A Case of Lung Cancer during Home Care with Suspected Chemical Coping

An 81-year-old woman was prescribed hydromorphone for cancer pain and dyspnea. Owing to anxiety regarding worsening of symptoms, she began to use hydromorphone(10 to 12 times a day)even without symptoms. As chemical coping with opioid analgesics was suspected, the visiting nurse listened to the pati...

Full description

Saved in:
Bibliographic Details
Published inGan to kagaku ryoho Vol. 51; no. 7; p. 763
Main Authors Nakamura, Yukio, Nakamura, Chika
Format Journal Article
LanguageJapanese
Published Japan 01.07.2024
Subjects
Aged, 80 and over
Analgesics, Opioid - therapeutic use
Anti-Anxiety Agents - therapeutic use
Anxiety - chemically induced
Cancer Pain - drug therapy
Female
Home Care Services
Humans
Hydromorphone - therapeutic use
Lung Neoplasms - drug therapy
Online AccessGet more information

Cover

More Information
Summary:An 81-year-old woman was prescribed hydromorphone for cancer pain and dyspnea. Owing to anxiety regarding worsening of symptoms, she began to use hydromorphone(10 to 12 times a day)even without symptoms. As chemical coping with opioid analgesics was suspected, the visiting nurse listened to the patient's perspective, and the patient was subsequently prescribed an anxiolytic(lorazepam)for insomnia and anxiety. Thereafter, the frequency of using hydromorphone hydrochloride tablets decreased.
ISSN:0385-0684