Pain management at home Struggle, comfort, and mission

Ferrell, Betty; Taylor, Elizabeth Johnston; Grant, Marcia; Fowler, Marsha; Corbisiero, Raffael M.

doi:10.1097/00002820-199306000-00002

Cited by 79 publications

(63 citation statements)

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“…In addition, Ward et al [30] reported that patients with increased concerns were less likely to use analgesics adequately. This study and others [45] document that family caregivers often are as affected by pain as the patient, and sometimes more so. There are important implications for evaluating the efficacy of a pain management strategy if the assessment is largely dependent on a family member's report [22,26,33,43].…”

Section: Introductionsupporting

confidence: 57%

Pain management in the home

Coyle

2005

Current Science Inc

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There is a major shift in responsibility for day-to-day pain management when a patient is to be cared for at home. What was primarily the responsibility of the nurse/physician team in the inpatient setting now becomes the responsibility of the patient and family. Poorly controlled pain affects not only the patient, but the family system as a whole. Successful pain management at home depends on a patient and family who feel reasonably confident in understanding the cause of the pain and in their ability to use the analgesics as prescribed (eg, around-the-clock doses and "rescue" doses), how to recognize and report changes in the pain site, character and severity, how to recognize and report adverse side effects from the analgesic prescribed, how to use non-drug measures to help relieve the pain, and how to access help and support on a 24-hour basis. Therefore, family education is key.

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Section: Introductionsupporting

confidence: 57%

Pain management in the home

Coyle

2005

Current Science Inc

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“…This is reflected by Courts et al, (2005) who found that the spouses of people with MS struggled to maintain their identity in the face of changes to their role within the relationship. Whilst previous studies have articulated this issue in relation to carers who have a direct "hands on" caring role (Eriksson & Svedlund, 2006;Ferrell et al, 1993;Murray et al, 2002), the present study highlights the impact on the identity of the support person where they do not have a clear role as direct care giver. The "anticipatory carer" therefore contributes to our understanding of the experience of the support person of those newly diagnosed with MS.…”

Section: Discussionmentioning

confidence: 55%

“…The term 'carer' has been defined almost exclusively in terms of physical activities required to help an individual with a particular disability or condition, with much of the literature relating to carer roles referring to those with physical caring duties, such as providing personal care, and administration and monitoring of medications (Eriksson & Svedlund, 2006;Ferrell et al, 1993;Murray et al, 2002;Nolan & Grant, 1989;Persson et al 1998). In addition, much of the literature is related to older individuals where chronic illness is often interpreted as an inevitable consequence of the aging process (Adamson & Donovan, 2005;Ray, 2006).…”

Section: Introductionmentioning

confidence: 99%

The experiences of support persons of people newly diagnosed with multiple sclerosis: an interpretative phenomenological study

Strickland

Worth

Kennedy³

2015

Journal of Advanced Nursing

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Aim This study explores the experience of the diagnosis of Multiple Sclerosis for the support person and identifies the impact on their lives. Background At the time of diagnosis, the support person may not be readily identified in a traditional caring role; however, the diagnosis itself brings with it the possibility of changes to the roles in the relationship and possible consequences for biographical construction. Design A hermeneutic phenomenological study. Methods A convenience sample of nine support persons was interviewed between December 2008 ‐ March 2010. The data were analysed using interpretative phenomenological analysis. Findings The participants in this study were often not readily identifiable as ‘carers’; however, the diagnosis of Multiple Sclerosis implied a shift towards a caring role at some point in the future. The uncertainty surrounding the nature and progression of the condition left this identity hanging, incomplete and as such contributed to a liminal way of being. Conclusions This paper reveals that biographical disruption is not limited to the person diagnosed with Multiple Sclerosis but that the support person also undergoes a transition to their sense of self to that of ‘anticipatory carer’. The findings provide insight into the biographical and emotional impact of Multiple Sclerosis on the support persons early in the development of the condition.

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“…In der häuslichen Versorgung von Tumorpatienten kommt neben den Angehörigen und den Hausärzten den ambulanten Pflegediensten eine wichtige Rolle zu [2,27]. Präva-lenzraten zeigen, dass bei den 692.000 Pflegebedürftigen, die in Deutschland von 13.300 ambulanten Pflegediensten im häuslichen Setting versorgt werden [31], rund 70 % unter Schmerzen leiden [20]. Eine zentrale Aufgabe der eingebundenen Pflegenden liegt dabei im multiprofessionellen Schmerzmanagement [32].…”

Section: Hintergrund Und Fragestellungunclassified

“…Als Herausforderung in der Umsetzung des Schmerzmanagements in der ambulanten pflegerischen Versorgung bei Tumorpatienten werden in der Literatur Barrieren genannt, die mit einem fehlenden Wissen der Pflegenden zum Schmerzmanagement begründet werden [13,28,33]. Aber auch strukturelle Gründe, wie fehlende finanzielle Mittel [27] oder Schnittstellenproblematiken, z.…”

Section: Lt Bericht Des Medizinischen Diensts Desunclassified