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Palliative Care for Pain and Treatment Side Effects

Table of Contents


Overview

Palliative care is a type of care for people who have a serious illness. It can help you manage symptoms, pain, or side effects from treatment. It can also help you cope with your feelings about living with a serious illness.

Palliative care for managing pain

The goal is for you to have the least pain with the fewest side effects. It may take a few tries to find the best medicine for you. If your pain isn't severe, nonprescription medicines may help. These include acetaminophen, aspirin, and ibuprofen. If they don't help, your doctor may prescribe medicines called opioids.

Palliative care for managing treatment side effects

You may have side effects of treatment or other symptoms that bother you. Your doctor may be able to give you medicines or other treatment that can help if you have problems such as shortness of breath, nausea, lack of energy, or anxiety. Other treatments, like yoga, meditation, or physical therapy, may also help.


Managing Pain

Working with your doctor

It is important to be open and honest about your pain. You don't have to pretend that you are strong or able to handle pain. Telling your doctor exactly how you feel is one of the most important parts of controlling pain. Your doctor may ask you:

Your doctor or nurse may ask you to rate your pain on a scale of 0 to 10. A score of 0 means no pain. A score of 10 means the pain is as bad as it can be.

Using medicines

The goal of good pain management is to have the least possible pain with the fewest side effects. Because each person responds to pain medicines in a different way, it may take more than one try to find the best medicines for you.

If your pain isn't severe, nonprescription medicines may help relieve it. These include acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin and ibuprofen.

If these medicines don't help, your doctor may prescribe medicines called opioids. Opioids may be used with other medicines, such as NSAIDs or antidepressants, to treat your pain.

Talking about concerns with opioids

Many people are worried that taking opioids will lead to opioid use disorder. Moderate to severe opioid use disorder is sometimes called addiction. This isn't usually an issue in people who are near the end of life. For others, the risk is usually low. But it can be higher if you or a family member has had a substance use disorder. It can also be higher if you are living with mental illness.

Some people may worry about feeling tired or not thinking clearly when they take an opioid. But these side effects often don't last. Many people who take opioids for a long time don't have problems thinking clearly. After you and your doctor find the right amount of medicine for you, you may be able to drive, work, and do other activities.

If you are worried about side effects or developing opioid use disorder, talk to your doctor.

Talk with your doctor about getting a naloxone rescue kit. It can help you if you take too much of an opioid (overdose). Ask your doctor about how to avoid an overdose and how to store your medicine safely.


Managing Treatment Side Effects

You may have side effects of treatment or other symptoms that bother you. Tell your doctor about all of your side effects and symptoms.

Your doctor may be able to give you medicines or other treatment that can help if:

Other treatments (called complementary therapies) may also help. These include:

Before you try a complementary therapy, talk to your doctor about the possible value and potential side effects. Let your doctor know if you already use any such therapies.

These therapies aren't meant to take the place of standard medical treatment. But they may help ease symptoms. And they may improve your quality of life.


Credits for Palliative Care for Pain and Treatment Side Effects

Current as of: November 16, 2023

Author: Healthwise Staff (https://www.healthwise.org/specialpages/legal/abouthw/en)
Clinical Review Board (https://www.healthwise.org/specialpages/legal/abouthw/en)
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