A GUIDE TO SYMPTOM RELIEF IN ADVANCED CANCER - 2ND EDITION - Preface

Oct 13, 2026

Concise clinical guidance for the medical management of patients with advanced cancer, focused on rapid, easy-to-read symptom control for clinicians and care teams. The second edition is updated and expanded to reflect current views across diverse palliative-care environments, with continued plans for revision approximately every three years. It acknowledges advisers who supported the guide and outlines structured priorities, beginning with pain management and related causes, principles, and consequences.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages68

Reading Time2 h 51 min

AccessFree to download

Preface

Acknowledgements

Contents

Pain

Introduction

Other Symptoms

Special Problems

Appendices

Dedication

A G U I D E TO___ SYMPTOM RELIEFINDVANCED CANCER 2ND EDITIONCLAUD FB REGNARD·ANNE DAVIES 采Fb 8 Digitized by the Internet Archivein 2022 with funding fromKahle/Austin Foundation https://archive.org/details/guidetosymptomre0000unse Preace PREFACE This guide is concerned with the medical management of patientswith advanced cancer.We hope it will provide doctors and nurses withsuggestions for symptom control in a form that can be rapidly andeasily read.It is therefore purposefully short. This second edition has been updated and expanded.The helpgiven by our advisers has ensured that the guide continues to reflectthe current views of a wide cross-section of caring environmentsinvolved in palliating advanced cancer We continue to anticipate that the guide will be fully revisedapproximately every 3 years and any suggestions for changes wouldbe welcomed from all users of the guide. 1986 Claud F.B.Regnard MBChB,BMSc Medical Director,St Oswald's Hospice,Regent Avenue,Gosforth,Newcastle-upon-Tyne. Anne Davies BSc,MPSStaff Pharmacist, Drug Information Centre,University Hospital of Wales,Heath Park,Cardiff. Orders should be placed with booksellers or sent direct to:Haigh and Hochland Ltd, International University Booksellers,The Precinct Centre,Oxford Road,Manchester,M139QAEngland.Tel.061-273-4156 2 Acknowledgements ACKNOWLEDGEMENTS We are indebted to our advisers who kept us on the right track,Charles Hall and Ronnie Fisher who have constantly encouraged oneof us(CR),and Paul Stringer who designed the cover and so gave ushis skill.We are very grateful for the continued and generous supportthat has been given to the Guide. The following kindly gave us their time and skilled advice: Caroline Badger(Research Sister,Sir Michael Sobell House,TheChurchill Hospital,Oxford) Dr Mary Baines(Consultant,St.Christopher's Hospice,Sydenham)Dr Roger Burne (Medical Director,Helen House,a Hospice forChildren,Oxford) Dr Derek Doyle(Medical Director,St.Columba's Hospice,Edin-burgh) Mr G Fellows(Consultant Urologist,Churchill Hospital,Oxford)Dr Ronnie Fisher(Consultant to the Macmillan Cancer Relief Fund)Dr Richard Hillier(Consultant Physician,Countess MountbattenHouse,Moorgreen Hospital,Southampton) Dr Alistair Laing(Consultant Radiotherapist and Oncologist,Churchill Hospital,Oxford) Dr Tony Knight(Consultant Physician,Diabetic Unit,StokeMandeville Hospital) Mr Stewart Meehan (Consultant Surgeon,Ormskirk and DistrictGeneral Hospital) Dr Peter Mortimer(Senior Registrar,Dermatology Dept.SladeHospital,Oxford) Dr Donald Richards(General Practitioner and Hospital Practitioner,Sir Michael Sobell House,Oxford) Mr Robert Ruckley (E.N.T.Senior Registrar,Ninewells Hospital,Dundee) Dr Robert Twycross(Consultant Physician,SirMichaelSobell House,The Churchill Hospital,Oxford) ◎ 1986 Claud F.B.Regnard and Anne Davies ll rights reserved.No part of this publication may be reproduced,stored ina retrievalsystem,or transmitted in any form or by any means,electronic,mechanical,recording or otherwise without the prior permission of the authors in writing. 3 Contents CONTENTS PAIN Page Introduction, causes of pain ……………………………………………………………………………5Principles of pain control, analgesic classification…………………………7 The analgesic staircase, non-opioids and weak opioids ……………8 Strong opioids…………………………………………………………………………………………………………9 Alternative routes of administration ………………………………………………………13 Opioid side effects…………………………………………………………………………………………14 Painful procedures ………………………………………………………………………………………15 Co-analgesics (NSAID's, corticosteroids, psychotropics)……………16Persistent pain……………………………………………………………………………………………………18 OTHER SYMPTOMS Gastrointestinal……………………………………………………… …………………………………………………19 Oral problems …………………………………………………………… ………………………………………………26 Urinary……………………………………………………………………………………………………………………………………29 Cardiovascular………………………………………………………………………………………………………31 Respiratory ………………………………

FAQs

What is the purpose of this guide for clinicians?

It provides medical management suggestions focused on symptom control for patients with advanced cancer, written to be quickly and easily read by doctors and nurses.

How does the guide treat symptom management?

It emphasizes practical approaches to controlling symptoms, including a structured section on pain with causes of failure and principles of pain control.

Who contributed to the second edition and how is it updated?

The guide credits advisers for keeping it aligned with current palliative-care views and states that it anticipates full revision about every three years, welcoming suggestions from users.

Oct 13, 2026

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