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Managing neuropathic pain in end-stage carcinoma
  1. Veronica Ngugi
  1. Veronica Ngugi, at the time of writing, was a Staff Nurse in the inpatient unit, St Christopher’s Hospice, London. She is now working as a Clinical Nurse Specialist, Home Care, St Christopher’s Hospice, London. Email: v.ngugi{at}


This article describes the care of Kiwi, a 48-year-old man with an end-stage, cartilaginous carcinoma, who was admitted to a hospice because he was experiencing profound neuropathic pain. It explores the complexity of pain, highlighting social and psychological factors that influence the way in which pain is perceived by the sufferer. Methods of assessing pain objectively will be investigated, followed by consideration of some pharmacological and non-pharmacological management techniques. Recommendations for future practice will be made. The patient’s name has been changed to maintain confidentiality in accordance with the nursing Code of Professional Conduct (Nursing and Midwifery Council, 2004).

  • Chronic pain management
  • Neuropathic pain
  • Palliative care
  • Terminal care
  • Reflective practice

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