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Ms Bitros is a certified palliative care trainer and clinical resource coordinator, and executive director of education at Life Choice Hospice with offices in Philadelphia, Fort Washington, and Allentown, Pa.

Correspondence to Barbara S. Bitros, Life Choice Hospice, 200 Dryden Rd, Suite 3300, Dresher, Pa. 19025E-mail: BBitros{at}LifeChoiceHospice.com

Management of cancer pain is still a significant problem in healthcare today despite the fact that such discomfort can be controlled in approximately 90% of patients. Emotional, psychosocial, and spiritual suffering associated with this disease complicates the problem. Guidelines issued by the Agency for Healthcare Research and Quality address management of cancer pain. Pain intensity scales, complementary and alternative methods, and the role of an interdisciplinary care team, as well as a need to provide spiritual support to both patient and family, are included in this discussion. A case vignette describes management of cancer pain in a typical patient admitted to hospice.