21 PCN Pain Assessment in Patients with Active Cancer
- Characterize multiple dimensions of pain:
- Intensity
- Temporal features (onset, course, daily fluctuation, breakthrough)
- Location, radiation
- Quality
- Aggravating/alleviating factors
- Understand nature of pain:
- Cause
- Pathophysiology
- Pain syndrome
- Identify effects of the Pain on Quality of Life:
- Physical function and well-being
- Mood, coping, psychological well-being
- Social and family relationships
- Sleep, vitality, sexuality
- Clarify extent of malignant disease, planned intervention(s), prognosis
- Clarify nature and quality of previous testing and past treatments
- Detail medical comorbidities
- Elucidate psychiatric comorbidities:
- Substance-use history
- Depression/anxiety
- Personality disorder
- Detail current interventions/medications
- Identify other need for palliative care intervention:
- Other symptoms
- Psychosocial/spiritual distress
- Caregiver burden
- Communication, care coordination, goal-setting
