EAPC Algorithm for Evaluating Episodic Breakthrough Cancer Pain

Are you evaluating a patient receiving palliative care with episodic pain?

Yes

Does the patient have significant baseline pain?

Yes

Are there actions that can help reduce the pain intensity?

Yes

Is the pain described as lancing, shooting or burning?

Yes

Is there bone pain associated with movement?

Yes

Is there colicky thoraco-abdominal pain?

Yes

Is there soft tissue pain associated with contact or pressure?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Pattern of the Pain

• inadequate pain management?

• neuropathic pain?

• visceral pain?

• bone pain?

• soft tissue pain?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Risk Factors for Inadequate Pain Management in Elderly Patient
- Hyperalgesia Associated with Alcohol or Opioid Withdrawal
Clinical Diagnosis, Including Family History For Genetics
- Clinical Features of Nociceptive Central Pain
- Pain Catastrophizing
Other Testing
- Pain Intensity Difference Evaluation
- Hyperalgesia Associated with Alcohol or Opioid Withdrawal
Criteria For Diagnosis
Severity, Prognosis, Stage

Therapy

Options
- Risk Factors for Inadequate Pain Management in Elderly Patient
- Celiac Plexus Neurolysis for Controlling Pain Associated with Pancreatic Cancer
Dosage Adjustments
- Risk Factors for Inadequate Pain Management in Elderly Patient

Monitoring

Response To Therapy
Adverse Effects
- Risk Factors for Inadequate Pain Management in Elderly Patient

Patient Concerns

Disability And Performance
- Pain Disability Index (PDI)
- Critical Care Pain Observation Tool (CPOT)
Quality Of Life
- Therapeutic Response to Pregabalin on Ability of Patient with Fibromyalgia to Work
Psychological Response
- Pain Catastrophizing
Social Activities, Family And Friends
- Therapeutic Response to Pregabalin on Ability of Patient with Fibromyalgia to Work
End-of-life, Palliative Care
- Breakthrough Pain

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Patient Concerns

Specialty

Objective

ICD-10

EAPC Algorithm for Evaluating Episodic (Breakthrough) Cancer Pain

Purpose: To evaluate a patient receiving palliative care for episodic (breakthrough) pain using the EAPC algorithm.

Evaluation

Results

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MedicalAlgorithms.com APIs

Power Your Solutions with 5,000+ Automated Medical Analytics

Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Patient Concerns

Specialty

Objective

ICD-10