Background: Cancer pain has historically been very difficult to manage. Despite targeted
initiatives by oncologists aimed at increasing the awareness of cancer pain, improving
the documentation of pain, and improving pain medication regiments, some patients
continue to have significant breakthrough symptoms and therefore seek additional care
in the emergency department (ED). Unfortunately, the ED has classically struggled
with providing appropriate pain management in the general population. Therefore, patients
with cancer who are already at risk for inadequate analgesia may be at particular
risk for poor pain management when they present to the ED.
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