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Case Study 2: Pain Management in Bone Metastasis%u2022A 72-year-old man with prostate cancer and known bone metastases reports severe back pain, rated 8/10. He is currently on regular paracetamol and codeine.Scenario:%u2022What is the most appropriate next step in pain management?Clincher:%u2022Start a strong opioid, such as oral morphine, and continue paracetamolAnswer:%u2022Severe pain (8/10) indicates inadequate pain control with current regimen%u2022Following the analgesic ladder, move from weak opioids (codeine) to strong opioids (morphine)%u2022Continuing paracetamol provides additional pain relief through a different mechanism%u2022Regular reassessment and dose titration will be necessaryRationale:
