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Comorbidities in a Cancer Patient: Problems in Pain Management and Palliation

Department of Anesthesiology, Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India

Himanshu Khurana, MD

Department of Anesthesiology, Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India

Deepak Gupta, MD

Department of Anesthesiology, Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India

Seema Mishra, MD

Department of Anesthesiology, Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India

Sushma Bhatnagar, MD

Department of Anesthesiology, Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India, shumob{at}yahoo.com

Pain management and palliation face a great challenge with inclusion of the palliation teams from the earliest phases of diagnosis. The presented case report highlights that early inclusion of pain and palliative physicians in patient care demands comprehensive evaluation of the symptoms by the palliative physicians with possibly curable comorbid conditions requiring active and aggressive curative management. In summary, it is crucial for the treating palliative physician to be more proactive in the management of comorbid treatable conditions in a patient who may be an established case of advanced stage cancer.

Key Words: comorbidities • cancer patient • difficult palliation

This version was published on February 1, 2009

American Journal of Hospice and Palliative Medicine®, Vol. 26, No. 1, 60-63 (2009)
DOI: 10.1177/1049909108322297


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