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Controversies surrounding the management of pain in patients with terminal cancer

In the second article of our pain series Paula Smith, Pat Schofield, Barry Aveyard & Catherine Black discuss the key and controversial issues surrounding the management of pain in patients with terminal cancer. Assessment, education, the continued efficacy of the WHO pain analgesic level and the continuing debates about addiction and the ethics of the double effect of strong opioids continue to result in inadequate pain management in terminal cancer care.
Paula Smith, RN, BSc, MSc, PhD, C.Psychol
School of Nursing and Midwifery, Sheffield Hallam University, England.
Pat Schofield, RGN PhD PGDipEd DipN Senior Lecturer, University of Sheffield, School of Nursing & Midwifery England
Barry Aveyard, RMN RGN BA (Hons) Cert Ed RNT MA
School of Nursing and Midwifery, Sheffield Hallam University, England.
Catherine Black MAEd, BA (Hons), RNT, RN, DHSM,
Senior Lecturer, DHSS, Education and Training, Keyll Darree, Isle of Man.
Article accepted for publication: January 2007