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1 PEACEP alliative care Emphasis program on symptom management and Assessment for Continuous medical Education 2009 1 M-3 Copyright Japanese Society for Palliative Medicine Copyright Japanese Society for Palliative Medicine Copyright Japanese Society for Palliative Medicine Copyright Japanese Society for Palliative Medicine Copyright Japanese Society for Palliative Medicine Copyright Japanese Society for Palliative Medicine (open-ended question) (closed question).

2 Copyright Japanese Society for Palliative Medicine (total pain) (total pain) Copyright Japanese Society for Palliative Medicine Copyright Japanese Society for Palliative Medicine 1 54 1 Q1. Copyright Japanese Society for Palliative Medicine Copyright Japanese Society for Palliative Medicine Copyright Japanese Society for Palliative Medicine Numeric Rating Scale (NRS) 012345678910 0 10 (NRS)Copyright Japanese Society for Palliative Medicine Visual Analog Scale (VAS)

3 Copyright Japanese Society for Palliative Medicine Face Scale . 2002; 11(2): 21-7 Wong, DL, Wong's Essentials of Pediatric Nursing, ed. 6,2001, p1301 Copyright Japanese Society for Palliative Medicine 100100100 Copyright Japanese Society for Palliative Medicine 1 1 1 (NRS 5/10) 4 Copyright Japanese Society for Palliative Medicine 1 1 1 NRS 5/10 Copyright Japanese Society for Palliative Medicine 1 54 1 1 (NRS 5/10) Q2.

4 Copyright Japanese Society for Palliative Medicine WHO 5 WHO Copyright Japanese Society for Palliative Medicine WHO Copyright Japanese Society for Palliative Medicine 1 2 3 Copyright Japanese Society for Palliative Medicine 1 NSAIDs 2 3 100100100 Copyright Japanese Society for Palliative Medicine overviewWHO NSAIDs zNSAIDs z z 1 NSAIDs 2 3 100100100 Copyright Japanese Society for Palliative Medicine NSAIDs NSAIDs NSAIDs H2 NSAIDs 1 NSAIDs1 Copyright Japanese Society for Palliative Medicine 1 54 3 3 3 NRS 4/10 Q3.

5 Copyright Japanese Society for Palliative Medicine overview 1 NSAIDs 2 3 100100100 WHO z z z Copyright Japanese Society for Palliative Medicine Copyright Japanese Society for Palliative Medicine NSAIDs Copyright Japanese Society for Palliative Medicine MS MS Copyright Japanese Society for Palliative Medicine (M-6-G)

6 Copyright Japanese Society for Palliative Medicine 5mg Copyright Japanese Society for Palliative Medicine 72 Copyright Japanese Society for Palliative Medicine 60mg 40mg 30mg 40mg Copyright Japanese Society for Palliative Medicine 4 1 5 10mg 12 24 1 20 30mg 1 10 20mgCopyright Japanese Society for Palliative Medicine 1 10mg 1 8 1 10mgCopyright Japanese Society for Palliative Medicine 1 6 1 1 1 15 30 Copyright Japanese Society for Palliative Medicine Copyright Japanese Society for Palliative Medicine Copyright Japanese Society for Palliative Medicine 30% 3 3 1 2 Copyright Japanese Society for Palliative Medicine

7 Copyright Japanese Society for Palliative Medicine Copyright Japanese Society for Palliative Medicine 1 54 3 3 3 NRS 4/10 Q4. Copyright Japanese Society for Palliative Medicine (10) 2 2 8 20 (60) 3 3 OD(15) 1 1 (5) 3 3 3 ( ) 1 Copyright Japanese Society for Palliative Medicine Copyright Japanese Society for Palliative Medicine 1 54 20mg/ 3 NRS 3/10 NRS 1/10 1 4 Q5.

8 Copyright Japanese Society for Palliative Medicine overview 1 NSAIDs 2 3 100100100 NSAIDs Copyright Japanese Society for Palliative Medicine STEP STEP1 STEP2 STEP3z or z 30 50%/1 3 zNSAIDs Copyright Japanese Society for Palliative Medicine STEP : 3Gy 10fr Copyright Japanese Society for Palliative Medicine STEP : Copyright Japanese Society for Palliative Medicine STEP1 2 NSAIDs 120mg/ 50%120mg/ 30%Copyright Japanese Society for Palliative Medicine 1 50% 1 20mg 30mg 4 4=10mg 20mg 10mg=30mg Copyright Japanese Society for Palliative Medicine 1 1 100mg 120mg Q6.

9 Copyright Japanese Society for Palliative Medicine STEP3 Copyright Japanese Society for Palliative Medicine STEP3: 120mg 30 50% Copyright Japanese Society for Palliative Medicine 60mg 40mg 30mg 40mg Copyright Japanese Society for Palliative Medicine 120mg/ 120mg/ 20mg/ 80mg 40mg 1 60mg 1 40mg MT 1 40mg 1 20mg MT 1 20mg Copyright Japanese Society for Palliative Medicine STEP3 40 60

10 Copyright Japanese Society for Palliative Medicine 1 120mg MT Copyright Japanese Society for Palliative Medicine 2 50 MT 5mg Q7. Copyright Japanese Society for Palliative Medicine 1 NSAIDs 2 3 100100100 Copyright Japanese Society for Palliative Medicine 70% Copyright Japanese Society for Palliative Medicine 3Gy 10fr (4mg)