In addition many pain specialists may not care for many cancer patients cancer pain assessment diagnosis and management is a text that provides a good overview of cancer psychosocial elements involved with cancer types of cancer pain and cancer treatment modalities. The guidelines for the management of cancer pain were developed by the world health organization who in 1986 2 but there is substantial evidence that the management of cancer pain is still often suboptimal 3 5 since cancer pain is not a homogenous entity correct pain assessment is essential for obtaining satisfactory management. Pain is often the most prevalent symptom among cancer patients referred to hospice or palliative care programs this study was designed to use performance based testing to evaluate the skills of hospice nurses in assessing the severe pain of a cancer patient and the pain management recommendations they would present to the patients primary
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