The Use of Morphine and Marijuana for Patients in Palliative Care

Authors

  • Chanitda Pantabtim Faculty of Medicine Siriraj Hospital, Mahidol University
  • Phongthara Vichitvejpaisal Faculty of Medicine Siriraj Hospital, Mahidol University
  • Supaphan Noipitak Faculty of Medicine Siriraj Hospital, Mahidol University

Keywords:

Palliative care, Morphine, Marijuana, Drug abuse

Abstract

Palliative care is a specialized medical care aimed at improving the quality of life of patients with life-limiting illnesses. Patients in palliative care often experience various symptoms such as pain, anxiety, depression, and loss of appetite. Morphine and marijuana are commonly used medications for managing these symptoms.

Morphine is a powerful opioid medication that is effective in treating severe pain. It works by binding to opioid receptors in the brain and blocking the transmission of pain signals. Morphine is usually administered orally, intravenously, or subcutaneously. Despite its effectiveness in pain management, morphine has side effects such as sedation, respiratory depression, and constipation. Marijuana, on the other hand, is a medicinal plant that contains cannabinoids such as tetrahydrocannabinol and cannabidiol. It is commonly used for managing symptoms such as pain, anxiety, and nausea. Marijuana can be administered orally or through inhalation. It has fewer side effects than morphine and is generally well-tolerated.

The use of morphine and marijuana in palliative care has been a subject of debate. Some healthcare professionals are concerned about the potential for addiction and abuse of these medications, while others argue that they are safe and effective for managing clinical symptoms. They can also improve the quality of life of patients in palliative care. However, healthcare professionals should carefully evaluate each patient’s needs and use a clinical approach in medication management.

Downloads

Download data is not yet available.

References

Thongdech V, Klaimuk B, Vichitvejpaisal P. Anesthesia and euthanasia: congruence but difference. Thai journal of anesthesiology. 2020;46(3)181-5. (in Thai)

Phokhwang W. Palliative care: a case study of Albert ludwigs university hospital, Freiburg, Germany. The southern college network journal of nursing and public health.2017;4(1): 345-60. (in Thai)

Molek R, Thanapapothiwat T, Kongchaiphome K, Sombutboon M, Preechakoon B. Is morphine for euthanasia?. The journal of Chulabhorn royal academy.2020;2(1):14-24. (in Thai)

Charoenwipada C. Case study: continuing end-stage cancer patients nursing care from hospital to home and community, in the context of palliative care center, counseling clinic of nursing department, Klongtom hospital. Krabi medical journal.2018;1(1):11-21 (in Thai)

Subwongcharoen N, Chintapanyakun T. Role of palliative care nurse in tertiary hospitals. Journal of the royal thai army nurse. 2020; 21(1):26-34. (in Thai)

Pairojkul S, Limratana N, editors. Training of the trainers in palliative care. Khonkaen. Klungnana vitthaya press;2017. (in Thai)

Pichayapanich P, Chayangsu C. Management of cancer pain for internist. Medical journal of Srisaket Surin Buriram hospitals. 2021;36(2): 475-84. (in Thai)

Pianbanyat K, Choowattanapakorn T. Pain and nursing care in older persons with cancer. Thai red cross nursing journal.2014;7(1):10-25. (in Thai)

Gregori S, Gregori M, Ranzani G, Allegri M, Minella C, Regazz M. Morphine metabolism, transport and brain disposition. Metabolic brain disease journal.2012;27(1):1-5.

Noipitak S, Sombood P, Noitasaeng P, Laotaweesuk N, Vichitvejpaisal P. Cannabis: essential information in anesthesia.Thai journal anesthesiology.2022;48(1):75-80. (in Thai)

Teitel A, Bozimowski G. A review of the pharmacology and anesthetic implications of cannabis. American association of nurse anesthesiology journal.2020;88(3):237-44.

Suphanchaimat R, Pavasuthipaisit C. Potential benefits and risks from medicalization and legalization of cannabis. Journal of health system research.2018;12(1):71-94. (in Thai)

Maneewat K, Nimmaanrat S, Puttawibul P, Kantabanlang Y, Siripituphum S, Sawasdinaruenart S, et al. Integrative guideline for the nursing care of patient using cannabis for medicinal purposes. Princess of Naradhiwas university journal. 2023;15(1):250-65. (in Thai)

Abrams D, Guzman M. Cannabis in cancer care. Clinical pharmacy and therapeutic journal. 2015;97(1):575-86.

Nahtigal l, Blake A, Hand A, FlorentinusMefailoski A, Hashemi H, Friedberg JN. The pharmacological properties of cannabis. Journal of pain management.2016;9(1):481- 91.

Abrams DI, Couey P, Shade SB, Kelly Me, Benowitz Nl. Cannabinoid-opioid interaction in chronic pain: American society for clinical pharmacology and therapeutics journal. 2011;90(6):844-50.

Downloads

Published

10-12-2023

How to Cite

1.
Pantabtim C, Vichitvejpaisal P, Noipitak S. The Use of Morphine and Marijuana for Patients in Palliative Care. J Royal Thai Army Nurses [Internet]. 2023 Dec. 10 [cited 2024 Dec. 19];24(3):76-83. Available from: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/263889

Issue

Section

Academic articles