Dor em pacientes oncológicos sob tratamento quimioterápico

Abstract

BACKGROUND AND OBJECTIVES: Advanced cancer usually causes pain, the intensity of which depends on site, level of evolution and type of treatment. This study aimed at evaluating pain in cancer patients who are or have been treated with chemotherapy in a hospital from the city of Imperatriz/MA. METHOD: Data were collected through questionnaires with identification, pre-existing diseases, clinical manifestations, numerical pain evaluation scale and McGill questionnaire. RESULTS: It has been observed that breast cancer (50%) and lung cancer (38.8%) were the most prevalent, respectively, among females and males. Pain was reported by 58.6% of patients during the interview or during the interview's week and most frequently reported sites were upper and lower limbs (18.5%) and chest (11.1%). Mean pain intensity evaluated by the numerical scale was 6.7 ± 1.83, which may be considered moderate pain and sensory pain by McGill questionnaire. CONCLUSION: Moderate and sensory pain was present in most cancer patients and has led to loss of energy to perform daily activities.

Complementary techniques to control cancer symptoms

“…EEG data have shown that MC and PMR groups were associated to posterior theta (3.5-7.5 Hz) increase and midfrontal beta-2 band of activity decrease (20-29.5 Hz) during the final stage of the relaxation treatment. In addition, MC group was associated to decreased alpha band (8)(9)(10)(11)(12) activity as compared to the PMR group. This study has shown that both listening to recorded MC sounds and practicing PMR had positive relaxing effects, decreasing anxiety and promoting well-being.…”

“…So, health professionals should play their role in controlling pain, sleep, fatigue and anxiety to evaluate, intervene and monitor. Taking into consideration this set of factors which interact with chronic cancer pain is an important step in cancer patients' care 11 .…”

Perfil clínico dos pacientes atendidos em um ambulatório de fisioterapia em oncologia do município de São Paulo

“…A dor no paciente com câncer pode estar relacionada aos tratamentos associados, como, por exemplo, a quimioterapia 22 , ou, ainda, às complicações causadas pelo câncer, como, por exemplo, a compressão dos nociceptores, presença de linfedema de membro superior, redução da mobilidade articular do ombro 23 , entre outros fatores, como as complicações emocionais e psicossomáticos 24 .…”

Chronic cancer pain management by the nursing team

“…Study of Chotolli and Luize 10 has reported that the use of drugs seems to be the first method of choice for pain relief. Among these drugs, anti-inflammatory, opioids, antidepressants, and anticonvulsants, among others, were the most commonly mentioned 15 . Pharmacological treatment, according to the three steps ladder proposed by the World Health Organization (WHO) is the basis to control cancer pain 7,16 .…”

“…With regard to methods thought by nursing professionals to manage pain, the frequency with which they appeared was: 10 (38.4%) for drugs, 9 (34.2%) for distraction, 2 (7.6%) for lap, 2 (7.6%) for affection, 1 (3.8%) for decreasing noise and 1 (3.8%) for therapeutic touch 10 . It is important to stress that even with drugs and complementary therapies, there is not always success in suppressing pain 7,15 . Nurses, as part of a multidisciplinary team, actively intervene to totally control and relief pain by means of non-pharmacological interventions and should know pharmacological treatments, as well as indications, contraindications and adverse effects 19,20 .…”