Pain control can be achieved in the majority of patients using the World Health Organization analgesic ladder
. The WHO three-step analgesic ladder
provides the most straightforward and universally accepted approach to analgesia.
WHO analgesic ladder
is a framework used to guide the pharmacological treatment of pain in chronic pain and palliative care patients.
Although there are no consensus guidelines for pain management, the World Health Organization (WHO) three-step analgesic ladder
has been recommended in patients on hemodialysis (Davison, 2003; Davison & Jhangri, 2005; Koncicki, Unruh, & Schell, 2017).
The WHO "analgesic ladder
" guidelines recommend treating pain in a stepwise approach, starting with nonopioids (step I), then, as necessary, weak opioids (step II), and finally strong opioids (step III) until the patient is free of pain [2, 3].
In general, the level of pain experienced by the volunteers was comparable to the second level of the World Health Organization analgesic ladder
In choosing analgesics for mild to severe pain practitioner should consider the analgesic ladder
as opioids should be prescribed only in severe pain conditions and mostly in combination therapy.3
The protocol was based on the World Health Organization analgesic ladder
and the Beating osteoARThritis strategy for stepped care in hip and knee OA (Arthritis Care Res.
Management of pain includes how to assess pain and refers to the WHO analgesic ladder
, which is used in standard pain management and palliative care settings.
Pain management is mostly based on the World Health Organization's advised "analgesic ladder
The World Health Organization has created a stepwise approach to the management of cancer pain known as the 'analgesic ladder
The World Health Organisation's analgesic ladder
(1996), originally devised to provide guidance in the management of cancer pain, is the framework most often applied in logical prescription and titration of analgesia in acute and chronic pain.
According to the analgesic ladder
(Figure 1) paracetamol should first be tried: if ineffective, when taken as recommended, codeine should be added, and only after that (step 2) should NSAIDs be considered.