333;year=2015;volume=29;issue=1;spage=32;epage=35;aulast=GoelCancer cervixdiclofenacmorphinepaintramadolWHO step ladder protocol
spellingShingle Shilu Goel
Uma Singh
Sabuhi Qureshi
Anita Malik
Nisha Singh
Pushpalata L Sankhwar
Evaluation of WHO guided pain management protocol in cases of cancer cervix
Indian Journal of Pain
Cancer cervix
diclofenac
morphine
pain
tramadol
WHO step ladder protocol
title Evaluation of WHO guided pain management protocol in cases of cancer cervix
title_full Evaluation of WHO guided pain management protocol in cases of cancer cervix
title_fullStr Evaluation of WHO guided pain management protocol in cases of cancer cervix
title_full_unstemmed Evaluation of WHO guided pain management protocol in cases of cancer cervix
title_short Evaluation of WHO guided pain management protocol in cases of cancer cervix
title_sort evaluation of who guided pain management protocol in cases of cancer cervix
topic Cancer cervix
diclofenac
morphine
pain
tramadol
WHO step ladder protocol
url http://www.indianjpain.org/article.asp?issn=0970-5333;year=2015;volume=29;issue=1;spage=32;epage=35;aulast=Goel
work_keys_str_mv AT shilugoel evaluationofwhoguidedpainmanagementprotocolincasesofcancercervix
AT umasingh evaluationofwhoguidedpainmanagementprotocolincasesofcancercervix
AT sabuhiqureshi evaluationofwhoguidedpainmanagementprotocolincasesofcancercervix
AT anitamalik evaluationofwhoguidedpainmanagementprotocolincasesofcancercervix
AT nishasingh evaluationofwhoguidedpainmanagementprotocolincasesofcancercervix
AT pushpalatalsankhwar evaluationofwhoguidedpainmanagementprotocolincasesofcancercervix