scholarly journals The Prevalence of Pain in Patients Attending Sarcoma Outpatient Clinics

Sarcoma ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
P. Y. Kuo ◽  
J. T. C. Yen ◽  
G. M. Parker ◽  
S. Chapman ◽  
S. Kandikattu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Neuropathic Pain ◽  
Cancer Treatment ◽  
Pain Assessment ◽  
Pain Control ◽  
Assessment Tools ◽  
Outpatient Clinics ◽  
Referral Centre ◽  
Tumour Type ◽  
Prevalence Of Pain

The prevalence of pain in patients with sarcoma is not well documented. We investigated this in outpatients at a tertiary cancer referral centre, assessing the adequacy of pain control and for risk factors leading to higher prevalence and severity of pain. 149 patients were surveyed. Patients with pain within the previous 7 days completed pain assessment tools (BPI, S-LANSS, PMI). 53% of patients had pain within the previous 7 days, and 25% had significant pain. Of those with pain, 63% was inadequately controlled and neuropathic pain was identified in 36%. Age, gender, tumour type, and the type of cancer treatment were not significant predictors of the prevalence or severity of the pain. Based on our results, patients with sarcoma should be actively screened for pain and have regular reviews of their analgesic requirements.

scholarly journals An Assessment of Cancer Pain Control in an LMIC Oncology Clinic

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 230s-230s
Author(s):  
A. Joseph ◽  
O. Salako ◽  
A. Alabi ◽  
A. Adenipekun
Keyword(s):  
Quality Of Life ◽  
Cancer Pain ◽  
Pain Assessment ◽  
Pain Control ◽  
Assessment Tool ◽  
Study Group ◽  
Care Providers ◽  
Prevalence Of Pain

Background: Cancer has become a leading cause of morbidity and mortality in adults globally. Pain is universally one of the most commonly encountered symptoms by health and supportive care providers involved in care of cancer patients. Inadequate pain control negatively impacts the patient´s quality of life, and may slow down the healing process. Health care providers often ignore pain control as a target of treatment as they focus on reducing the tumor burden. Pain management should be considered an important target and end point in the treatment of cancer patients. Aim: To assess the prevalence of pain, oncologists´ prescribing patterns; and efficacy of pain control in the Radiotherapy Department of the Lagos University Teaching Hospital. Methods: Adult cancer outpatients were assessed using a Universal Pain Assessment Tool and followed up for 2-6 weeks thereafter. Pain scores were assessed at first interview and at the follow-up appointment within 2 weeks minimum and 6 weeks maximum. Results: 347 adult clinic attendees were recruited, assessed, and followed up with interviewer-administered questionnaires over a close-out period of 6 weeks. There was an 85% (298 respondents) prevalence of pain in the study group; with over half of respondents characterizing their pain in the moderate to severe ranges. [Figure: see text] 9 out of 10 respondents stated the cancer was the primary source of their pain. Other sources of pain were medical tests; and treatment-related such as chemotherapy and radiation therapy. 86 patients (29% of study group) were not asked about pain by their attending physician, and all respondents stated their physician had not used any pain assessment tool to determine the nature or severity of their pain. [Figure: see text] Oral nonsteroidal analgesics were the most frequently prescribed form of pain control (237 patients), with radiotherapy coming in second (69 patients). The only available strong opioid analgesics at the oncology pharmacy were oral morphine and parenteral pentazocine. Oxycodone, fentanyl pethidine, and hydromorphone were unavailable. Interventional (e.g., cordotomy) and alternative (e.g., massage) forms of pain control were not prescribed in any patients. 43 respondents (15%) despite being in pain, did not receive any form of treatment or recommendation for pain control. At follow-up appointment 2-6 weeks after; 4 out of 10 respondents had not obtained pain relief from instituted measures. [Figure: see text] Conclusion: Undertreatment of cancer pain remains a major concern. The treatment process must begin with a proper and thorough evaluation of the patient's pain; a clear pain control goal and end point target; and regular reevaluation with application of guidelines when adequate control is not achieved. Inclusion of pain assessment and management guidelines in medical training would be of benefit to reduce the prevalence of inadequately controlled pain in patients living with cancer; ultimately improving their quality of life.

scholarly journals Neuropathic Pain After Breast Cancer Treatment: Characterization and Risk Factors

2017 ◽  
Vol 54 (6) ◽  
pp. 877-888 ◽  
Author(s):  
Susana Pereira ◽  
Filipa Fontes ◽  
Teresa Sonin ◽  
Teresa Dias ◽  
Maria Fragoso ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Risk Factors ◽  
Neuropathic Pain ◽  
Cancer Treatment ◽  
Breast Cancer Treatment

Nursing patients with pain

2009 ◽  
pp. 787-812
Keyword(s):  
Chronic Pain ◽  
Pain Relief ◽  
Drug Use ◽  
Acute Pain ◽  
Pain Assessment ◽  
Pain Control ◽  
Complementary Therapies ◽  
Assessment Tools ◽  
Pharmacological Interventions

Definition and overview of pain788 Acute pain790 Chronic pain792 Pain assessment794 Pain assessment tools796 Methods of relieving pain800 Issues relating to drug use in pain control802 Non-pharmacological interventions to manage pain804 Complementary therapies for pain relief806...

scholarly journals A Cross-sectional Feasibility Study Testing the Use of Abstract Animations for the Communication and Assessment of Pain (Preprint)

2018 ◽  
Author(s):  
Charles Jonassaint ◽  
Nema Rao ◽  
Alex Sciuto ◽  
Galen Switzer ◽  
Laura De Castro ◽  
...  
Keyword(s):  
Neuropathic Pain ◽  
Pain Assessment ◽  
Point Of Care ◽  
Assessment Method ◽  
Assessment Tools ◽  
Mcgill Pain Questionnaire ◽  
Patient Centered ◽  
Cross Sectional ◽  
Pain Experience ◽  
Paindetect Questionnaire

BACKGROUND Pain is the most common medical symptom requiring care, yet the current methods for assessing pain are sorely inadequate. Pain assessment tools either take too long to complete for point of care use or are too simplistic to capture the dynamic pain experience. OBJECTIVE To address this, we developed Painimation, a novel tool that uses graphic visualizations and animations instead of words or numeric scales to assess pain quality, intensity, and course. This study examines the utility of abstract animations as a measure of pain. METHODS Painimation was evaluated in a chronic pain medicine clinic. Eligible patients were receiving treatment for pain and reported pain more days than not for at least 3 months. Using a tablet computer, participating patients completed the Painimation instrument, the McGill Pain Questionnaire (MPQ), and the PainDETECT questionnaire for neuropathic symptoms. RESULTS Participants (N = 207), completed Painimation and indicated it was useful for describing their pain (mean=4.04/5 on a usefulness scale), and 154 out of 196 participants (79%) agreed or strongly agreed that they would use Painimation to communicate with their providers. Animations selected corresponded with pain adjectives endorsed on the MPQ. Further, selection of the electrifying animation was associated with self-reported neuropathic pain (r=.16, P=.03), similar to the association between neuropathic pain and PainDETECT (r=.17, P=.03). Painimation was associated with PainDETECT (r=.35, P<.001). CONCLUSIONS Using animations may be a faster and more patient-centered method for assessing pain and is not limited by age, literacy level, or language; however, more data are needed to assess the validity of this approach. Painimation needs testing in a more homogenous pain population to validate animations as a pain assessment method.

A Review of Adult and Pediatric Neuropathic Pain Assessment Tools

2017 ◽  
Vol 33 (9) ◽  
pp. 844-852 ◽  
Author(s):  
Kyle J. Morgan ◽  
Doralina L. Anghelescu
Keyword(s):  
Neuropathic Pain ◽  
Pain Assessment ◽  
Assessment Tools

scholarly journals The Prevalence Of Acute Neuropathic Pain After Surgery In Hospital Of Lithuanian University Of Health Sciences Kaunas Clinics

2017 ◽  
Vol 26 (6) ◽  
pp. 183-188
Author(s):  
Liuda Brogienė ◽  
Dovilė Bendinskaitė ◽  
Miglė Siderkevičiutė ◽  
Aida Kinderytė ◽  
Gintarė Žemgulytė ◽  
...  
Keyword(s):  
Risk Factors ◽  
Neuropathic Pain ◽  
Depression Scale ◽  
Health Sciences ◽  
Demographic Characteristics ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
The Third ◽  
Surgical Pain ◽  
Prevalence Of Pain

Background. Acute neuropathic pain can be one of the post-surgical pain components, which is often under-recognized and complicated to treat. The prevalence of pain with neuropathic characteristics in general population is about 6 – 8%. Moreover, it might to progress and become as a persistent pain and cause a disability. This type of study has never been performed in Lithuania. Methods. Investigators conducted a survey, which consisted of the following visual and verbal analogue and Dolour Neuropathique 4 scales to identify pain intensity and neuropathic pain after surgery. Risk factors of neuropathic pain were evaluated with Hospital Anxiety and Depression scale, demographic characteristics and data, which represents possible risk factors. Results. The survey included 170 participants: 68 males (40%) and 102 females (60%). Average age of patients was 59.66 years (SD 15.9). During the first day after surgery 7.1% patients felt neuropathic pain, on the second day – 8.2%, and the third postoperative day – 7.6% of patients. A prevalence of neuropathic pain depends on gender and anxiety before surgery. Conclusion. A prevalence of acute neuropathic pain after surgery in Hospital of Lithuanian University of Health Sciences is 7 – 8%. The risk factors of neuropathic pain development are patient’s gender and anxiety before surgical procedure.

Stress, anxiety, depression and burnout in frontline health care workers during COVID-19 pandemic: a brief systematic review and new data from Russia

2021 ◽  
Author(s):  
Ekaterina Mosolova ◽  
Dmitry Sosin ◽  
Sergey Mosolov
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Female Gender ◽  
Assessment Tools ◽  
Care Workers ◽  
Younger Age ◽  
Wide Range ◽  
Associated Risk Factors ◽  
Anxiety Depression ◽  
The Impact

During the COVID-19 pandemic, healthcare workers (HCWs) have been subject to increased workload while also exposed to many psychosocial stressors. In a systematic review we analyze the impact that the pandemic has had on HCWs mental state and associated risk factors. Most studies reported high levels of depression and anxiety among HCWs worldwide, however, due to a wide range of assessment tools, cut-off scores, and number of frontline participants in the studies, results were difficult to compare. Our study is based on two online surveys of 2195 HCWs from different regions of Russia during spring and autumn epidemic outbreaks revealed the rates of anxiety, stress, depression, emotional exhaustion and depersonalization and perceived stress as 32.3%, 31.1%, 45.5%, 74.2%, 37.7% ,67.8%, respectively. Moreover, 2.4% of HCWs reported suicidal thoughts. The most common risk factors include: female gender, nurse as an occupation, younger age, working for over 6 months, chronic diseases, smoking, high working demands, lack of personal protective equipment, low salary, lack of social support, isolation from families, the fear of relatives getting infected. These results demonstrate the need for urgent supportive programs for HCWs fighting COVID-19 that fall into higher risk factors groups.

Sign in / Sign up

Export Citation Format

Share Document