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SIDE EFFECTS AND SYMPTOM MANAGEMENT /// CHAPTER 24
Pain
When diagnosed with cancer, you may wonder if you
will experience a lot of pain during treatment. While
every person's experience is different, it is likely that you
will experience some pain or discomfort at some point
during the treatment of your cancer.
Untreated pain can make other side effects of cancer/treatment seem worse. The best way to approach pain management
is to address it from different angles. It is important to discuss pain and changes in pain with your doctor to help find pain
management methods that work for you.
Causes of Pain During Cancer Treatment:
» The Cancer Itself: Cancer-related pain tends to decrease
once your treatment starts to kill the cancer cells.
Sometimes starting treatment works better than any pain
medication!
» Procedures and Surgery: This type of pain is usually
short-lived and the medical team will prescribe
medications to control acute pain.
» Medication Side-Effects:
* Bone pain from Neulasta
* Muscle pain from steroids
* Mouth or bottom sores
* Nerve pain
* Constipation
*
Infections
Ways to Decrease Pain:
» Take pain medication as prescribed by your doctor.
» Distraction: Your AYA Child Life Specialist or
psychologist can give you some ideas.
» Stay active. Too much time in bed can cause pain or
increase existing discomfort.
» Seek out complementary therapies like meditation
and breathing exercises, imagery and visualization,
acupuncture, massage and biofeedback.
» Talk to a mental health provider about counseling,
support groups and therapies such as Cognitive
Behavioral Therapy.
What about addiction to narcotic pain medicine?
» Addiction to pain meds is a global problem, and your
doctors will be cautious to prevent an addiction for you.
Studies show that patients who are taking medicine
appropriately for real physical pain are at low risk for
addiction.
» Ask for pain meds when you're in pain and be open to
non-narcotic ways to deal with pain.
» By talking with your medical team about any concerns
that you have, they can help you create a pain
management plan that works for you.
When to Talk to Your Doctor:
» If you have any new painful symptoms so that they can
help you keep track of them.
» If you have pain that does not decrease with the
medication ordered by your doctor.
» If you have questions about how to take your pain
medications effectively.
To help your doctor better understand your pain, be
prepared to answer questions such as:
» Where does it hurt?
» When does the pain stop and start?
» How long has the pain been there?
» On a scale from 0 to 10, how much pain are you in
currently and on average?
» What does the pain feel like for you? (For example, is it
burning, stabbing, throbbing, or aching?)

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What Do I Do Now?

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