慢性疼痛转化为姑息治疗问题：案例系列与临床考量

IntroductionThe boundary between chronic pain management and palliative care remains ill-defined. Contemporary chronic pain management incorporates pharmacologic, interventional, rehabilitative, and behavioral approaches to improve pain, function, and quality of life. Palliative care shares many of these goals while emphasizing the recognition and management of multidimensional suffering across physical, psychological, social, and existential domains. For some patients, chronic pain becomes intertwined with functional decline, cognitive or communication impairment, multimorbidity, and psycholo