Edmonton Staging System for Cancer Pain

Are you evaluating a patient with cancer pain?

Yes

Is the pain aggravated by movement or other activity?

Yes

Does the patient show normal cognitive function?

Yes

Is the pain associated with major psychological distress?

Yes

Does the patient have a history of drug or alcohol addiction?

Yes

Previous daily dose of oral morphine (or equivalence to)

mg per day

Need to increase the opioid dose to achieve pain control, as a percent of initial daily dose of opioid (enter from 0 to 100)

percent

Mechanism of the pain

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Mechanism of pain (A)

Pain characteristics (B)

Previous opioid exposure (C)

Cognitive function (D)

Psychological distress (E)

Tolerance to opioid (F)

Past history for alcohol or drug addiction (G)

Number of factors associated with poor prognosis

Clinical stage of pain

The prognosis for pain control is

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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
- EAPC Algorithm for Evaluating Episodic (Breakthrough) Cancer Pain
- 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

Purpose: To evaluate a patient with cancer pain using the Edmonton clinical staging system.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Patient Concerns

Specialty

Objective

ICD-10