Læknaneminn - 01.04.1994, Blaðsíða 73

ýmis merki um að þetta sé að breytast (69, 70).En
þrátt fyrir öll verkfæri veraldarinnar halda menn af
einhverjum ástæðum áfram að fá verki af völdum
ólæknandi sjúkdóma og deyja í kvöl sinni. Og það
gera þeir meðal annars vegna þess að læknar og
læknanemar hafa ekki sinnt þekkingaröflun sem
skyldi hvorki á sviði verkjameðferðar né annarrar
einkennameðferðar. Ekki hefurheldur verið til að ráði
á íslenskri tungu aðgengilegt efni um verki og
verkjameðferð. Þessi grein er svolítill skerfurtil þess
að reyna að bæta úr því. 0
HEIMILDIR OG ÍTAREFNI
1. Saunders C: The philosophy of terminal care. In:
Saunders C, ed.The management of terminal
malignant disease. London: Edward Arnold, 1984:
232-241.
2. Ford G: Specialist medical training in the UK. Pall
Med. 1988; 2: 147-152.
3. Hillier R: Palliative medicine - a new speciality. BMJ
(ritstjómargrein) 1988; 297: 874-875.
4. Wanzer SH, Federman DD, Adelstein SJ et al.: The
physicians responsibility toward hopelessly ill
patients. N Engl J Med 1989; 320: 844-849.
5. Seravelli EP. The dying patient, the physician and the
fear of death. N Engl J Med 1988; 319: 1728-1730.
6. Sigurður Arnason: Óttinn við dauðann. Skírnir (ritstj.
Vilhjálmur Arnason og Astráður Eysteinsson): 1990
(haust); 164; 317-326.
7. D A Whippen og G P Canellos: Burnout syndrome in
the practice of oncology: Results of a random survey
of 1000 oncologists. J of Clinical Oncology 1991; 9
(10); 1916-1920.
8. Sigurður Arnason og Robert G Twycross: The
palliative care of patients with terminal lung cancer.
I: Fred R Hirsch (ritstj.): Lung cancer: Status and
future perspectives. Danmark 1993: 271-290.
9. Saunders (ed): Hospice and Palliative Care - An
interdisciplinary approach. Edward Arnold, London
1990.
10. Grond S, Zech D, Shug SA et al.: Validation of
world health organization guidelines for cancer pain
relief during the last days and hours of life. J Pain
Sytnp Management 1991; 6 (7): 411-422.
11. Roselyne Rey: History of pain. Editions la
découverte, París 1993.
12. Magill-Levreault, L: Music therapy in pain and
symptom management. J of Palliative Care 1993;
9:4: 42-48.
13. Saunders C: The philosophy of temrinal care. í:
Saunders C, (ritstj.). The management of terminal
malignant disease. London: Edward Arnold, 1984:
232-241.
14. R M cole: medical aspects of care for the person
with advanced acquired immunodeficiency
syndrome (AIDS): A palliative care perspective.
Pall Medicine 1990;5:218-220.
15. IASP Subcommittee on Taxonomy Pain Terms: A
list with definitions and notes on usage. Pain 1979;
6: 249-252.
16. S Lack: Total pain. Clinics in Oncology 1984; 3 (1):
33-44.
17. Twycross R G, Lack S A: Therapeutics in Terminal
Cancer (2nd edition) Churchill Livingstone,
Edinburgh, 1990.
18. R K Portenoy: Cancer pain: pathophysiology and
syndromes. Lancet 1992; 339: 1026-1031.
19. Graham C, Bond SS, Gerkovich MM o.fl.: Use of the
McGill pain questionnaire in the assessment of
cancer pain: Replicability and consistency. Pain
1980; 8:377.
20. TLYaksh: New horizons in our understanding of the
spinal physiology and pharmacology of pain
processing: Seminars in Oncology 1993; 20 (2)
suppl.l: 6-18.
21. J Bonica: Anatomic and physiologic basis of pain. I:
The management of pain. I. bindi (2. útg). Lea
&Febiger, Philadelphia, London 1990; 87-94.
22. J Pilkington: Increase in plasma beta-endorphin-like
immunoreactivity at parturition in normal women.
Am JObstet Gynecol 1983; 141(1): 111-112.
23. P A McGrath: Pain in children: Nature, assessment
and treatment. NewYork: Guilford Publications,
1990.
24. N L Schechter, A Altman, S Weisman: Report of the
consensus conference on the management of pain in
childhood cancer. Pediatrics 1990; 86 (suppl. 5).
25. Amér S and Meyerson BA: Lack of analgesic effect
on opioids on neuropathic and idiopathic forms of
pain. Pain 1988; 33, 11-23.
26. Hanning CD, Smith G, McNeil M et al.: Rectal
administration of morphine from a sustained realease
hydrogel suppository. Br J Anaesthesia 1985: 57,
236-237.
27. Maloney CM, Kesner RK, Klein G et al.: The rectal
administration of MS Contin®: Clinical implications
of use in end stage cancer. American Joumal of
Hospice Care 1989; July/August: 34-35.
28. Hanks GW, Twycross RG: Pain, the physiologic
antagonist of opioid analgesics. Lancet 1984; i:
1477-1478.
29. Q-L Gong, T Hedner, J Hedner o.fl.: Antinociceptive
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