Step II meds for mod pain rating 5-6 are opaites codeine, dihydrocodone, Hydrocodone and Oxycodone. Bed rest leads to bone loss, hypercalcemia, decub, DVT and PE, generalized decondition. Rom, bed mobility, tilt table, amb, nutritional support. Monitor for skin breakdown. I would suggest use of air-flotation or cushion bed, moisturization.
Cognitive problems can occur as a result of primary or metastatic diseases.
Most common primary brain tumor is glioma. Seizure is often a presenting sign as well as headache and change in mental status. Cognitive impairment can also be a result of CTX, RT and CNS infection. Communication is a frequent problem in CNS involvement. Managemnt include counseling, alternative communication and adaptive devices, cognitive rehab.