QOL向上のためのモルヒネ使用法

Morphine is the best drug not only for cancer patients, but also for benign chronic patients with sever pain, such as chronic pancreatitis or rheumatoid disease etc. . Most important point at start of morphine is one set order including of 5 drugs, continuous type morphine for regular use and rapid type morphine for rescue, NSAIDs, antiemetics, luxatives. The second is initial and every day use of formula for pain assessment with patients’ own opinion. The third is goal setting for each patient’s life after pain reduction. For palliative care system of Tokushima pref., the support center of palliative medicine must be established in near future.