CLIP 15 Minute Online Tutorial

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CURRENT LEARNING IN PALLIATIVE CARE

15 Minute Online Tutorials

Helping patients with symptoms other than pain

1: Constipation

Introductory Level

CLIP Index

How to use this tutorial

Case study

Activities

Further activity

FURTHER READING

Papers

Agra Y. Sacristan A. Gonzalez M. Ferrari M. Portugues A. Calvo MJ. Efficacy of senna versus lactulose in terminal cancer patients treated with opioids. Journal of Pain & Symptom Management. 1998: 15(1):1-7.

Bruera E. Suarez-Almanzor M. Velasco A. Bertolino M. MacDonald SM. Hanson J. The assessment of constipation in terminal cancer patients admitted to a palliative care unit: a retrospective review. Journal of Pain & Symptom Management, 1994: 9(8):515-9.

Cleveland MV. Flavin DP. Ruben RA. Epstein RM. Clark GE. New polyethylene glycol laxative for treatment of constipation in adults: a randomized, double-blind, placebo-controlled study. Southern Medical Journal. 2001: 94(5): 478-81.

Fallon MT. Hanks GW. Morphine, constipation and performance status in advanced cancer patients. Palliative Medicine. 1999: 13(2):159-60.

Fallon M, O’neill B. ABC of palliative care: constipation and diarrhoea. British Medical Journal, 1997; 315: 1293-6.

Mancini I. Bruera E. Constipation in advanced cancer patients. Supportive Care in Cancer. 1998; 6(4):356-64.

Nugent M. Davis C. Brooks D. Ahmedzai SH. Long-term observations of patients receiving transdermal fentanyl after a randomized trial. Journal of Pain & Symptom Management. 2001: 21(5):385-91.

O'Mahony S. Coyle N. Payne R. Current management of opioid-related side effects. Oncology (Huntington). 2001; 15(1): 61-73. 77.

Prather CM. Ortiz-Camacho CP. Evaluation and treatment of constipation and fecal impaction in adults. Mayo Clinic Proceedings. 1998; 73(9): 881-6.

Sykes NP. A volunteer model for the comparison of laxatives in opioid-related constipation. Journal of Pain & Symptom Management. 1996: 11(6):363-9.

Sykes NP. The relationship between opioid use and laxative use in terminally ill cancer patients. Palliative Medicine. 1998: Thorpe DM. Management of opioid-induced constipation. Current Pain & Headache Reports. 2001: 5(3):237-40.

Wiesel PH, Norton C, Brazzelli M. Management of faecal incontinence and constipation in adults with central neurological diseases The Cochrane Database of Systematic Reviews, 2002; 2.

Xing JH. Soffer Diseases of the Colon & Rectum. 2001: 44(8):1201-9.

Resource books and websites

A Guide to Symptom Relief in Palliative Care, 5^th ed. Regnard C, Hockley J. Abingdon: Radcliffe Medical Press, 2004

Oxford Textbook of Palliative Medicine 3^rd ed. Doyle D, Hanks G, Cherny NI, Calman K eds. Oxford : Oxford University Press, 2003.

PCF2- Palliative Care Formulary, 2^nd ed. Twycross RG, Wilcock A, Charlesworth S. Abingdon: Radcliffe Medical Press, 2003. Also on www.palliativedrugs.com

Symptom Management in Advanced Cancer, 3^rd edition. 2001. Twycross RG, Wilcock A. Abingdon: Radcliffe Medical Press.