Severe opioid toxicity and somatization of psychosocial distress in a cancer patient with a background of chemical dependence

Journal of Pain and Symptom Management

Volumn 13, Issue 6, 1997, Pages 356-361

  Lawlor, Peter ^a   Walker, Paul ^a   Bruera, Eduardo ^a   Mitchell, Stephanie ^a  

^a GREY NUNS COMMUNITY HOSPITAL   (Canada)

Author keywords

Cancer pain; Chemical dependence; Opioid toxicity; Psychosocial distress; Somatization

Indexed keywords

AMITRIPTYLINE; BENZODIAZEPINE DERIVATIVE; DOXEPIN; LORAZEPAM; METHADONE; MORPHINE;

ADULT; ALCOHOL ABUSE; ARTICLE; CANCER PAIN; CASE REPORT; DELIRIUM; DEPRESSION; DRUG DEPENDENCE; FEMALE; HALLUCINATION; HUMAN; HYPERALGESIA; INTOXICATION; INTRAVENOUS DRUG ADMINISTRATION; KIDNEY CARCINOMA; MENTAL STRESS; MYOCLONUS; ORAL DRUG ADMINISTRATION; PSYCHOSOCIAL DISORDER; SEIZURE; SOMATIZATION; SUBLINGUAL DRUG ADMINISTRATION;

ALCOHOLISM; ANALGESICS, OPIOID; BENZODIAZEPINES; CARCINOMA, RENAL CELL; FEMALE; HUMANS; KIDNEY NEOPLASMS; MIDDLE AGED; MORPHINE; PAIN, INTRACTABLE; PSYCHOSES, SUBSTANCE-INDUCED; SUBSTANCE-RELATED DISORDERS;

EID: 0030961357     PISSN: 08853924     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0885-3924(97)00081-X     Document Type: Article

References (14)

1. Bruera E, Watanabe S. New developments in the assessment of pain in cancer patients. Supportive Care Cancer 1994;2:312-318.
2. Moore RD, Bone LR, Geller G, Mamon JA. Prevalence, detection and treatment of alcoholism in hospitalized patients. JAMA 1989;261:403-407.
3. The American Psychiatric Association (APA) diagnostic and statistical manual of mental disorders, 4th ed. Washington, DC: APA, 1994.
4. Folstein MF, Folstein S, McHugh PR. "Minimental state:" a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975;12:189-198.
5. Cancer pain relief and palliative care. Report of a WHO Expert Committee. Geneva, Switzerland: World Health Organization, 1990.
6. Bruera E, Fox R, Chadwick S, Brenneis C, MacDonald RN. Changing pattern in the treatment of pain and other symptoms in advanced cancer patients. J Pain Symptom Manage 1987;2:139-145.
7. Sjogren P, Eriksen J. Opioid toxicity. Curr Opin Anesthesiol 1994;7:465-469.
8. de Stoutz ND, Bruera E, Suarez-Almazor M. Opioid rotation (OR) for toxicity reduction in terminal cancer patients. J Pain Symptom Manage 1995;10:378-384.
9. Chapman CR, Gavrin J. Suffering and its relationship to pain. J Palliat Care 1993;9:5-13.
10. Fernandez E, Turk DC. The scope and significance of anger in the experience of chronic pain. Pain 1995;6192:165-175.
11. Macaluso C, Weinberg D, Foley KM. Opioid abuse and misuse in a cancer pain population. J Pain Symptom Manage 1988;3:S24.
12. McCorquodale S, De Faye B, Bruera E. Palliative care rounds. Case report: pain control in an alcoholic cancer patient. J Pain Symptom Manage 1993;8:177-180.
13. Bruera E, Schoeller T, Wenk R, et al. A prospective multi-center assessment of the Edmonton Staging System for cancer pain. J Pain Symptom Manage 1995;10:348-355.
14. Robinson K, Bruera E. Case report: the management of pain in patients with advanced cancer: the importance of multidimensional assessments. J Palliat Care 1995;11:51-53.