**Conflict of interest**

The authors declare no conflict of interest.

*Assessment and Management of Pain in Palliative Care DOI: http://dx.doi.org/10.5772/intechopen.96676*

*Suggestions for Addressing Clinical and Non-Clinical Issues in Palliative Care*

pain is very subjective and will vary from patient to patient.

during the patient's palliative care stage.

The authors declare no conflict of interest.

**Acknowledgements**

**Conflict of interest**

assistance.

environmental and genetic factors. Differences in the site, the comprehension and pinpointing of the pain, the varied nature in intensity and the change in the same intensity due to previous/ongoing emotional turmoil, rendering the use of the same type of method for each obsolete. Many of the assessment tools are either disregarded or are still under heavy reviewing by peers. Some such as the IASP tool for assessment are unable to predict the future movement of pain symptoms and their debilitating effect. Though the ECS-CP, CPPS and ABPAT can predict to some extent they are not on par with the basic TNM staging of cancer. The intensity of the

The major problem of pain assessment is the subjective nature. The addition of emotional and psychological effects has been shown to produce more correlation between the subjective and the documented results and this will help in predicting the future pathway, the pain may take. Though this has been accomplished by the commonly accepted ECS-CP & CPPS but extensive review and research should be conducted such as in ABPAT with international validation (though it is still on-going). Also, assessment tools rather than being rigid can be multi-dimensional and include more domains specifically catering to the patient. This will not only provide a proper prognostic to the patient, but the caregiver will also be more prepared to administrate the required amount of analgesic /opioids to not only treat pain symptoms but also preventing any such overdosing of the drugs. And maybe increase the administration of drug alternatives that are not addictive such as non-opioids and nonsteroidal anti-inflammatory drugs. Hence, hopefully, this multi-dimensional pain assessment method might able to provide a smoother life

Sonika Charak is thankful to National Brain Research Centre for providing financial assistance. Chandra Mohan Srivastava and Manish Shandilya would like to acknowledge the support provided by Amity University Haryana for financial

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