KR101682568B1 - Breakthrough pain control system for cancer patient and breakthrough pain control method using thereof - Google Patents

Abstract

The present invention relates to a sudden pain management system, which comprises an input processing terminal for receiving a degree of pain from a cancer patient and displaying a prescription guideline corresponding to the degree of pain when the cancer patient feels sudden pain, Which is performed when the cancer patient feels the sudden pain as an input signal through the user, is inquired about the degree of pain, and is provided with a prescription guideline for the pain based on the answer to the inquiry, Wherein the cancer pain management module classifies the degree of pain currently felt by the cancer patients into a range of 1 to 10 points and notifies the user that the cancer pain is less than 3 points, Guidelines are provided, and if the degree of pain entered by the cancer patient is 3 or more, the analgesic prescribed by your doctor Lu to prescribe the capacity of 10% of the maximum dose is characterized by providing a first prescribed guidelines.

Description

BACKGROUND OF THE INVENTION 1. Field of the Invention [0001] The present invention relates to a sudden pain management system for a cancer patient, and a sudden pain management method using the same. BACKGROUND ART < RTI ID = 0.0 >

The present invention relates to a cancer pain management system and a sudden pain management method using the same. More particularly, the present invention relates to a cancer pain management system and a cancer pain management method that can alleviate a pain by providing a drug- A sudden pain management system and a sudden pain management method using the same.

Pain is the most common and painful symptom of cancer patients. It is 30 to 50% of patients who are in the early stages of cancer diagnosis or active chemotherapy, 60 to 70% of patients who are progressive, 80 to 80% About 90% are suffering from pain.

Such severe pain not only interferes with daily life, but also greatly affects the quality of life of the patient, so the pain should be controlled enough. However, according to WHO's principles and programs for pain management, 40-50% of these cancer patients do not receive adequate pain treatment, even though adequate pain control can be achieved in more than 90% of patients.

Generally, the pain suffered by cancer patients is characterized by persistent chronic pain. However, about 70-80% of patients present with chronic pain as well as breakthrough pain. These sudden pain are those that suddenly start to hurt and are repetitive for a short period of time. Usually, they can not do everyday activities during the period of sudden pain. Repeated sudden pain can cause the patient to suffer not only pain but also frustration and depression caused by not being able to control himself / herself psychologically. Therefore, This is a very important part that needs to be managed continuously.

However, in connection with this, there are only a few cases such as "Patented Dementia Patient Pain Management System" of Patent Publication No. 10-2011-0033568, and "Management and Treatment of Chronic Pain Using HCG" of Patent Publication No. 10-2014-0043731, There is no way to systematically manage sudden pain.

An object of the present invention is to solve the above-mentioned problems and provide a sudden pain management system for a cancer patient which guides rapid guidelines for pain relief when cancer patients experience sudden pain, and a sudden pain management method using the same .

It is another object of the present invention to provide a sudden pain management system for a cancer patient that can provide a most appropriate pain relief guideline for a cancer patient in consideration of the history of cancer patients and drug information in cooperation with EMR, .

It is still another object of the present invention to provide a sudden pain management system for a cancer patient which can be easily executed when necessary through a mobile device such as a smart phone or a tablet PC that can be carried by a cancer patient and an unexpected pain management method using the same will be.

Another object of the present invention is to provide a pain control method which can be self-administered according to the type of pain, and to provide an immediate guidance on the situation in which a hospital is to be visited, And a method for managing sudden pain using the same.

The above objects and various advantages of the present invention will become more apparent from the preferred embodiments of the present invention by those skilled in the art.

The object of the present invention can be achieved by a sudden pain management system of a cancer patient. An abrupt pain management system of the present invention comprises an input processing terminal for inputting a degree of pain from a cancer patient and displaying a prescription guideline corresponding to the degree of pain when the cancer patient feels sudden pain, A cancer pain management system that is executed when a cancer patient feels sudden pain as an input signal and inquires about the degree of pain and provides a prescription guideline for the pain based on an answer to the inquiry, Wherein the cancer pain management module classifies the degree of pain currently felt by the cancer patients into a range of 1 to 10 points and performs a non-drug treatment when the degree of pain inputted by the cancer patients is less than 3, And if the degree of pain entered by the cancer patient is 3 or more, the maximum dose of the analgesic prescribed by the doctor in charge per day To prescribe the capacity equal to 10% characterized in that it provides a first prescribed guidelines.

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According to one embodiment, when the degree of pain input by the cancer patients is 3 points or more, the cancer pain management module measures the degree of pain again after 1 hour after taking the painkiller corresponding to the primary guideline by 2 It is evaluated by car.

According to one embodiment, the cancer pain management module provides a secondary prescription guideline for non-medicinal treatment when the degree of pain inputted by the cancer patients is less than 3 as a result of the secondary evaluation, and the degree of pain is 4 For a range of ~ 6 points, a second prescription guideline is provided to take the fast-acting formula, and a second prescription guideline is provided to take two quick-release formulations if the pain is greater than 7 points.

According to one embodiment, the cancer pain management module evaluates the degree of the pain three times in an hour after the cancer patient who is provided with the second prescription guideline in the range of 4 to 10 points of the secondary evaluation result .

According to one embodiment of the present invention, when the degree of pain entered by the cancer patients is less than 3, the third prescription guideline is provided so as to perform nonpharmacologic treatment, and the degree of pain inputted by the cancer patient is still 4 or more A message informing the user to visit the hospital is displayed on the input processing terminal.

According to one embodiment, the apparatus further comprises a pain diary module for evaluating an average of the total pain of the cancer patient input by the cancer pain management module during the day.

According to one embodiment, the pain diary module is set to be executed in the input processing terminal at a predetermined time before sleeping in the day, and when the average of the total pain inputted by the cancer patients is less than 3 points, If the mean total pain is in the range of 4 to 6 points, provide prescription guidelines to take half of the fast-acting dosage form taken over two days, plus the next day.

According to one embodiment, the pain diary module inquires the number of times of the sudden pain in which the cancer pain management module is executed when the average of the total pain is 7 or more, and when the number of the pain is two or less, Provide information on physical therapy and provide prescription guidelines to take the sum of Oxycodone (patch + Ocodone) taken today for the next day if the number of times you have seen is more than 3 times.

According to one embodiment, a warning message is displayed on the input processing terminal when the degree of pain of the cancer patient who needs to reevaluate the degree of pain after 1 hour is not inputted over the reference number, and the number of times If you exceed the maximum allowable number, please contact the hospital staff.

According to another aspect of the present invention, there is provided a method for diagnosing a patient suffering from a sudden onset of pain, The degree of the pain is divided into 3 points or less and 3 points or more. When the score is less than 3 points, nonpharmacological treatment information is provided. If the score is 3 points or more, Providing prescription guidelines; Providing the first prescription guideline to a cancer patient having a degree of pain of 3 or more and receiving the degree of pain secondarily after 1 hour; If the degree of pain is less than 3 points, nonpharmacological treatment information is provided. If the degree of pain is in the range of 4 to 6 points, a secondary prescription guideline is provided to take the fast-acting formula, Providing a second prescription guideline to take two of the quick-acting formulations; Receiving a third degree of pain after 1 hour in a cancer patient with a degree of pain ranging from 4 to 10 that is provided with a second prescription guideline; Providing a non-drug treatment information when the degree of pain is less than 3, and displaying a guidance message indicating that the patient will visit the hospital when the degree of pain is 4 or more. ≪ / RTI >

According to an embodiment, there is provided a method of diagnosing cancer, comprising: receiving an average degree of pain felt by a cancer patient during a day at a predetermined time before bedtime in a cancer patient; Providing information on nonpharmacological treatment when the average degree of pain is 3 or less and providing information to take half of the dose of the rapid-acting preparation taken for two days on the next day when the average degree of pain is in the range of 4 to 6 ; If the average degree of pain is 7 or more, inquiring the number of times of feeling sudden pain for one day; Providing the nonpharmacological treatment information when the number of times of inquiry is less than or equal to 2 and providing the information so that the sum of oxycodone (patch + ocodone) taken today is added the next day when the number of times of inquiry is three or more.

The sudden pain management system according to the present invention provides an appropriate drug taking guideline according to sudden pain intensity. Then, define the situation to consult with the medical staff, and let the patient know when it is appropriate.

In addition, the patient also provides a non-pharmacologic pain control method that is self-feasible for sudden pain, providing guidance for prevention of overwork, such as overdosing pain medication. In addition, this series of processes can ensure safety by providing the cancer pain management module with accurate information and contents suitable for each cancer patient through communication with the EMR.

In addition, as the pain diary module is written at the same time every day, the cancer patient can evaluate the pain felt during the day and judge whether or not consultation with the medical staff is necessary. In addition, cancer patients can assess the amount of medication they take to relieve sudden pain during the day, providing guidelines for the next day's medication.

1 is a schematic view schematically showing the configuration of a sudden pain management system of a cancer patient of the present invention,
FIG. 2 and FIG. 3 are flowcharts illustrating a cancer pain management method of the cancer pain management module of the sudden pain management system of the cancer patient of the present invention,
FIG. 4 is a flowchart illustrating a process of performing the cancer pain diary module of the sudden pain management system of a cancer patient,
5 is an illustration showing a cancer pain evaluation site sample provided to a cancer patient,
FIG. 6 is an illustration showing a recommendation of a doctor's pain management guide for doctors,
FIG. 7 is an exemplary view showing a state in which a sudden pain management system of a cancer patient of the present invention is actually implemented on a smartphone.

For a better understanding of the present invention, a preferred embodiment of the present invention will be described with reference to the accompanying drawings. The embodiments of the present invention may be modified into various forms, and the scope of the present invention should not be construed as being limited to the embodiments described in detail below. The present embodiments are provided to enable those skilled in the art to more fully understand the present invention. Therefore, the shapes and the like of the elements in the drawings can be exaggeratedly expressed to emphasize a clearer description. It should be noted that in the drawings, the same members are denoted by the same reference numerals. Detailed descriptions of well-known functions and constructions which may be unnecessarily obscured by the gist of the present invention are omitted.

1 is a schematic view showing the configuration of a sudden pain management system 1 of a cancer patient according to the present invention. As shown in the figure, the sudden pain management system 1 of the cancer patient includes an input processing terminal 100 for carrying a cancer patient and receiving a response to the pain and displaying a prescription for the pain, And a cancer pain management module 200 that provides a prescription guideline corresponding to the degree of pain felt by the cancer patients.

Here, the cancer pain management module 200 is implemented in the form of an application and installed in the input processing terminal 100 carried by the cancer patients. The cancer pain management module 200 provides a degree of pain and a prescription guideline for the pain through the UI provided to the user. An example of a UI in which the cancer pain management module 200 is installed and displayed on the input processing terminal 100, for example, a smart phone is shown in Fig.

The cancer pain management module 200 allows a cancer patient to be guided by a drug-taking guideline according to the intensity of pain, and the patient can be provided with a non-pharmacological pain control method capable of self-execution. By this process, cancer patients can relieve the pain and find a psychological sense of security.

The input processing terminal 100 may be implemented as a smart phone, a tablet PC, a desktop computer, or the like used by a cancer patient. The cancer pain management module 200 is installed in the input processing terminal 100 and is connected to an EMR (electronic medical record) server 300 through a communication unit A such as the Internet. Therefore, both the cancer patient information input through the cancer pain management module 200 and the prescription guidelines guided to the cancer patient through the cancer pain management module 200 are all recorded in the EMR (electronic medical record) 300 . In addition, such recorded contents are also stored in the hospital storage unit 400 of the hospital in charge of the cancer patient. Thus, accurate information and content recorded in the EMR 300 can be provided to both the hospital and the cancer patient.

FIGS. 2 and 3 are flowcharts illustrating a cancer pain management process of the cancer pain management module 200 when a cancer patient feels sudden pain.

When the cancer patient feels sudden pain during daily life, the cancer patient executes the cancer pain management module 200 application of the input processing terminal 100. When the application is executed, the UI is displayed through the input processing terminal 100, inquires about the pain, and displays the prescription guideline according to the degree of pain. At this time, the UI may be implemented differently depending on the type of the hospital or the input processing terminal 100 in charge.

The cancer pain management module 200 inquires about the degree of the sudden pain that the user currently feels (S110). Cancer responds to the degree of pain you currently feel within a range of 1 to 10. The answer is entered directly by the cancer patient through the input processing terminal 100.

Here, the degree of pain is answered on the basis of the standard type cancer pain evaluation sheet shown in Fig. As shown in the item 3 of the evaluation paper, the case where the pain is absent is 0, and the most severe pain which can not be imagined is 10, and the degree of the pain felt by the present person is judged by the cancer patient.

If the degree of sudden pain input by the cancer patient is less than 3, it indicates that the pain is well controlled, and provides non-medication information (S120). An example of a UI that provides non-drug treatment information through the input processing terminal 100 is shown in Fig. 7 (b). Cancer patients may be informed about imaginative therapy, diversion, massage / acupressure, pacification, and deep breathing / relaxation therapy shown on non-drug prescriptions. When each item is clicked, a more detailed explanation can be provided as shown in FIG. 7 (e).

If the degree of the sudden pain inputted by the cancer patient is 3 or more, the daily Durogesic Patch dose and the Ocodone dose prescribed by the doctor through the EMR (300) are inquired (S125). The first prescription guideline is provided (S130) to increase the dose corresponding to 10% of the maximum daily dose of the Durogesic patch and the Ocodone dose, and to take the closest dose to 5 mg of Ircdodone.

Here, the drug Durogesic Patch, which is prescribed through the cancer pain management module 200, is attached to the stomach pain patch every three days. Ocodone is a slow release pain reliever. Ircodon is a fast acting formulation.

The prescription guidelines prescribed in the cancer pain management module 200 are provided in accordance with the recommendation of the doctor's pain management guidelines shown in Fig. In addition, the prescribing guidelines used the National Comprehensive Cancer Network Practice Guidelines [10], which provide clinical guidelines for adult cancer pain, which reflect guidelines for drug use The cancer pain management module 200 provides prescription guidelines.

The preferred embodiment of the present invention provides only prescription guidelines for the three drugs described above, although other analgesics may also provide prescription guidelines by the same algorithm.

On the other hand, after providing the above-mentioned primary prescription guideline, secondary evaluation of sudden pain is performed when one hour has elapsed (S140). After one hour, the user inquires again about the degree of pain that the user currently feels through the input processing terminal 100 (S150).

As a result of the query, if the sudden pain score inputted by the cancer patient is less than 3 points, the nonpharmacological treatment information is guided as above (S120). On the other hand, if the questionnaire results in a sudden pain score ranging from 4 to 6 points, a second prescription guideline is provided to take a single dose of Ircodon (S160). In addition, a second prescription guideline is provided (S170) to take two eggs of Ircodone when the patient has a sudden pain score of 7 points to 10 points.

On the other hand, in the case of a cancer patient who has been provided with the second prescription guideline to take the rapid-acting preparation in the range of 4 to 10 in the secondary evaluation, the tertiary evaluation is performed after one hour (S170). In the third evaluation after 1 hour, when the score of the sudden pain is less than 3, the pain is well managed and the non-medical treatment information is guided (S120).

On the other hand, if a cancer patient who has been input with a medication over 3 times and still indicates that her sudden pain is 4 or more, a message is displayed to invite her to visit the hospital (S180). Such a visit solicitation message may be displayed as a UI as shown in FIG. 7 (f).

As described above, when the cancer patient feels sudden pain and the cancer pain management module 200 is executed, a total of three sudden pain is evaluated and three prescription guidelines are provided. Through these three prescription guidelines, most cancer patients can relieve pain and return to their daily lives. On the other hand, if the pain score is more than 4 points despite taking the pain medication as a prescription guideline for 3 times, the patient should be advised to consult with the medical staff.

On the other hand, if the cancer patient does not input the pain score during the course of the secondary evaluation after the primary evaluation during the execution of the cancer pain management module 200, the alarm message is displayed. If there is no answer despite displaying the alarm message to input the secondary evaluation score over the reference number, the cancer pain management module 200 may be terminated or the operation may return to the first primary evaluation situation (S110).

In this manner, when the number of times of not responding to the secondary evaluation or the tertiary evaluation exceeds the predetermined maximum allowable number, program locking is performed so that the cancer pain management module 200 is no longer executed. In addition, the patient who has performed the locking is guided to be directly managed in the hospital through hospitalization or the like.

Meanwhile, the execution process of the cancer pain management module 200 shown in FIGS. 2 and 3 is an example of displaying one cycle executed when the sudden pain occurs once. After the above-described whole process is performed, if the cancer patient feels sudden pain again and executes the cancer pain management module 200, the above-described process is performed again.

As described above, the cancer pain management module according to the present invention provides an appropriate drug taking guideline according to the sudden pain intensity. Then, define the situation to consult with the medical staff, and let the patient know when it is appropriate.

In addition, the patient also provides a non-pharmacologic pain control method that is self-feasible for sudden pain, providing guidance for prevention of overwork, such as overdosing pain medication. In addition, this series of processes can ensure safety by providing the cancer pain management module with accurate information and contents suitable for each cancer patient through communication with the EMR.

Meanwhile, the sudden pain management system 1 of the cancer patient of the present invention further includes a cancer pain diary module 250 as shown in FIG.

The number of times a cancer patient feels sudden pain during a day can vary from day to day. The cancer pain diary module 250 evaluates the average of the pain felt during the day for the cancer patient, calculates the appropriate amount of the medication taken, and invites the visit of the medical staff if necessary. That is, the cancer pain diary module 250 evaluates the amount of the drug taken during the day through the cancer pain management module 200, and provides a guideline for the drug to be taken the next day. In addition, the patient's pain felt during the day to assess the need to consult with medical staff to play a role.

FIG. 4 is a flowchart illustrating an operation of the cancer pain diary module 250. FIG. The cancer pain diary module 250 is also executed in the input processing terminal 100 in the form of an application. The cancer pain diary module 250 is set to be executed at a predetermined time before the cancer patient goes to bed. For example, it can be run at 9 pm every night.

First, when the cancer pain diary module 250 is executed, the average of the sudden pain sensed during one day is inputted (S210). If the average of the pain is less than or equal to 3, it indicates that the pain is well controlled and provides nonpharmacological treatment information (S221). If the average of the pain is between 4 and 6 points, information is provided to take half the dose of the fast acting preparation taken for two days (48 hours before the measurement time) the next day (S223).

If the average of the sudden pain felt during the day is inputted as 7 points or more, the number of times the cancer patient felt sudden pain during the day is inquired (S230). Communicates with the cancer pain management module 200 programmed to be interlocked, and calculates the number of times that the cancer pain management module 200 is sensed through the number of times the cancer pain management module 200 has been performed for one day. If the number of times of the sensation of the sudden pain thus calculated is 2 or less, it is guided that the sudden pain is well controlled (S221).

On the other hand, if the number of times of sudden pain felt during one day is 3 or more, the information on the next day is added to the sum of the oxycodone (patch + Ocodone) taken on the next day (S240).

Here, if the cancer pain diary module 250 is executed at a predetermined time and the answer to the average degree of pain from the cancer patient is not input, an input message is displayed and the cancer pain diary module 250 is displayed from the charge coordinator of the hospital 2 times Take action to contact the patient. Especially. Guide the patient to visit the hospital before the analgesic that the cancer patient has fallen.

When guiding the above-described dose of the analgesic agent, guide the patient not to exceed 20 mg (4 tablets) per dose of Ircodon.

As the cancer pain diary module 250 is created at the same time every day, the pain felt by the cancer patient during the day can be evaluated to determine whether or not consultation with the medical staff is necessary. In addition, cancer patients can assess the amount of medication they take to relieve sudden pain during the day, providing guidelines for the next day's medication.

The contents written in the cancer pain diary module 250 can provide accurate information and contents to cancer patients and hospitals through interlocking with the EMR.

The embodiments of the sudden pain management system and the pain management method of cancer patients according to the present invention described above are merely illustrative, and those skilled in the art will appreciate that various modifications and equivalent It will be appreciated that other embodiments are possible. Therefore, it is to be understood that the present invention is not limited to the above-described embodiments. Accordingly, the true scope of the present invention should be determined by the technical idea of the appended claims. It is also to be understood that the invention includes all modifications, equivalents, and alternatives falling within the spirit and scope of the invention as defined by the appended claims.

1: Sudden pain management system for cancer patients
100: input processing terminal
200: cancer pain management module
250: Cancer Pain Diary Module
300: EMR
400: hospital storage unit

Claims (12)

A sudden pain management system for a cancer patient,
An input processing terminal for inputting a degree of pain from a cancer patient and displaying a prescription guideline corresponding to the degree of pain when the cancer patient feels sudden pain;
Wherein the method further comprises the steps of: if the cancer patient feels sudden pain as an input signal through the input processing terminal, querying the degree of pain, providing prescription guidelines for the pain based on the answer to the query, And a cancer pain management module for displaying the cancer pain management module,
Wherein the cancer pain management module comprises:
The degree of pain currently felt by cancer patients is classified into 1 to 10 points,
If the degree of pain entered by the cancer patient is less than 3 points, prescribing guidelines should be provided for non-
Wherein the first prescription guideline is provided so as to prescribe a dose corresponding to 10% of the maximum daily dose of the analgesic prescribed by the doctor in charge if the degree of pain inputted by the cancer patient is 3 or more. system.
delete The method according to claim 1,
Wherein the cancer pain management module comprises:
Wherein the degree of pain is secondarily evaluated again after 1 hour after taking the painkiller corresponding to the primary guideline when the degree of pain inputted by the cancer patients is 3 or more, system.
The method of claim 3,
Wherein the cancer pain management module comprises:
As a result of the secondary evaluation, a secondary prescription guideline is provided to perform non-medicinal treatment when the degree of pain entered by the cancer patient is less than 3,
If the degree of pain is in the range of 4 to 6 points, a secondary prescription guideline is provided to take the egg of the fast-acting preparation,
Wherein the second prescription guideline is provided to take two rapid-acting preparations when the degree of pain is 7 or more.
5. The method of claim 4,
Wherein the cancer pain management module comprises:
Wherein the degree of pain is evaluated in a tertiary manner in the cancer patient who has been provided with the second prescription guideline in the range of 4 to 10 in the secondary evaluation result.
6. The method of claim 5,
As a result of the third evaluation, if the degree of pain input by the cancer patients is less than 3 points, a third prescription guideline is provided for non-medicinal treatment,
And a message for informing the hospital to visit the hospital is displayed on the input processing terminal when the degree of pain input by the cancer patient is still 4 or more.
The method according to any one of claims 1, 3, 4, 5, and 6,
Further comprising a pain diary module for evaluating an average of the total pain of the cancer patient input by the cancer pain management module during a day.
8. The method of claim 7,
The pain diary module is set to be executed in the input processing terminal at a predetermined time before going to sleep during the day,
If the average total pain entered by the cancer patient is less than 3 points, provide information on nonpharmacological treatment,
Wherein the prescription guideline is provided so that, when the average of total pain ranges from 4 to 6 points, one half of the dose of the quick-acting preparation taken for two days is added the next day.
9. The method of claim 8,
The pain diary module comprises:
If the average of the total pain is 7 or more, the cancer pain management module inquires the number of times of the sudden pain performed,
Provide information about nonpharmacologic treatment when the number of times of pain is less than 2,
Wherein the prescription guideline is provided so that the total of the oxycodone (patch + ocodone) taken today is added the next day when the number of times of the pain is 3 or more.
10. The method of claim 9,
A warning message is displayed on the input processing terminal when the degree of pain of the cancer patient who needs to reevaluate the degree of pain after one hour is not inputted over the reference number of times,
Wherein the system is configured to contact the hospital personnel when the number of times the degree of pain is required exceeds the maximum allowable number of times.
A method for managing sudden pain in a cancer patient,
Receiving a degree of pain currently felt when the cancer patient feels sudden pain;
The degree of the pain is divided into 3 points or less and 3 points or more. When the score is less than 3 points, nonpharmacological treatment information is provided. If the score is 3 points or more, Providing prescription guidelines;
Providing the first prescription guideline to a cancer patient having a degree of pain of 3 or more and receiving the degree of pain secondarily after 1 hour;
If the degree of pain is less than 3 points, nonpharmacological treatment information is provided. If the degree of pain is in the range of 4 to 6 points, a secondary prescription guideline is provided to take the fast-acting formula, Providing a second prescription guideline to take two of the quick-acting formulations;
Receiving a third degree of pain after 1 hour in a cancer patient with a degree of pain ranging from 4 to 10 that is provided with a second prescription guideline;
Providing a non-drug treatment information when the degree of pain is less than 3, and displaying a guidance message indicating that the patient will visit the hospital when the degree of pain is 4 or more. Way.
12. The method of claim 11,
Receiving an average degree of pain felt by a cancer patient during a day at a predetermined time before bedtime of a cancer patient;
Providing information on nonpharmacological treatment when the average degree of pain is 3 or less and providing information to take half of the dose of the rapid-acting preparation taken for two days on the next day when the average degree of pain is in the range of 4 to 6 ;
If the average degree of pain is 7 or more, inquiring the number of times of feeling sudden pain for one day;
Providing the nonpharmacological treatment information when the number of times of inquiry is less than or equal to 2 and providing the information to take the sum of oxycodone (patch + ocodone) taken on the following day when the number of times of inquiry is three or more, How to manage sudden pain in cancer patients.

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