41. 由口服為先 By Mouth
按時給藥 By The Clock
三階梯止痛法 By The Ladder
依個別性給藥 For The Individual
整體性考量 Attention To Detail
41
42.
43. Quality of Life
Invasive treatments
Opioid Delivery
4th step
Pain persisting or increasing
Step 3
Opioid for moderate to severe pain
± Nonopioid ± Adjuvant
Pain persisting or increasing
Step 2
Opioid for mild to moderate pain
± Nonopioid ± Adjuvant
The WHO Ladder
Pain persisting or increasing
Step 1
Deer, et al., 1999 ± Nonopioid
± Adjuvant
Pain
43
79. 長時間感受到無法阻止的耗竭狀態,感覺精神體力
都變差的一種主觀感受,這種主觀感受無法經由休
息而緩解,甚至會在治療後還持續
Cancer-related fatigue is a distressing
persistent, subjective sense of physical,
emotional and/or cognitive tiredness or
exhaustion related to cancer or cancer
treatment. It is not proportional to any recent
activity and interferes with usual functioning.
NCCN guidelines (NCCN.org)