Læknaneminn


Læknaneminn - 01.04.1994, Qupperneq 73

Læknaneminn - 01.04.1994, Qupperneq 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 LÆKNANEMINN 1 1994 47. árg. 67
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