Palliative care 2017

Analgesic ladder

A D J U V A N T A N A L G E S I C S

LEVEL 3 Morphine Oxycodone

SUPPORTIVE THERAPY Psychotherapy Hypnosis Massage Relaxation

LEVEL 2 Codeine Tramadol

NON DRUG THERAPY TENS Acupuncture Nerve blocks Epidural anaesthesia

LEVEL I Paracetamol NSAID

RADIOTHERAPY: HORMONES: CHEMOTHERAPY