scholarly journals Comprehensive, Multimodal, Interdisciplinary Approach to Chronic Non-Cancer Pain Management in a Family Medicine Clinic: Retrospective Cohort Review

2021 ◽  
Vol 25 (4) ◽  
Author(s):  
Edward Kwon
Keyword(s):  
Pain Management ◽  
Family Medicine ◽  
Cancer Pain ◽  
Retrospective Cohort ◽  
Interdisciplinary Approach ◽  
Cancer Pain Management ◽  
Medicine Clinic

scholarly journals The McGill University Health Centre Cancer Pain Clinic: A Retrospective Analysis of an Interdisciplinary Approach to Cancer Pain Management

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Jordi Perez ◽  
Sara Olivier ◽  
Emmanouil Rampakakis ◽  
Manuel Borod ◽  
Yoram Shir
Keyword(s):  
Pain Management ◽  
Cancer Pain ◽  
Retrospective Analysis ◽  
Health Centre ◽  
Interdisciplinary Approach ◽  
Pain Clinic ◽  
Initial Assessment ◽  
Cancer Pain Management ◽  
Edmonton Symptom Assessment Scale ◽  
Mcgill University

Context. The McGill University Health Center (MUHC) Cancer Pain Clinic offers an interdisciplinary approach to cancer pain management for patients. The core team includes a nurse clinician specialist in oncology and palliative care, a palliativist, an anaesthetist, and a radiation oncologist. This tailored approach includes pharmacological and nonpharmacological therapies offered concurrently in an interdisciplinary fashion.Objectives. Description of the interdisciplinary MUHC cancer pain approach and analysis of treatments and outcomes.Methods. A retrospective analysis of new outpatients completing two subsequent visits (baseline and follow-ups: FU1, FU2) was conducted. Variables included (a) symptom severity measured by the Edmonton Symptom Assessment Scale, (b) pain and disability measured with the Brief Pain Inventory, and (c) analgesic plan implementation including pharmacological and nonpharmacological therapies.Results. 71 charts were reviewed. Significant pain relief was achieved consistently at FU1and FU2. The average pain severity decreased by 2 points between initial assessment and FU2. More than half (53%) of patients responded with a pain reduction greater than 30%. Severity of other symptoms (i.e., fatigue, nausea, depression, and anxiety) and disability also decreased significantly at FU2. The total consumption of opioids remained stable; however, the consumption of short acting preparations decreased by 52% whereas the prescription of nonopioid agents increased. Beyond drug management, 60% of patients received other analgesic therapies, being the most common interventional pain procedures and psychosocial approaches.Conclusion. The MUHC interdisciplinary approach to cancer pain management provides meaningful relief of pain and other cancer-related symptoms and decreases patients’ disability.

scholarly journals Knowledge and Beliefs about Chronic Non Cancer Pain Management for Family Medicine Group Nurses

2015 ◽  
Vol 16 (6) ◽  
pp. 951-958 ◽  
Author(s):  
Dave A. Bergeron ◽  
Patricia Bourgault ◽  
Frances Gallagher
Keyword(s):  
Pain Management ◽  
Family Medicine ◽  
Cancer Pain ◽  
Cancer Pain Management ◽  
Knowledge And Beliefs

Cancer pain management

2014 ◽  
Vol 155 (3) ◽  
pp. 93-99
Author(s):  
Péter Heigl
Keyword(s):  
Quality Of Life ◽  
Pain Management ◽  
Pain Relief ◽  
Life Expectancy ◽  
Cancer Pain ◽  
Cancer Pain Management ◽  
Medical Activity ◽  
Short Summary ◽  
Adequate Quality

Pain is a significant and alarming symptom of cancer seriously affecting the activity and quality of life of patients. Recent research proved that inadequate analgesia shortens life expectancy. Therefore, pain relief is not only a possibility but a professional, ethical and moral commitment to relieve patients from suffering, as well as ensure their adequate quality of life and human dignity. Proper pain relief can be achieved with medical therapy in most of the cases and the pharmacological alternatives are available in Hungary. Yet medical activity regarding pain relief is far from the desired. This paper gives a short summary of the guidelines on medical pain management focusing particularly on the use of opioids. Orv. Hetil., 2014, 155(3), 93–99.

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