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학습 자료 둘러보기 →When a client with pancreatic cancer reports 8/10 pain despite scheduled opioid therapy, the nurse's priority is to collaborate with the provider for a comprehensive reassessment. This is not a failure of the client but of the current regimen.
Pancreatic cancer pain is often a mix of nociceptive and neuropathic components due to tumor invasion of the celiac plexus. Effective management requires a multimodal approach, which may include opioid dose titration, adding adjuvant analgesics (e.g., gabapentin, corticosteroids), or referral for an interventional procedure like a celiac plexus block.
Never independently change the frequency or dose of an opioid. This is outside nursing scope and can cause harm. Fear of opioid dependence is never a reason to withhold analgesia in cancer pain; the ethical obligation is to provide comfort.
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