Pain management in home care

Magrum, Lynn C.; Bentzen, Carolyn; Landmark, Susan

doi:10.1016/s0749-2081(96)80038-6

Cited by 14 publications

(11 citation statements)

References 25 publications

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“…It must be recognized that these patients, like any other patient, may experience severe pain associated with their cancer and will probably require larger doses of opioids to control their pain because of the development of tolerance. One physician or nurse practitioner should be identified as the person to adjust analgesics and write all prescriptions, and one nurse identified as the person to organize and coordinate the patient's plan of care [4,47]. If the patient is on an oral drug regimen, it may be necessary to give only a 1-week supply of the opioid at a time.…”

Section: Groupmentioning

confidence: 99%

“…A growing literature explores issues particular to the management of pain in the home. These include knowledge and attitudes about cancer pain and its management among patient and family members communication [17][18][19][20][21][22], stress in family caregivers and community nurses [4,19,22], and the increasing use of technology in the home [23••]. Recognition of the "responsibility without adequate training or power" phenomenon that nurses commonly experience in the home care setting has been an impetus for the development of training programs for home care nurses in pain management.…”

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confidence: 99%

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Facilitating cancer pain control in the home: Opioid-related issues

Coyle

2001

Current Science Inc

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The basic principles of pain management are the same whether the patient is in an acute care setting, their home, or a long-term care facility. Wherever the setting, pain management is part of the comprehensive care for the cancer patient. Successful therapy depends on a clear definition of treatment goals, an informed patient and family, collaboration and effective communication between the physician, home care nurse, patient and family, and ongoing monitoring to ensure effectiveness of pain relief measures. Careful discharge planning to ensure appropriate home care for the patient with pain and their family is critical.

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Section: Groupmentioning

confidence: 99%

mentioning

confidence: 99%

Facilitating cancer pain control in the home: Opioid-related issues

Coyle

2001

Current Science Inc

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“…A growing literature explores issues particular to the management of pain in the home. These include knowledge and attitudes regarding cancer pain and its management among patient and family members [17,[20][21][22][23], stress in family caregivers and community nurses [21][22][23][24][25][26], the increasing use of technology in the home [26,27], and communication [28][29][30][31][32]. Recognition of the "responsibility without adequate training or power" phenomenon that nurses commonly experience in the home care setting has been an impetus for the development of training programs for home care nurses in pain management.…”

Section: Introductionmentioning

confidence: 99%

“…This same phenomenon is experienced by many families. Family caregivers are expected to play a primary role in cancer pain relief across all stages of the disease; however, they frequently are given little or no training on how to do so [24][25][26]30,33,34]. Structured pain education programs for patients and family caregivers have demonstrated positive outcomes for patients and their family caregivers [35][36][37].…”

Section: Introductionmentioning

confidence: 99%

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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“…Circle best response. strongly disagree disagree neutral agree strongly agree16. If the procedure could be performed in the patient's home or the hospice home, more patients could be considered as candidates for this type of intervention.…”

mentioning

confidence: 99%

Anesthesia practitioner involvement, invasive treatments, and need in hospice pain management: A survey of patient care coordinators

Lukowski

Murry

Hall

et al. 2001

Am J Hosp Palliat Care

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Pain management is one of the major concerns for the terminal patient. The hospice care team is a highly trained group of health care providers in the area of symptom control, including pain management, for the dying patient. Anesthesia providers also specialize in pain control. The purposes of this study were to survey hospice patient care coordinators to gain an understanding of anesthesia practitioners' involvement with hospice patients, hospice patients' access to anesthesia pain management services, and hospice patient care coordinators' attitudes toward the necessity of anesthesia pain management services for the hospice community. A questionnaire was developed to assess these issues. In general, the findings reflected minimal anesthesia practitioner involvement in the hospice community. Fifty-two percent reported that patients could benefit from invasive treatments offered by anesthesia practitioners. Forty percent responded that more patients could be considered as candidates for invasive pain management techniques if procedures were performed in the patient's home or hospice. Access to anesthesia pain management services was limited by distance to pain clinics and anesthesia practitioners, and more anesthesia pain management services were needed for hospice patients in smaller communities. Cost of anesthesia pain management was frequently proposed as a prohibitive factor.

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Pain management in home care

Cited by 14 publications

References 25 publications

Facilitating cancer pain control in the home: Opioid-related issues

Facilitating cancer pain control in the home: Opioid-related issues

Pain management in the home

Anesthesia practitioner involvement, invasive treatments, and need in hospice pain management: A survey of patient care coordinators

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