A systematic review on barriers hindering adequate cancer pain management and interventions to reduce them: A critical appraisal

Cancer Pain Prevalence and its Management

“…Studies performed have demonstrated that patient training alone may reduce pain to 30%. Patients, abstaining from reporting their pain, suffer from more pain, and PMI values of these patients appear to be lower thanof the patients reporting their pain to their doctors (Oldenmenger et al, 2009). And another study has demonstrated that pain, described by patient relatives, is more severe than the pain described by the patient himself/herself (Miaskowski et al, 1997).…”

“…The problems encountered at this subject can be summarized as insufficient knowledge and experience of healthcare professionals in relation to pain assessment and treatment, and as their being indifferent to patient's pain (Van den Beuken-van Everdingen et al, 2007;Oldenmenger et al, 2009). It has been reported that 57 to 76% of medical oncologists do not inquire about patient's pain, and in another study it has been shown that 55% of patients try to retain his/her pain on the agenda by constantly reminding their doctors their pain (Von Roenn et al, 1993;Breivik et al, 2009).…”

Nurse Attitude-Related Barriers to Effective Control of Cancer Pain among Iranian Nurses

“…So, one main nurse-related barrier for control of cancer pain is misconception of nurses about side effects of pain medications. The results of previous systematic review showed that most frequently mentioned barriers for professionals were knowledge deficits and misconceptions regarding pain (Oldenmenger et al, 2009). Similarly, the results of another systematic review showed that the most prominent physician-related barriers for cancer pain management were insufficient physicians' knowledge about cancer pain management (Jacobsen et al, 2009).…”

“…These barriers many are classified as health care providersrelated barriers, patient-related barriers, and society-and tradition-related barriers as well as government regulations (Fazeny et al, 2000;Chang et al, 2002;Potter et al, 2003;Oldenmenger et al, 2009). So, nurses are one of the main health care providers for assessment and management of cancer pain and the results of some studies showed that a many nursing-related barriers to cancer pain management are exist and there is a need for further studies to address these barriers (Howell et al, 2000;Al Khalaileh and Al Qadire, 2012).…”

Assessment of Patient Comfort During Palliative Sedation: Is it always Reliable?

“…However, the fact that palliative sedation is considered by some to be 'slow euthanasia' may lead physicians to be 'extra careful' with the use of high doses of sedative medication [4]. Several studies have reported underuse of medicines because of a lack of knowledge, unwarranted beliefs, to avoid the perception of giving 'excessive' doses and even because of fear among caregivers of being accused of 'killing' the patient [33,34]. In a Dutch study among nurses, sedation was considered insufficiently effective by 42 % of the respondents [35].…”