Cancer pain

Question 1

some patient fears relating to analgesic use

Answer 1

addiction
side effects
fear of injections
tolerance

Question 2

health care workers barriers

Answer 2

opiophobia (fear of addiction, side effects, tolerance)
anxiety about regulation of controlled substances
poor assessment
lack of adequate training and pain management experience

Question 3

define opioid addiction

Answer 3

primary chronic disease of brain rewad, motivation, memory and related circuitry
usually not a problem is no previous history and taking it for the pain effects

Question 4

define physical dependence

Answer 4

occurence of abstinence syndrome when the opioid is suddenly stopped
fairly common so need a gradual withdrawal
mu receptors are used to an opioid being attached

Question 5

define tolerance

Answer 5

decrease in one or more effects of the opiooid

can become tolerant to the sedation and the anlagesic effects, can overcome by additional dosing