RESUMEN
Chronic pain is one of the most common and most bothersome symptoms in cancer patients, which occurs especially often in the elderly population. Although methods of pain treatment are well known, it is not uncommon for individuals with chronic or terminal illnesses to remain underdiagnosed or untreated. Effective pain management has become the measure of success in oncology therapy. For this reason, effective pain management has become an indispensable success factor of multidisciplinary oncological therapy. Along with the growing interest in the holistic approach in medicine, and hence in interdisciplinary treatment, the management of cancer pain in older patients was presented.
RESUMEN
The use of strong opioids for the treatment of chronic non-cancer pain (CNCP) has gained undisputed acceptance among specialists and should be considered when other pharmacological treatments are not effective or cause serious side effects. However, drugs from the third step of analgesic ladder still raise concerns among doctors and patients in the case of long-term therapy. A CASE REPORT: The authors present reports of three cases of patients with CNCP caused by musculoskeletal disorders and numerous comorbidities. In all cases, multidisciplinary treatment, that consisted of pharmacotherapy with strong opioids (72-hour transdermal fentanyl), physiotherapy, rehabilitation and psychotherapy, have been introduced. It allowed for good control of pain without significant side effects, symptoms of addiction nor tolerance. CONCLUSIONS: The presented cases illustrate the difficulties that occur during introducing opioid therapy in chronic non-cancer pain, particularly in the initial phase of treatment during setting of a transdermal opioid dose. They also confirm the safety and usefulness of opioid therapy in patients suffering from CNCP.