A closer look: Alternative pain management practices by heart failure patients with chronic pain

McDonald, Deborah Dillon; Soutar, C.; Chan, Maria Agudelo; Afriyie, Angela

doi:10.1016/j.hrtlng.2015.06.001

Cited by 12 publications

(17 citation statements)

References 41 publications

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“…Opioids were the most commonly used type, followed by acetaminophen and NSAIDS. These trends are consistent with McDonald’s findings related to analgesic use in hospitalized HF patients, and level of opioid use was similar to that reported by others (Goodlin et al, 2012; McDonald et al, 2015; Toblin, Mack, Perveen, & Paulozzi, 2011). Because of known adverse effects of opioids and NSAIDS, careful evaluation of the appropriateness of patient’s medication pain treatment plan is essential.…”

Section: Discussionsupporting

confidence: 92%

“…Only one study was found that looked at alternative pain treatment practices in HF patients. As they required participants to currently use alternative pain treatments prior to being enrolled in the study we are unable to assess how many HF pain patients had pain but did not use alternative pain treatments (McDonald, Soutar, Chan, & Afriyie, 2015). With that said, the study did find 25 hospitalized HF participants who were using alternative treatments and 18 combined medications with the alternative treatment.…”

Section: Discussionmentioning

confidence: 99%

“…With that said, the study did find 25 hospitalized HF participants who were using alternative treatments and 18 combined medications with the alternative treatment. Potential non- pharmacologic pain treatments that have shown some benefit depending on the cause of pain include acupuncture, reflexology, aroma therapy, music therapy, dance therapy, yoga, hypnosis, relaxation and imagery, distraction and cognitive reframing, psychotherapy, peer support group, spiritual, chiropractic, magnet therapy, bio-feedback, meditation, and relaxation techniques (Hochberg et al, 2012; Jersey, 2006; McDonald, Soutar, Chan, & Afriyie, 2015). In short, wide varieties of options exist but must be specifically tailored to the person, their characteristics and abilities, and the type of pain they experience.…”

Section: Discussionmentioning

confidence: 99%

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The Characteristics of Pain in Patients Diagnosed with Depression and Heart Failure

Haedtke

Smith

VanBuren

et al. 2017

Pain Management Nursing

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Background Heart failure (HF) is a costly and growing health problem that is routinely complicated by chronic pain and depression. The purpose of this paper is to describe the characteristics of pain and pain management in depressed HF patients. Design/Participants In this descriptive cross-sectional study, we analyzed data from 62 participants with depression and Class II–IV HF. Study variables of interest were collected from the Brief Pain Inventory, Beck Depression Inventory, and Rand-36. Results Almost all participants (98%) had some pain in the past month and most had pain in the last 24 hours (66%). The median pain score was 4 (0–10 scale) with the majority reporting moderate to severe pain. The median pain interference score was 4.42 (0–10 scale) with the majority reporting moderate to extreme interference. Medication to treat pain was used by all participants who reported pain with only 5% also using non-pharmacologic treatment. Conclusion The majority of participants reported moderate or severe pain while also having moderate to extreme pain interference. Non- pharmacologic pain treatments were severely underutilized. Women were more likely to have higher levels of pain intensity and more pain interference than men suggesting that, additional screening for the impact of pain is especially important in women. The wide variety of body areas affected along with moderate to high intensity pain and considerable interference scores reported, indicate that pain was ineffectively treated. Non-pharmacologic treatments should be considered to decrease the impact of pain.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The Characteristics of Pain in Patients Diagnosed with Depression and Heart Failure

Haedtke

Smith

VanBuren

et al. 2017

Pain Management Nursing

View full text Add to dashboard Cite

show abstract

“…Opioids were the most commonly used type, followed by acetaminophen and NSAIDS. These trends are consistent with McDonald's findings related to analgesic use in hospitalized HF patients, and level of opioid use was similar to that reported by others (Goodlin et al, 2012;McDonald, Soutar, Chan, & Afriyie, 2015;Toblin, Mack, Perveen, & Paulozzi, 2011). Because of known adverse effects of opioids and NSAIDS, careful evaluation of the appropriateness of their medication pain treatment plan is essential.…”

Section: Discussionsupporting

confidence: 89%

“…Educating patients to use combination approaches to treat pain may improve their quality of life by decreasing both pain levels and interference with daily activities. Potential non-pharmacologic pain treatments that have shown some benefit depending on the cause of pain include acupuncture, reflexology, aroma therapy, music therapy, dance therapy, yoga, hypnosis, relaxation and imagery, distraction and cognitive reframing, psychotherapy, peer support group, spiritual, chiropractic, magnet therapy, bio-feedback, meditation, relaxation techniques (Health Care Association of New Jersey, 2006; Hochberg et al, 2012;McDonald et al, 2015). In short, wide varieties of options exist but must be specifically tailored to the person, their characteristics and abilities, and the type of pain they experience.…”

Section: Discussionmentioning

confidence: 99%

Pain and physical activity in older depressed heart failure patients

Haedtke¹

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In loving memory of my husband Alan Haedtke iii The person who says something is impossible should not interrupt the person who is doing it Chinese Proverbs iv ACKNOWLEDGEMENTS I want to thank Carolyn Turvey for allowing me to add "my" tools to your ongoing study and being so supportive. Special thanks to Marianne and Keela for working over the summer to make this possibility a reality. Without your guidance and unending reiterations none of this would have been possible. Finally, thanks to each member of my dissertation committee for the time invested in preparing me to become a scholar. v ABSTRACT Background/SignificanceHeart failure patients have high mortality, co-morbidity, hospitalization rates, costs and numerous recommendations to follow. Non-cardiac pain is common and an additional compounding problem as it decreases heart failure (HF) patients' ability to follow recommendations, decreases quality of life and increases the likelihood of being hospitalized.When depression is combined with HF and pain, patients are even less able to follow recommendations, treatment plans, and self-care behaviors.Exercise is an important, low-cost intervention for pain that has considerably fewer adverse effects/interactions than pharmacologic therapies. Given the low rates of participation in exercise and the many barriers that discourage exercise participation, an essential first step is to establish current physical activity levels and how pain may further influence potential engagement in exercise programs. ObjectivesTo characterize and describe: the experience of pain, pain management, the self-reported physical activity level including relationships between pain intensity, pain interference, total activity time, sitting time, perceptions of exercise, and depression, in older depressed HF participants. MethodsThis descriptive cross-sectional study analyzed data from 62 participants with depression and Class II-IV HF. Data from the Brief Pain Inventory, Rand 36, International Physical Activity Questionnaire, Beck Depression Inventory II, and Exercise and Pain Management Questionnaire were used in the analysis.vi ResultsThe majority of depressed HF patients had moderate to severe pain intensity and interference and no differences were found in demographics between those who had pain and those who didn't. Depression level did not have an additional impact on pain intensity or pain interference. Non-pharmacological treatments were severely underutilized. The majority of participants think exercise will be helpful to treat their pain. The most common barriers to exercise for depressed HF patients include: shortness of breath (72%), having no one to exercise with (59%), fatigue (56%), other health conditions (56%), and the weather is too hot or too cold (55%). Those who had higher pain intensity, pain interference, or depression scores were just as likely to report that exercise would be helpful in managing pain as those with lower scores.Lastly, the majority would like to be more physically active. ConclusionThe prevalence...

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Prioritizing symptom management in the treatment of chronic heart failure

et al. 2020

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Chronic heart failure (CHF) is a chronic, progressive disease that has detrimental consequences on a patient's quality of life (QoL). In part due to requirements for market access and licensing, the assessment of current and future treatments focuses on reducing mortality and hospitalizations. Few drugs are available principally for their symptomatic effect despite the fact that most patients' symptoms persist or worsen over time and an acceptance that the survival gains of modern therapies are mitigated by poorly controlled symptoms. Additional contributors to the failure to focus on symptoms could be the result of under-reporting of symptoms by patients and carers and a reliance on insensitive symptomatic categories in which patients frequently remain despite additional therapies. Hence, formal symptom assessment tools, such as questionnaires, can be useful prompts to encourage more fidelity and reproducibility in the assessment of symptoms. This scoping review explores for the first time the assessment options and management of common symptoms in CHF with a focus on patient-reported outcome tools. The integration of patient-reported outcomes for symptom assessment into the routine of a CHF clinic could improve the monitoring of disease progression and QoL, especially following changes in treatment or intervention with a targeted symptom approach expected to improve QoL and patient outcomes.

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A closer look: Alternative pain management practices by heart failure patients with chronic pain

Cited by 12 publications

References 41 publications

The Characteristics of Pain in Patients Diagnosed with Depression and Heart Failure

The Characteristics of Pain in Patients Diagnosed with Depression and Heart Failure

Pain and physical activity in older depressed heart failure patients

Prioritizing symptom management in the treatment of chronic heart failure

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