Hispanic and non-Hispanic white patient pain management expectations

2001 ◽  
Vol 19 (7) ◽  
pp. 549-550 ◽  
Author(s):  
Wally W. Lee ◽  
Ann E. Burelbach ◽  
David Fosnocht
Keyword(s):  
Pain Management ◽  
White Patient ◽  
Patient Pain ◽  
Management Expectations ◽  
Hispanic White

The Assessment of Pain and Barriers to Pain Management: A Content Analysis From a National Sample of Hospice Psychosocial Assessments Completed by Social Workers

2020 ◽  
pp. 104990912095380
Author(s):  
Orrin D. Ware ◽  
John G. Cagle
Keyword(s):  
Pain Management ◽  
Social Workers ◽  
Pain Assessment ◽  
National Sample ◽  
Psychosocial Assessment ◽  
Non Profit ◽  
Social And Emotional ◽  
Patient Pain ◽  
Adjustment To Illness ◽  
Dimensions Of Pain

Pain is a multidimensional symptom frequently experienced by hospice patients that is physical, psychological, social, emotional, and spiritual. Medicare regulations require hospices to complete a psychosocial assessment with content such as patient/family adjustment to illness. Furthermore, pain barriers such as concerns about addiction, and fatalism are recognized impediments to high quality pain management. National data concerning whether hospice social workers are paying attention to issues related to patient pain is minimal. Addressing this gap, we randomly sampled 248 hospices nationally and requested a blank copy of their social work psychosocial assessment and reviewed its pain-related content. A total of 105 hospices (response rate 42.3%) provided an assessment for review. Descriptive statistics summarize agency characteristics and whether pain assessment content and pain barrier content were present. Analyses examined whether pain assessment content was included based on agency characteristics. Of the 105 participating agencies, most were non-profit (60%) and located in the South (30.5%). Less than half (47.6%) of the agencies included pain assessment content in their assessment. No associations were observed between having pain assessment content and agency characteristics. None of the assessments included content about 3 barriers to pain management: tolerance, overdose, stigma, and fatalism. Few agencies included other barriers to pain management: addiction (1%), burden (1%), non-adherence (3.8%) and stoicism (18.1%). Agencies which had pain assessment content mostly included other dimensions of pain: psychological (80%), emotional (74%), and social (78%). Hospice social workers can do more to assess and address pain concerns—especially psychological, social, and emotional dimensions.

scholarly journals Pain knowledge of patients and family caregivers as predictors of pain management outcomes in cancer patients: a multicenter study in China

2021 ◽  
Author(s):  
Xiaoxiao Ma ◽  
Wenhua Yu ◽  
Yuhan Lu ◽  
Hong Yang ◽  
Xin Li ◽  
...  
Keyword(s):  
Pain Management ◽  
Family Caregivers ◽  
Linear Regression Analysis ◽  
Moderate Level ◽  
Pain Questionnaire ◽  
Patient Pain ◽  
Pain Knowledge ◽  
The Mean ◽  
Strong Opioids ◽  
The Impact

Abstract Purpose The purposes of this study were to evaluate the current situation of pain management outcomes, patients’ pain knowledge and family caregivers’ pain knowledge in China. And explore the impact of pain knowledge of patients and family caregivers on pain management outcomes.Methods A multicenter cross-sectional survey was conducted. A total of 410 patient-family caregiver dyads completed questionnaires, which included basic characters of patients and family caregivers, Brief Pain Inventory (BPI), the Pain Knowledge subscales of Patient Pain Questionnaire(PPQ) and Family Pain Questionnaire(FPQ). The difference in pain management outcomes was analyzed using the two independent-samples t test, one way ANOVA analysis and Wilcoxon rank sum test. Variables with statistical significance in bivariate analysis were included in multivariable linear regression analysis.Results The majority of the patients were male (57.1%), with the mean (SD) age of 59.34 (12.59). And strong opioids has been prescribed for 72.4% of the patients. The mean (SD) age of 410 family caregivers was 48.25(13.27) and nearly half of participants were female (54.9%). The average patient pain score in the last 24h was 3.23(SD = 2.16). The total average score on pain knowledge of 410 patients and family caregivers were 3.60 ± 1.90 and 3.57 ± 1.76. Taking strong opioids, patients’ perceived moderate performance, patients’ pain knowledge and family caregivers’ pain knowledge were the main factors influencing the pain management outcomes.Conclusion The findings of this study revealed that patients pain are at a moderate level and not satisfactory. Pain knowledge of patients and family caregivers are also at a moderate level. Moreover, this study reveals that pain management outcomes are obviously influenced by analgesics, performance status and pain knowledge of patients and family caregivers. Advancing pain management by standardizing and individualizing pain treatment, implementing tailored education program to patients and family caregivers are important to improve cancer pain management outcomes.

Painful Reality: Inappropriate Provider Management of Pain as a Determinant of Health Care Avoidance

2016 ◽  
Vol 22 (3) ◽  
pp. 151-160
Author(s):  
Nancy L. Baenziger
Keyword(s):  
Health Care ◽  
Pain Management ◽  
Health Care System ◽  
Health Care Professionals ◽  
Biomedical Knowledge ◽  
Pain Mechanisms ◽  
Patient Pain ◽  
Repeated Pain ◽  
Pain Experiences ◽  
Care System

Although pain is often characterized as a subjective, highly individualized phenomenon, in fact, numerous elements which are simply biological in nature underlie interpersonal differences in pain experience that influence the effectiveness of provider pain management. Elements acting at the level of tissues and cells include signal-transmitting molecules in pain pathways; elements acting at the level of the whole person comprise entire brain networks and anatomic elements fostering pain vulnerability. However, knowledge of these elements and translation of such knowledge into practical means for relieving patient pain is dismayingly sparse across the total spectrum of health care professionals. A serious consequence of this knowledge and action gap is that isolated, or worse yet, repeated, pain experiences may lead to profound mistrust of the health care system and its providers and to health care avoidance (e.g., mammography). This article outlines a biologic knowledge base and proposed remedies to improve pain management across the entire domain of health care. Key components of this approach include enhanced education for providers and informational outreach to health care consumers, clarifying pain mechanisms to both constituencies. Moreover, increased accountability within the health care system is needed, both in knowing and applying well-established biomedical knowledge and in best using technical and interpersonal skills necessary for effective pain management.

E-Pain Reporter

2017 ◽  
Vol 32 (2) ◽  
pp. 77-84 ◽  
Author(s):  
Masako Mayahara ◽  
JoEllen Wilbur ◽  
Sean O’Mahony ◽  
Susan Breitenstein
Keyword(s):  
Pain Management ◽  
Case Managers ◽  
Advisory Group ◽  
Pain Diary ◽  
Digital Format ◽  
Group Methods ◽  
Hospice Patients ◽  
Patient Pain ◽  
Analgesic Use ◽  
At Home

Informal hospice caregivers play a key role in managing patients’ pain at home, but lack of adherence to doctor-prescribed analgesic regimens and medication errors are significant barriers to truly effective pain management. A digital pain diary may improve caregiver management of pain at home; however, most digital pain tools available today were developed without input from patients or caregivers. Accordingly, the purpose of this study was to develop a digital pain application (1) for hospice caregivers to record patient pain and analgesic use and (2) for nurses to monitor administration of analgesics by caregivers. Using advisory group methods, nurse case managers (n = 6), and informal caregivers (n = 3) helped us to convert a paper-based pain and analgesic diary into a digital format—the e-PAIN Reporter—and to refine the application. The e-PAIN Reporter provides information on patient pain assessment and pain management and reports to nurses in real time. Further testing is now needed to determine (1) the feasibility of using the e-PAIN Reporter and (2) its effectiveness in improving pain management for hospice patients.

F523 OPTIMIZING IN-PATIENT PAIN MANAGEMENT AT THE UNIVERSITY HOSPITAL OF GRAZ

2011 ◽  
Vol 5 (1) ◽  
pp. 165
Author(s):  
H. Bornemann-Cimenti ◽  
K. Michaeli ◽  
M. Wejbora ◽  
C. Kern-Pirsch ◽  
C. Foussek ◽  
...  
Keyword(s):  
Pain Management ◽  
University Hospital ◽  
Patient Pain ◽  
The University

Pain Management and Provider Liability: No More Excuses

2001 ◽  
Vol 29 (1) ◽  
pp. 28-51 ◽  
Author(s):  
Barry R. Furrow
Keyword(s):  
Health Care ◽  
Pain Management ◽  
American Health Care System ◽  
Term Care ◽  
Care Facilities ◽  
American Health Care ◽  
Patient Pain ◽  
The Face ◽  
Control Pain

Pain is undertreated in the American health-care system at all levels: physician offices, hospitals, long-term care facilities. The result is needless suffering for patients, complications that cause further injury or death, and added costs in treatment overall. The health-care system's failure to respond to patient pain needs corrective action. Excuses for such shortcomings are simply not acceptable any longer.Physicians have long been accused of poor pain management for their patient. The term “opiophobia” has been coined to describe this remarkable clinical aversion to the proper use of opioids to control pain. If the professional mandate of the health-care professional is to relieve suffering, then physicians are falling far short of their obligations by accepting myths about the use of opioids in the face of evidence to the contrary.

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