Developing an Evidence-Based Patient Education Guide on Pain Management for Asian Patients on Hospice

Area of Science:

• Palliative Care
• Pain Management
• Cultural Competency in Healthcare

Background:

• Asian Americans represent the fastest-growing racial group in the U.S.
• Effective pain management is crucial for hospice patients.
• Existing pain management research may not fully address the needs of Asian hospice patients.

Purpose of the Study:

• To develop an evidence-based pain management assessment guide for Asian patients on hospice.
• To address specific barriers and preferences in pain management within this population.
• To support patients, families, and hospice nurses.

Main Methods:

• Thematic analysis of interviews with Asian hospice patients and experienced hospice nurses.
• Evaluation of existing research on pain management in Asian populations.
• Synthesis of findings to create a practical assessment guide.

Main Results:

• Patient interviews revealed themes of enduring pain, preference for traditional remedies, fear of addiction, and concerns about medication side effects.
• Nurse interviews identified strategies including focusing on treatment goals, involving families, explaining pain and medication, and managing side effects.
• Identified themes from both patient and nurse interviews informed the guide's development.

Conclusions:

• A culturally sensitive pain management assessment guide is needed for Asian hospice patients.
• The guide incorporates patient-reported experiences and nurse-recommended strategies.
• This resource aims to improve the quality of pain care for Asian Americans in hospice settings.