Palliative care 2017

Opioids in oncology

friend: -used with scientific knowledge -offered with communicative skills -titrated according the scientific evidence * COPD & IPF up to 30 mg omeq/dag * in cancer: as much as needed to relief the pain  NRS <4/10 enemie: -if knowledge & prescription experience is lacking (academic centres have the duty to teach!) - if communication fails to correct the misconceptions in patients, families, caregivers, volunteers,..