Priority 19 from the Palliative and end of life care PSP
|UNCERTAINTY: What are the best ways to make sure that palliative care patients receive adequate pain and symptom relief and which drugs for pain management are best in terms of side-effects, such as drowsiness? What are the best approaches to giving medicines such as morphine, for example using different cannulas, such as BD-saf-T-intima? (JLA PSP Priority 19)
|JLA question ID
Wiffen PJ, Derry S, Moore RA. Impact of morphine, fentanyl, oxycodone or codeine on patient consciousness, appetite and thirst when used to treat cancer pain. Cochrane Database of Systematic Reviews 2014, Issue 5. Art. No.: CD011056. DOI: 10.1002/14651858.CD011056.pub2.
|Health Research Classification System category
|Extra information provided by this PSP
|Original uncertainty examples
|Are there any painkillers that can make a person more comfortable but not make them so drowsy? ~ What is best / common practice with pain management? ~ The questions that need an answer are mainly about how pain will be relieved and how it can be achieved.
|Bereaved Carers x 6 ~ Carers x 2 ~ Professionals x 6 ~
|Outcomes to be measured
|Change in symptoms; change in management of symptoms; counselling and advice; GP visits; 24-hour support, for patients, carers and families; patient Satisfaction; health related quality of life; health related cost.
|PSP unique ID
|Palliative and end of life care
|Total number of uncertainties identified by this PSP.
|83 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
|Date of priority setting workshop
|21 November 2014