Cover -- Copyright -- Brief Contents -- A Note to the Reader -- Contents -- Foreword by Betty R. Ferrell, PhD, FAAN -- Advances in Understanding Pain -- Partnering to Manage Pain -- The Role of this Book in Pain Control -- Everyone Has a Right to Pain Relief -- Introduction -- The Impact of Cancer Pain -- Cancer Pain Is Undertreated -- Methods of Pain Control -- What You Can Do -- How to Use This Book -- About the American Cancer Society -- Acknowledgments -- CHAPTER 1 Understanding Cancer Pain -- What Is Cancer? -- What Is Pain? -- Types of Pain -- Acute Pain -- Chronic Pain -- Breakthrough Pain -- Nociceptive Pain -- Neuropathic Pain -- Factors that Influence Pain -- Causes of Pain -- Diagnostic Procedures -- Cancer Treatment -- Tumor-Related Pain -- Pain Due to Other Causes -- Help Is on the Way -- CHAPTER 2 Coping with the Emotional and Social Impact of Cancer Pain -- Pain's Impact on Quality of Life -- Measuring Quality of Life -- Common Feelings about Cancer and Cancer Pain -- Factors that Affect Feelings about Pain -- Individual Reactions to Pain -- Pain and Depression -- Pain and Anxiety -- The Impact of Pain on Relationships -- Support from Friends and Family -- Asking for Help -- When to Seek Counseling -- Finding Support -- Support Groups -- Individual Therapy -- Family Therapy -- Choosing a Counselor -- Why Do Some People Need Help and Others Don't? -- Will Insurance Pay for Counseling and Therapy Services? -- CHAPTER 3 Achieving Effective Pain Control -- Myths and Misconceptions about Cancer Pain -- Myth 1: People Become Addicted to Pain Medications -- Myth 2: Taking Too Much Pain Medication Will over Time Decrease Its Effectiveness -- Myth 3: Pain Is a Normal Part of Having Cancer -- Myth 4: Pain Means that the Cancer Is Growing -- Myth 5: Pain Can't Be Treated -- Myth 6: Doctors Don't Understand Pain.

Myth 7: Good Patients Don't Complain -- Myth 8: Focusing on the Pain May Be a Distraction from Treating the Cance -- Myth 9: People Should Be Able to "Tough it Out" -- Myth 10: Pain Medications Cause Unpleasant Side Effects -- The Importance of Communication -- Communicating with Your Health Care Team -- Communicating with Caregivers -- Barriers to Communication -- Language Barriers -- Cultural Background -- Pain Is Subjective -- Limited Knowledge and Time -- When to Seek Additional Help -- CHAPTER 4 Describing and Measuring Your Pain -- The "Language" of Pain -- Talking about Your Pain -- Talking with Family Members and Caregivers about Pain -- Talking with Your Health Care Team about Pain -- How Pain Is Measured -- The Initial Pain Assessment -- Preparing for a Pain Assessment -- When the Person with Cancer Is Unable to Discuss Pain -- Tools for Rating Your Pain -- Numeric Scales -- Word Scales -- The Faces Scale -- Color Scales -- The Brief Pain Inventory -- What to Do after the Initial Pain Assessment -- Your Pain Treatment Plan -- Communicating about Pain and Pain Relief -- The Pain Log -- Assessment for Recurrence of Pain -- CHAPTER 5 Pain Relief through Medication -- Determining Pain Medication(s) Appropriate for You -- Types of Medications Used to Control Cancer Pain -- Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) -- Acetaminophen -- Opioids -- Other Types of Pain Medications -- Adjuvant Medicines -- Methods Used for Drug Delivery -- Oral -- Transmucosal -- Sublingual -- Transdermal (Skin Patch) -- Rectal Suppositories -- Injections -- Patient-Controlled Analgesia (PCA) -- Managing Your Drug Therapy Program -- Controlling Breakthrough Pain -- Tolerance, Dependence, and Addiction -- Drug Tolerance -- Drug Dependence -- Psychological Dependence and Addiction -- Changing Your Pain Medicine or Drug Therapy Plan -- Pain Records, Charts, and Logs.

What to Include in a Pain Record -- CHAPTER 6 Other Medical Approaches to Pain Management -- Palliative Therapy for Pain Control -- Palliative Radiation Therapy -- Palliative Chemotherapy -- Hormonal Therapy -- Bisphosphonate Therapy -- Palliative Surgery -- Nerve Blocks -- Temporary Nerve Blocks -- Permanent Nerve Blocks -- Side Effects of Nerve Blocks -- Location of Nerve Blocks -- Spinal Opioid Infusion -- Neurosurgery -- CHAPTER 7 Complementary Nondrug Treatments -- What Are Complementary Nondrug Treatments? -- How Complementary Nondrug Treatments Can Help Control Pain -- Access to Complementary Nondrug Treatments -- Complementary Nondrug Methods -- Acupuncture -- Biofeedback -- Distraction -- Exercise -- Humor Therapy -- Hypnosis -- Imagery and Visualization -- Meditation -- Music Therapy -- Psychotherapy/Counseling -- Relaxation -- Skin Stimulation -- Spirituality and Prayer -- Transcutaneous Electrical Nerve Stimulation (TENS) -- Yoga -- CHAPTER 8 Managing Side Effects of Opioids -- Opioid Analgesic Side Effects -- Digestive Tract Side Effects -- Central Nervous System Side Effects -- CHAPTER 9 Cancer Pain in Specific Groups -- Children and Cancer Pain -- Sources of Cancer-Related Pain among Children -- Pain Assessment in Children -- Managing Cancer Pain in Children -- Cancer Pain in the Elderly Person -- Pain Assessment in Elderly Patients -- Managing Cancer Pain in the Elderly Person -- Emotional and Psychological Issues Related to Pain in the Elderly -- Treatment Issues for People with a History of Substance Abuse -- Culturally Diverse Groups -- Impact on Care -- Treating Pain in the Person with Advanced Disease -- Pain Relief at the End of Life -- Treating Severe Pain in Advanced Stages of Cancer -- Hospice Care -- Palliative Sedation -- Conclusion -- APPENDIX A Cancer Pain Drug Information -- Nonopioids -- Opioids -- Adjuvant Analgesics.

APPENDIX B Guidelines for Pain Management -- Joint Commission on the Accreditation of Healthcare Organizations -- American Pain Society -- National Comprehensive Cancer Network -- Cancer Pain Treatment Guidelines for Patients -- Resources -- Glossary -- Index.