PROBLEMATICHE INFERMIERISTICHE INERENTI
IL PAZIENTE CON DOLORE ONCOLOGICO
“Funzione specifica dell'infermiere è assistere l'individuo, malato o sano,
adeseguire quelle attività che contribiuscono a mantenere la salute, ottenere
la guarigione o preparare ad una morte serena; atti che compirebbe da solo
se disponesse della forza, della volontà o delle cognizioni necessarie.”T6U
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1.1 Problemi del paziente con dolore
F(*+,'%-.'(/?%(*!%=%-.+-"()"$"!%(&+-':%=.+-"(3-('-='%&%()'(=%0-'(%(='-."&'(
!'$%A+#'$'()+$$9'-:%!&'%!%(+$(&"&%-."()%$$9'-0!%=="('-(!%*+!."P()3!+-.%($+(
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d!+('(*+!+&%.!'(:'='"$"0'/'(&+00'"!&%-.%('-:$3%-,+.'()+$$+(*%!/%,'"-%()"$"!"=+(
!'/"!)'+&"($+(:!%K3%-,+(/+!)'+/+(%(!%=*'!+."!'+1(d+$'(*+!+&%.!'(!'=3$.%!+--"(
+3&%-.+.'(('-(/"!="()'()"$"!%(%(+-/?%($+(*!%=='"-%(+!.%!'"=+P($%0+.+(+$$+(:!%K3%-,+(
/+!)'+/+P(*".!X(=3#'!%(3-('--+$,+&%-."1
5%('$()"$"!%(W(*!"A"/+."()+(3-+(*+."$"0'+('-:%..'A+("('-:'+&&+."!'+(
A%!"='&'$&%-.%(='(+A!X(3-(+3&%-."()%$$+(.%&*%!+.3!+(/"!*"!%+(%($+(/3.%(='(
*!%=%-.%!X(/+$)+(%(+!!"==+.+1
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%='.+!%('-()'=.3!#'()%$(="--"1(d+$'(*!"#$%&'(-%/%=='.+-"()'(3-(/"=.+-.%(
&"-'."!+00'"(*%!(.3..+($+()3!+.+()%$$+()%0%-,+(*%!/?W(A+--"(+(*%00'"!+!%($+(
K3+$'.X()'(A'.+()%$(*+,'%-.%(/"&*!"&%..%-)"($%(!%$+,'"-'(="/'+$'(%('$(!+**"!."(/"-('(
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3-"(=.3)'"(/"-)".."(-%$(;777()+(D"A%e"fP(d+#"!(%(<%$"-%f(TEU()'&"=.!+(/?%(6(
*+,'%-.%("-/"$"0'/"(=3(C(=A'$3**+()%*!%=='"-%(-%$(/"!="()%$$+(=3+(&+$+..'+1
R='=."-"()'A%!='(=.+)'()'()%*!%=='"-%V(='(*3a("=/'$$+!%()+$$%(.!'=.%,,+(:'-"(+)(
+!!'A+!%P
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+)%03+.+&%-.%(/"-.!"$$+."1
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*='/"$"0'/"P(+-/?%(=3$$+(K3+$'.X()'(A'.+1
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:3.3!"(*%!)"-"(='0-':'/+."()'(:!"-.%(+(3-(*!%=%-.%(=%0-+."()+$()"$"!%1
D9'-='%&%()%'(#'="0-'(%()%$$%(.%-='"-'(/?%($+(="::%!%-,+(%($+(&"!.%(:+--"('-="!0%!%P(
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1.2Valutazione del dolore
D+(A+$3.+,'"-%()%$()"$"!%()%A%(/"&*!%-)%!%V
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+)(%&'*+!%='('-(*+,'%-.%(/"-(.3&"!%(/%!%#!+$%1
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'-A+='A"1(@-/?%($+(!+)'".%!+*'+(*3a(*!"A"/+!%('-:'+&&+,'"-%(%()"$"!%(-%$(='."(
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J/(G'$$( +'-(O3%=.'"--+'!%(TCUB()'('&&+0'-'(0!+:'/?%(!'.!+%-.'('$(/"!*"(3&+-"P(/?%(
*%!&%..%(3-+(:+/'$%(/"&*!%-='"-%(+-/?%()+(*+!.%()%'(&+$+.'(=.!+-'%!'1
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1.3 Strategie per il controllo del dolore
D9+&#'."(=*%/':'/"(/?%(=.3)'+(0$'('-.%!A%-.'(*%!('$(/"-.!"$$"()%$()"$"!%(W(K3%$$"(
)%$$+(*+$$'+,'"-%1
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/"&*"=.+()+(&%)'/"P('-:%!&'%!%P()'%.'=.+P(:'='".%!+*'=.+P(*='/"$"0"P(+=='=.%-.%(
=*'!'.3+$%(%//1
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)%$$9+=='=.%-,+P(='+('-.%!)'*%-)%-.%(%(/""!)'-+."(/"-(0$'(+$.!'("*%!+."!'1
%!('$(=3"(/"-.'-3"(/"-.+.."(/"$(&+$+."P($9'-:%!&'%!%(0+!+-.'=/%(3-(&"-'."!+00'"(
/"=.+-.%()%$()"$"!%(-%$$%(=3%(=:+//%..+.3!%(:'='/?%(*='/?'/?%(%(="/'+$'(%(-%()X(
/"&3-'/+,'"-%(+0$'(+$.!'(&%&#!'()%$$9%K3'*%('-(&")"()+("..'&',,+!%(0$'('-.%!A%-.'1
F$(/"-.!"$$"()%$()"$"!%(A'%-%("..%-3."(="*!+..3.."P(&+(-"-(="$+&%-.%P(&%)'+-.%(
="&&'-'=.!+,'"-%()'(:+!&+/'(+-.')"$"!':'/'1((((((_la$
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