Abstract
One of the basic goals of palliative care is to reduce the suffering of the patient, which includes relieving the pain. Some facts show that sometimes a doctor is afraid to give opioid analgesic mono-therapy to his patients because she is worried on one hand about the effect of addiction. In addition, in some cases, NSAID analgesics mono-therapy can also cause a series of side effects or even the patient may be contraindicated against the use of NSAID or paracetamol class drugs. Actually, this can be prevented by giving a combination of opioids and non-opioids analgesic. By providing this combination of therapy, it is hoped that this can accelerate the onset of work, extend the working period which can reduce the dose of drugs consumed, and more importantly minimize the side effects of each drug. The fixed dose combination of Tramadol-Paracetamol (Tramadol 37.5 mg–Paracetamol 325 mg) is an example of a drug combination preparation that has been shown to be effective in the treatment of pain. In this case report, a patient who is currently undergoing palliative therapy for cancer is described. On the way, the patient felt spinal pain as a result of the spread of the disease. The combination of Tramadol-paracetamol was administered twice a day with a dose that adjusted to the VAS Score observations before and after drug administration. And in this case, there was a decrease in the VAS score after being given Tramadol-Paracetamol combination.
Highlights
The management of palliative care in patients emphasizes on psychological, emotional, spiritual and social factors
Some facts show that sometimes a doctor is afraid to give opioid analgesic monotherapy to his patients because she is worried on one hand about the effect of addiction
In some cases, non-steroidal anti-inflammatory drugs (NSAIDs) analgesics mono-therapy can cause a series of side effects or even the patient may be contraindicated against the use of NSAID or paracetamol class drugs
Summary
The management of palliative care in patients emphasizes on psychological, emotional, spiritual and social factors. Inadequate handling of pain suffered due to an advanced stage illness can certainly cause new problems for patients. Surabaya Physical Medicine and Rehabilitation Journal, Vol 3 No.[1], February 2021 will certainly worsen the patient's quality of life. Inappropriate handling of pain can make a patient's illness worsen and difficult to treat. This certainly affects the patient's quality of life. In addition to proper diagnosis and treatment of the underlying disease, providing analgesics to treat pain is needed. It aims to improve the patient's quality of life
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