1. • Of the 9 patients, 56% had more than 3
symptoms and 75% had had bypass surgery
• 80% of those with pain had it controlled on liquid
morphine max dose 90mg/24hrs and adjuvants (
dexamethasone and amitriptyline). Showed by
decrease in pain score from 4/5 to 2/5
• 4 died without pain, peacefully by end of study
period
• control of pancreatic cancer pain can be
achieved in pancreatic cancer using oral
morphine with adjuvants when necessary.
MANAGING PAIN IN PANCREATIC CANCER: SHARING EXPERIENCES
By Dr Ludoviko Zirimenya ( Medical Officer ), Hospice Africa Uganda , lzirimenya@hospiceafrica.or.ug
•It is recognised world wide that
although pancreatic cancer maybe
rare, it causes unbearable pain.
•low cost and effective palliative care
interventions are needed to improve
quality of life
• To determine the prevalence of
pain among pancreatic cancer
patients at HAU
• To explore different pain palliative
care interventions in pancreatic
cancer
•Retrospective chart survey for 6
months from 1st October 2012 to
31st March 2013 yielding 9 patients.
Methodology
Objectives
Introduction
Conclusion
Results