Transcription of The World Health Organization three-step analgesic ladder ...
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The World Health Organization three-step analgesic ladder ...
EditorialThe World Health Organization three-step analgesic laddercomesofageEighteen years ago, the W orld Health Organization (WHO) published a document entitled Cancer PainR elief, which set out the principles of cancer painmanagement based on the use of a three-step analgesicladder .1 The document was derived from consensusguidelines produced some four years 1996,the WHO published an updated version of Cancer PainR elief, which again was based on the use of a three-stepanalgesic ladder , and also the principles by mouth , bythe clock , by the ladder , for the individual and attention to detail .3 The updated version of the three-step ladder is shown in Figure years is a long time in medicine.
pain relief, such as disease-modifying therapies, non-pharmacological therapies, and interventional therapies.7 However, the WHO guidelines do endorse the use of these other treatment modalities, although they do not appearon the illustration of the three-step ladder. Cancer PainRelief contains much moreinformationthan just the
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