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Difficulties in Managing Pain at the End of Life

Panke, Joan T. MA, APRN

Journal of Hospice & Palliative Nursing: April-June 2003 - Volume 5 - Issue 2 - p 83-90

The lack of verbal, behavioral, and physiologic cues does not mean that pain is absent. For most people who are dying, pain relief is an attainable goal but may require sedation.

Joan T. Panke, a palliative care nurse practitioner, is the executive director of the DC Partnership to Improve End-of-Life Care in Washington, DC. She is also a curriculum consultant and faculty and advisory board member on the End-of-Life Nursing Education Consortium (ELNEC) project.

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This article is the second in a series on palliative nursing that is supported in part by a grant from the Robert Wood Johnson Foundation.

Betty R. Ferrell, PhD, RN, FAAN (, and Nessa Coyle, MS, NP, FAAN (, are the series editors.

From Panke JT. Difficulties in managing pain at the end of life. Am J Nurs. 2002;107(7):26–33. Reprinted with permission.

© 2003 The Hospice and Palliative Nurses Association