Medicamentos e Controle de dor: Experiência de um Centro de Referência em Cuidados Paliativos no Brasil

Sampaio, Simone Garruth dos Santos Machado; Motta, Luciana Branco da; Caldas, Célia Pereira

doi:10.32635/2176-9745.rbc.2019v65n2.365

Cited by 6 publications

(7 citation statements)

References 23 publications

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“…Entre 1/9/2016 e 30/11/2016, 399 pacientes foram internados na unidade, perfazendo um total de 461 episódios de internações 8 . A maioria da população era do sexo feminino (63,4%), com idade entre 17 e 94 anos, mediana e média de 62 anos (+/-14,5).…”

Section: Resultsunclassified

“…A partir de um estudo do perfil de pacientes internados, medicamentos utilizados e controle de dor 8 , uma análise posterior da associação do sintoma dor com a duração da internação foi realizada. O objetivo deste estudo foi avaliar o tempo necessário para o controle do sintoma dor e sua influência no período total de internação de pacientes oncológicos em CP.…”

Section: Introductionunclassified

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Dor e Internação Hospitalar em Cuidados Paliativos

Sampaio

Motta

Caldas

2021

Rev. Bras. Cancerol.

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Introdução: A dor é um dos sintomas mais prevalentes entre pacientes em cuidado paliativo (CP), especialmente no câncer avançado, gerando impactos nocivos na qualidade de vida. Objetivo: Avaliar o tempo necessário para o controle da dor e sua influência no tempo de internação de pacientes em CP. Método: Trata-se de uma análise post hoc do estudo de perfil da internação hospitalar em um hospital público de cuidado paliativo oncológico no Rio de Janeiro, entre setembro e novembro de 2016. As internações foram acompanhadas longitudinalmente por revisão de prontuário com coleta diária da Escala Verbal Numérica (EVN). A dor foi considerada controlada quando a EVN era zero. Entre aqueles que internaram com dor não controlada, foi calculado o tempo necessário para controle do sintoma. Resultados: Ocorreram 429 episódios de internações com a presença do sintoma dor (controlada ou não). A duração da internação foi maior nas internações com o sintoma dor presente (8,2 dias contra 6,3 dias sem dor). A dor não estava controlada na admissão em 33% dos episódios. O tempo médio para o controle da dor foi 2,1 dias. Tanto a dor sem controle ao internar quanto a demora em mais de 24 horas para o seu controle estavam associadas ao tempo médio de internação mais prolongado: 7,9; 9,5; 8,7 e 11,2 dias respectivamente. Conclusão: Os achados ratificam a alta prevalência da dor entre os pacientes em CP oncológico, seu impacto em motivar e prolongar uma internação hospitalar, e a importância da ação de uma equipe especializada.

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Section: Resultsunclassified

Section: Introductionunclassified

Dor e Internação Hospitalar em Cuidados Paliativos

Sampaio

Motta

Caldas

2021

Rev. Bras. Cancerol.

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“…Note: D = day; BPI = Brief Pain Inventory. of oral morphine (117 mg/d in 2016 and 115 mg/d on D1), common analgesic use (85.30% in 2016), frequency of adjuvant use above that described in other studies (37.6% in 2016, excluding neuroleptics and corticosteroids)9 . These findings may suggest a high degree of stability in the profile of patients admitted to the unit and training for prescribing professionals.…”

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confidence: 83%

Assessment of pain control in advanced cancer patients admitted to a palliative care unit

Amitrano Bilobran,

Fernandes Duarte Costa,

Regadas Muniz

et al. 2024

Lat. Am. J. Palliat. Care

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Introduction: Pain in people with cancer is prevalent and should have an individualized therapeutic plan. Objectives: To evaluate pain control in advanced cancer patients in a hospital palliative care unit. Methods: This is a cohort study, with prospective design, and quantitative approach, including advanced cancer patients admitted to a palliative care unit between June 2021 and February 2022 reporting pain. Data was collected from medical records and the Brief Pain Inventory (BPI) was used to assess pain on the first (D1), third (D3) and seventh (D7) day of hospitalization. Results: One hundred and four patients participated in the study. The most prevalent tumors were of the gastrointestinal tract (n=23; 22%), cervix (n=21; 20%) and breast (n=17; 16%). Abdomen was the most reported site of pain (n=34; 33%), with 50% classified as nociceptive pain, 39% neuropathic pain, and 11% mixed. On D1, 43% reported severe pain, 31% moderate, and 12% mild pain. There was an evolutionary drop in the percentage of severe pain (BPI3 70% to 37.1%; BPI4 12.6% to 5.4%; BPI5 42.5% to 13.5%; and BPI9 67.8% to 21.6%) according to the answers to all BPI questions during the period. On D1, D3 and D7, the average equipotent doses of oral morphine were 116 mg, 133 mg and 154 mg and the frequency of use of adjuvant use was 60%, 75%, and 69%, respectively. Conclusions: Pain was properly controlled and was related to the increased use of adjuvants, both for general and neuropathic pain. It was possible to observe that the use of adjuvants was related to better pain control.

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“…Pain is one of the most frequent complaints associated with neoplasms; and its evaluation and control are necessary to improve the quality of life and the results of the patient treatment (1,2) . Therefore, cancer pain has become one of the most feared phenomena among people with cancer, since, in addition to the painful symptoms, they face different impacts on their quality of life, whether due to emotional effects or physical discomforts present in different stages of the disease, from diagnosis to outcome (3,4) .…”

Section: Introductionmentioning

confidence: 99%

Effect of auricular acupuncture on cancer pain: a systematic review

Monteiro¹,

Dias²,

Paiva³

et al. 2023

Braz. J. Hea. Rev.

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Aims: To analyze the scientific evidence available in the literature about the effect of auricular acupuncture on cancer pain. Method: Systematic review of the literature guided by the criteria of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA Statement); whose research question was “What are the effects of auriculotherapy/auricular acupuncture on cancer pain in adults?”. EndNote and Rayyan platforms were used to manage references and manage the stages of article selection, respectively. The Jadad scale was used to assess the methodological quality of the studies. The data collected from the articles were grouped into tables and analyzed descriptively. Results: A total of 3484 articles were found, of which 11 made up the sample of this study, in which the majority showed excellent methodological quality (54.54%). 533 adults complaining of cancer pain were treated, using auricular acupuncture as the only intervention or as a complement to another treatment and, in all studies, it proved to be effective both for painful symptoms and for relieving other secondary signs, such as anxiety and insomnia. Conclusions: Auricular acupuncture is effective in relieving cancer pain when administered either through needles or seeds and at specific pain points (aché point), in addition to the shemman, sympathetic, subcortex, and kidney points.

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Medicamentos e Controle de dor: Experiência de um Centro de Referência em Cuidados Paliativos no Brasil

Cited by 6 publications

References 23 publications

Dor e Internação Hospitalar em Cuidados Paliativos

Dor e Internação Hospitalar em Cuidados Paliativos

Assessment of pain control in advanced cancer patients admitted to a palliative care unit

Effect of auricular acupuncture on cancer pain: a systematic review

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