An Integrated Psychosocial‐ Spiritual Model for Cancer Pain Management

Otis‐Green, Shirley; Sherman, Rhonda S.; Perez, Martin A.; Baird, Reverend Pamela

doi:10.1046/j.1523-5394.10.s.1.13.x

Cited by 35 publications

(25 citation statements)

References 22 publications

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“…Avaliações e intervenções espirituais destacadas para a promoção do conforto e a diminuição da dor foram: vontade de escutar, atenção e aceitação. Otis-Green et al (2002) propõem um modelo multidisciplinar envolvendo aspectos espirituais no tratamento da dor em câncer, discutindo o papel de vários profissionais, como psicólogos, enfermeiros, oncologistas, psiquiatras, assistentes sociais, capelães e religiosos, em que cada um desempenha um papel específico relacionando-se com o paciente dentro da sua área de atuação profissional ou pessoal.…”

Section: Espiritualidade E Dorunclassified

A importância da integração da espiritualidade e da religiosidade no manejo da dor e dos cuidados paliativos

Peres¹,

Arantes²,

Lessa³

et al. 2007

Rev. psiquiatr. clín.

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A importância da integração da espiritualidade e da religiosidade no manejo da dor e dos cuidados paliativos ResumoContexto: Dor é um dos sintomas físicos mais freqüentemente relatados por pacientes, causando importante redução na qualidade de vida do indivíduo. Pacientes com dor crônica são difíceis de tratar. Objetivo: Descrever estratégias atuais de abordagem de pacientes com dores crônicas, baseadas na literatura científica, enfatizando medidas relacionadas à espiritualidade e à religiosidade. Método: A presente revisão utilizou-se das atuais estratégias de manejo para pacientes com dor crônica combinadas a medidas medicamentosas e não-medicamentosas, estas geralmente incorporando medidas voltadas ao bem-estar físico, mental, social e espiritual com base em publicações indexadas pelo Medline. Resultados: Muitos estudos demonstram associação positiva entre espiritualidade e religiosidade e melhora em variáveis e marcadores de doenças crônicas. Conclusão: Pelo fato de a religiosidade e a espiritualidade serem marcadamente relacionadas com a melhora clínica dos pacientes, é importante que o reconhecimento desses aspectos e a integração no manejo dos pacientes com dor crônica sejam conduzidos por profissionais da área de saúde.Peres, M.F.P. et al. / Rev. Psiq. Clín. 34, supl 1; 82-87, 2007 Palavras-chave: Dor crônica, manejo, cefaléias, espiritualidade. AbstractBackground: Pain is one of the most common physical complaints which negatively affects the patient's quality of life. Patients with chronic pain are difficult and often frustrating to treat. Objective: To describe the current strategies for approaching patients with chronic pain based on scientific literature, emphasizing measures related to spirituality and religiosity. Method: For the present work, authors reviewed data supporting the application of clinical procedures regarding to chronic pain and palliative care with the importance of spirituality background incorporation based on indexed Medline data. Results: Many studies have demonstrated a positive association between spirituality and religiosity and improvement of chronic diseases' variables and markers. Conclusion: As religiosity and spirituality are notoriously related to the patient's clinical improvement, it is highly important that the recognition of these aspects and their incorporation in the management of patients with chronic pain be conducted by health professionals.

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Section: Espiritualidade E Dorunclassified

A importância da integração da espiritualidade e da religiosidade no manejo da dor e dos cuidados paliativos

Peres¹,

Arantes²,

Lessa³

et al. 2007

Rev. psiquiatr. clín.

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“…Existential issues can be closely related to spiritual beliefs and attitudes and many patients rely heavily on spiritual beliefs in coping with the stress of lifethreatening illness. A comprehensive pain assessment includes a complete evaluation of all of the aspects of a patient's suffering, including spiritual factors [94]. A psychotherapist adept at facilitating the exploration of difficult existential and spiritual problems can be of great help in difficult times.…”

Section: Psychotherapymentioning

confidence: 99%

Cancer pain and anxiety

Thielking

2003

Current Science Inc

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Anxiety and pain can be understood with a multidimensional framework that accounts for somatic, emotional, cognitive, and behavioral aspects of these conditions. Patients who have cancer or treatment-related pain are more likely to be anxious than cancer patients without pain. Patients with cancer pain and anxiety cause difficult diagnostic dilemmas because some degree of anxiety is a normal response to having a severe medical illness. Furthermore, the somatic symptoms of anxiety often overlap with symptoms related to underlying disease processes or treatment effects. The degree of disruption in a patient's life often is the critical factor in distinguishing normal from maladaptive anxiety. Making an accurate diagnosis will help guide anxiety treatment and screening instruments can facilitate the recognition of those patients in need of further assessment. The relationship between pain and anxiety is complex and bidirectional, with interactions occurring on physiologic and psychologic levels. There are a variety of psychopharmacologic, psychotherapeutic, and complementary/alternative treatments available. A comprehensive approach to care includes these approaches in an individualized way. Terminal sedation is examined as a compassionate option for relieving intractable distress at the end of life.

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“…The current study relied on an integrated psychosocial-spiritual model of cancer pain management (Otis-Green, Sherman, Perez, & Baird, 2002). This model posits that pain is multifaceted and consists of physical, emotional, cognitive, social, behavioral and spiritual components.…”

Section: Conceptual Modelmentioning

confidence: 99%

Social Work Role in Pain Management with Hospice Caregivers: A National Survey (740)

2009

Journal of Pain and Symptom Management

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This article reports on an exploratory study of hospice social workers' assessment and collaborative practices related to pain management; especially caregiver concerns about patient pain. A nonrandomized national survey indicated that social workers assess the components of pain but are not able to devote as much attention to it as they feel is needed. While most reported assessing patient and family needs, many do not use standardized assessment instruments. These data suggested that while social workers may understand their role in pain management they struggled for the time and tools needed to help address caregiver concerns related to pain management. This study suggests that the development of standardized assessment instruments for hospice social workers would be helpful and points to the value of team training and discussion about ways the social worker can best assist caregivers with pain management issues. Research is needed on social work interventions with caregivers related to pain to establish an evidence base for hospice social work, cement a role identity for social work in pain management, and facilitate increased interdisciplinary collaboration to improve the team response to all aspects of pain.

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An Integrated Psychosocial‐ Spiritual Model for Cancer Pain Management

Cited by 35 publications

References 22 publications

A importância da integração da espiritualidade e da religiosidade no manejo da dor e dos cuidados paliativos

A importância da integração da espiritualidade e da religiosidade no manejo da dor e dos cuidados paliativos

Cancer pain and anxiety

Social Work Role in Pain Management with Hospice Caregivers: A National Survey (740)

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