Related Experiment Video
Updated: Mar 23, 2026
07:14
A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery
Published on: January 18, 2018
10.0K
Pain Intensity and Misconceptions Among Hospice Patients With Cancer and Their Caregivers: Status After 2 Decades
Diana J Wilkie1,2, M O Ezenwa1,2, Y Yao1,2
11 Department of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville, FL, USA.
The American Journal of Hospice & Palliative Care
|March 24, 2016
Summary
Barriers to pain management in hospice cancer patients are significant, with patients and caregivers concerned about pain meaning disease progression and constipation. These barriers disproportionately affect Hispanic patients, highlighting a need for culturally sensitive care.
Area of Science:
- Palliative Care
- Oncology Nursing
- Pain Management
Background:
- Limited evidence exists on pain management barriers and their impact on cancer patients in hospice.
- Understanding these barriers is crucial for improving pain outcomes in end-of-life cancer care.
Purpose of the Study:
- To identify barriers to pain management reported by hospice cancer patients and their caregivers.
- To explore the relationship between these barriers, demographic characteristics, and patient pain intensity.
Main Methods:
- Cross-sectional study using baseline data from a randomized clinical trial.
- Internet-enabled tablets used for validated measures of pain intensity and Barriers Questionnaire (BQ-13).
- Data collected from patient and lay caregiver dyads in home hospice care.
Main Results:
- 'Pain means disease progression' and 'constipation' were top concerns for both patients and caregivers.
- Caregivers also identified 'addiction,' 'embarrassing behaviors,' and 'confusion' as high concerns.
- Mean barrier scores were high and similar between patients and caregivers, not correlating with pain intensity.
- Hispanic patients reported higher barrier scores than non-Hispanic patients.
Conclusions:
- Pain management barriers are significant in hospice cancer care, particularly related to disease progression fears and constipation.
- Culturally tailored interventions are needed, especially for minority populations like Hispanic patients.
- Findings underscore the importance of addressing patient and caregiver perceptions in hospice pain management.
Related Concept Videos
01:25Continuing Care
2.0K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
2.0K
01:27Nursing Ethical Principles II
2.5K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
2.5K
01:27Ethical Issues
2.5K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
2.5K
01:15Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
8.7K
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
8.7K
01:13Patient-centered Care
3.2K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
3.2K
01:25Analgesia and Pain Management
2.8K
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
2.8K