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Classification

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Clinical Classification of Pain

Pain can be divided into nociceptive and neuropathic types of pain, and can be a mixture of these two types.

It is of clinical importance to try and distinguish the types or components of a patient’s pain since this assessment has clinical management implications in the use of analgesics, adjuvant drugs and other analgesic modalities.

Nociceptive pain:
Caused by invasion and destruction of or pressure on superficial somatic structures like skin, deeper skeletal structures such as bone and muscle and visceral structures and organs.

  • Types: superficial, deep, visceral
  • Superficial and deep nociceptive pain is usually localized and non-radiating
  • Visceral pain is more diffuse over the viscera involved

Neuropathic pain:
Caused by pressure on or destruction of peripheral, autonomic or central nervous system structures.

  • Radiation of pain along dermatomal or peripheral nerve distributions
  • Often described as burning and/or deep aching
  • May be associated with dysesthesia, hypoesthesia, hyperesthesia and allodynia
  • May also be accompanied by lightning-like jabs of brief sharp pain  (lancinating pain)

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Adapting your Home and Equipment Needs
To make your loved one comfortable, to ensure safety, and to make caregiving easier, you’ll probably need to adapt your home in some way. You’ll also need at least basic equipment and supplies.

The bedroom (or whichever room the bed is placed in) is usually the most important thing to consider. Click below for details about preparing:




How your family unit generally functions

Do family members communicate effectively, solve problems, and work well as a team? If so, your family may already be well prepared for the challenges involved in cancer and caregiving. Do family members tend to act independently or at cross-purposes? If so, it may take more time to focus efforts and coordinate activities. Has your loved one traditionally been the primary decision maker? If so, family roles and responsibilities may change a lot.

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