**3.3 Treatment plan**

In the *preparation of the treatment plan,* it must be considered that pain is a syndrome with neuropathic, nociceptive, emotional, and psycho-social overlays and it can be used to guide an individually tailored treatment plan because of its subjective nature. To improve outcomes, it is necessary to integrate the PC with other settings [33]. Patient / family must be involved in the planning of the pain treatment. The common problems in planning appear from the conservative believes and myths about pain. The existence of the pain is inevitable at the end of the life; the patient/family has fears about the use of opioids because of addiction and side effects. For this reason, is necessary to discuss the management strategy for pain relief. All parties must be very well informed about the multimodal approach and the incorporation of the interdisciplinary team in pain management that comprises integration of the use of medicines, physical therapy, music, meditation, hypnotherapy, and others alternative methods. Additionally, the personal abilities of the patient/family regarding the terminal stage, culture, religion, and other socio-economic factor must be taken in consideration.
