Objective: To describe types of interventional medical procedures, its rationale use and benefits for a population with cancer assisted at a private hospital in São Paulo. Methods: Quantitative and descriptive cross-sectional study using data from patients submitted to interventional procedures between 2007 and 2008. We used descriptive and inferential statistics (frequency, mean, and t-test) to analyze data. Results: A total of 137 patients were submitted to interventional procedures for pain and, out of this total, 14 mentioned cancer-related pain. The mean pain intensity was 7.1 before the procedure and 1.3 after it. Reduction in pain intensity was statistically significant in this population (t=9.09; p=0.001). In almost 70% of patients (n=10) a reduction of 50% of the consumption of opioid a month after the procedure was realized. Conclusion: These results are in accordance with the literature and support the efficacy of interventional procedures for several types of cancer pain.Keywords: Pain/drug therapy; Analgesics/therapeutic use; Neoplasms RESUMO Objetivo: Descrever tipos de procedimentos (seu uso racional e alguns de seus benefícios) realizados em pacientes com câncer tratados em um hospital privado de São Paulo. Métodos: Estudo quantitativo de corte transversal, que usou informações oriundas dos prontuários de pacientes submetidos a procedimentos intervencionistas para dor durante os anos de 2007 e 2008. Os dados foram analisados por meio de estatística descritiva e inferencial (frequência e média, e teste t). Resultados: Durante esse período, 137 pacientes foram submetidos a procedimentos intervencionistas para a dor e, desse total, 14 possuíam dores de natureza oncológica. A intensidade média da dor nos pacientes tratados foi de 7,1 antes do procedimento e, após, 1,3. A redução da dor foi estatisticamente significativa nessa população (t=9,09; p=0,001). Em cerca de 70% dos pacientes (n=10), houve redução de 50% no uso de opioide 1 mês após a realização do procedimento. Conclusão: Estes resultados estão de acordo com a literatura e confirmam a eficácia dos procedimentos intervencionistas para diversos tipos de dor oncológica.

Objective To adapt the Pain Assessment in Advanced Dementia (PAINAD) scale to Brazilian Portuguese with respect to semantic equivalence and cultural aspects, and to evaluate the respective psychometric properties (validity, feasibility, clinical utility and inter-rater agreement).Methods Two-stage descriptive, cross-sectional retrospective study involving cultural and semantic validation of the Brazilian Portuguese version of the scale, and investigation of its psychometric properties (validity, reliability and clinical utility). The sample consisted of 63 inpatients presenting with neurological deficits and unable to self-report pain.Results Semantic and cultural validation of the PAINAD scale was easily achieved. The scale indicators most commonly used by nurses to assess pain were “Facial expression”, “Body language” and “Consolability”. The Brazilian Portuguese version of the scale has proved to be valid and accurate; good levels of inter-rater agreement assured reproducibility.Conclusion The scale has proved to be useful in daily routine care of hospitalized adult and elderly patients in a variety of clinical settings. Short application time, ease of use, clear instructions and the simplicity of training required for application were emphasized. However, interpretation of facial expression and consolability should be given special attention during pain assessment training.

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