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Pain management in the home
1Supportive Care Program, Pain and Palliative Care Service, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10021, USA. coylen@mskcc.org
Current Pain and Headache Reports
|July 12, 2005
Summary
Managing pain at home shifts responsibility to patients and families. Effective home pain management requires comprehensive patient and family education on medication, symptom monitoring, and support access.
Area of Science:
- Pain Management
- Patient Education
- Family Systems
Background:
- Home care transitions shift pain management from healthcare professionals to patients and families.
- Inadequate pain control at home negatively impacts both the patient and the family unit.
Purpose of the Study:
- To highlight the critical role of patient and family education in successful home-based pain management.
- To identify key knowledge and skill areas essential for effective self-management of pain at home.
Main Methods:
- This study is a conceptual review of the challenges and requirements for home pain management.
- It synthesizes existing knowledge on patient education and family support in the context of chronic pain.
Main Results:
- Successful home pain management hinges on patient and family confidence in understanding pain, using analgesics correctly (scheduled and rescue doses), and recognizing/reporting pain changes.
- Knowledge of potential adverse effects, non-pharmacological pain relief methods, and access to 24-hour support are crucial.
- Family education is identified as the cornerstone of effective home pain management.
Conclusions:
- Empowering patients and families with comprehensive education is essential for successful pain management outside the clinical setting.
- A well-informed patient and family unit can navigate the complexities of home analgesia and symptom monitoring.
- Interventions focused on family education are paramount for improving patient outcomes in home care.