scholarly journals 18 / PAIN MANAGEMENT IN GERMAN CANCER PATIENTS – RESULTS OF A CROSS-SECTIONAL ONLINE SURVEY ON CANCER-RELATED BACKGROUND AND BREAKTHROUGH PAIN

2018 ◽  
Author(s):  
Michael Ueberall
Keyword(s):  
Pain Management ◽  
Cancer Patients ◽  
Online Survey ◽  
Breakthrough Pain ◽  
Cross Sectional

The experience of pain among cancer patients at the University of the Philippines: Philippine General Hospital Cancer Institute—A cross-sectional study.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e24078-e24078
Author(s):  
Harold Nathan C. Tan ◽  
Rogelio Nona Velasco ◽  
Lance Isidore Garcenila Catedral ◽  
Michael Ducusin San Juan ◽  
Corazon Ngelangel ◽  
...  
Keyword(s):  
Pain Management ◽  
Cancer Patients ◽  
Pain Control ◽  
Severe Pain ◽  
Cross Sectional Study ◽  
The Philippines ◽  
Pain Interference ◽  
Cancer Center ◽  
Cross Sectional ◽  
Adequate Pain Management

e24078 Background: Pain is one of the most common and dreaded sequelae of cancer, occurring in approximately 55% of patients. The experience of pain takes a toll on the patients’ quality of life. However, many patients do not receive adequate pain management. This study aimed to determine the prevalence of pain, its severity, and the adequacy of pain management among cancer patients in the Philippines. Methods: A cross-sectional study was conducted at a representative cancer center in the Philippines, enrolling 351 cancer patients. Pain severity was assessed using the Brief Pain Inventory-Short Form (BPI-SF) Filipino. The BPI evaluates pain severity and its impact on daily functioning (pain interference). To ascertain the adequacy of pain control, the pain management index (PMI) was calculated by subtracting the subtracting the severity of pain reported by the patient from the type of analgesic treatment received. Logistic regression analysis was conducted to evaluate the factors associated with worst pain and adequacy of pain management. Data were analyzed using Stata version 16.0, with statistical significance set at p < 0.05. Results: Three hundred three cancer patients (86.3%) experienced pain. Approximately 3 out of 5 patients (n = 208) did not receive adequate pain control, and one-third of patients experienced severe pain (n = 121). Patients who reported severe pain interference (n = 110) had three times greater odds to experience severe pain (OR 3.2, 95% CI 1.82-5.61, p < 0.001). Those patients who had regular follow up were 65% less likely to experience severe pain (OR 0.35, 95% CI 0.16 – 0.78, p = 0.01). Patients who used pain medications (n = 196) were 14 times more likely to experience adequate pain management (OR 14.19, 95% CI 6.53 – 30.83, p < 0.001). Patients who were referred to pain service (n = 25) were seven times more likely to report adequate pain control (OR 6.62, 95% CI 2.50 – 17.56, p < 0.001). Conversely, those patients who reported a severe rating on total pain interference were 75% less likely to experience adequate pain management (OR 0.25, 95% CI 0.17 – 0.35, p < 0.001). Conclusions: Unexpectedly, there was a high prevalence of pain among cancer patients at a representative cancer center in the Philippines. Pain exerts a heavy toll on patients, affecting daily functioning. The undertreatment of pain discovered in this study (59% of cancer patients) is alarming. Timely pain evaluation can help identify the presence of pain and the need for appropriate use of analgesics. The assessment and management of pain is a critical component of cancer care that should not be neglected.

scholarly journals Online paediatric chronic pain management: assessing the needs of UK adolescents and parents, using a cross-sectional survey

2020 ◽  
pp. 204946372094034
Author(s):  
Anna Hurley-Wallace ◽  
Daniel E Schoth ◽  
Suzanne Lilley ◽  
Glyn Williams ◽  
Christina Liossi
Keyword(s):  
Social Media ◽  
Chronic Pain ◽  
Pain Management ◽  
Online Survey ◽  
Interdisciplinary Treatment ◽  
Future Research ◽  
Chronic Pain Management ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Social Media Platforms

Background: Adolescent chronic pain is prevalent, and interdisciplinary treatment is recommended. Although it is well known that technology is a key part of adolescents’ daily lives, there have not been any online, interdisciplinary interventions developed for adolescents with chronic pain in a UK healthcare context. Little is known about how adolescents currently use online resources to manage chronic pain, or what guidance they seek. Methods: Ninety-five participants from the community answered this mixed-methods, online survey (adolescent n = 54, parent n = 41), which assessed the needs of UK-based adolescents for a new online chronic pain management resource. Results: Findings indicated that, at the time of the survey, adolescents frequently used social media platforms, such as Instagram, for chronic pain management. Desired techniques for a new interdisciplinary resource for adolescents included ‘advice on explaining chronic pain to others’ (86.7% of adolescents) and sleep hygiene (82.2% of adolescents), though access to a range of pain management techniques was desired. Qualitative results indicated endorsement of a new programme by adolescents and parents. Conclusions: Adolescents and parents had a positive outlook towards the development of a UK-specific online resource to help manage chronic pain. Such an intervention should aim to be made accessible via the National Health Service. Adolescent use of social media platforms to seek support for chronic pain requires further exploration in future research.

scholarly journals Effects of Age Among Elderly Cancer Patients on Breakthrough Pain Management with Sublingual Fentanyl Tablets

Drugs in R&D ◽  
2019 ◽  
Vol 19 (3) ◽  
pp. 247-254
Author(s):  
Jordi Guitart ◽  
María Isabel Vargas ◽  
Vicente De Sanctis ◽  
Jordi Folch ◽  
Rafael Salazar ◽  
...  
Keyword(s):  
Pain Management ◽  
Cancer Patients ◽  
Breakthrough Pain ◽  
Elderly Cancer Patients ◽  
Sublingual Fentanyl

scholarly journals Survey of physician comfort and attitudes on perioperative opioid prescription in patients with chronic pain

2021 ◽  
pp. 201010582110081
Author(s):  
Pei Yu Tan ◽  
Diana Xin Hui Chan ◽  
Denise Desiree Bi Si Quah
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Online Survey ◽  
Prescribing Practices ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Opioid Prescription ◽  
Singapore General Hospital ◽  
Chronic Pain Patients ◽  
Pain Patients

Objective: This study examines current practices, experiences, beliefs, concerns regarding negative outcomes and confidence of non-pain specialty anaesthetists regarding prescribing opioids to chronic pain patients. Design: An electronic cross-sectional survey was conducted by physicians from the Division of Anaesthesiology, excluding pain specialists, at the Singapore General Hospital. Methods: An online survey was conducted, investigating: (a) sociodemographic and practice characteristics; (b) current opioid prescribing practices; (c) experiences and beliefs towards prescribing opioid analgesics for chronic non-malignant pain; (d) confidence and comfort when prescribing opioids; and (e) educational and training needs in chronic pain management. Results: A total of 123 anaesthetists (80.9%) responded to the survey. It was noted that only 38.2% of respondents were comfortable managing patients with chronic pain. The majority (86.2%) felt that anaesthetists should be the primary doctors in the management of postoperative pain in chronic pain patients, and 61% believed that chronic pain trained specialist anaesthetists should be responsible; 92.7% of respondents agreed that patients who are educated about their pain tend to do better. Most importantly, 96.7% of respondents feel that they will benefit from more education regarding pain management in chronic pain patients. Conclusions: The majority of non-pain specialist anaesthetists recognise the importance of education regarding pain management for non-malignant chronic pain patients. Many feel that they are not confident in managing these patients and will benefit from continuing medical education and self-assessment courses to improve their confidence. These results could be used to enrich current pain management courses.

scholarly journals Gambaran Tatalaksana Nyeri Skala 1-3 Pada Pasien Kanker Di Ruang Perawatan Onkologi RSUP Dr. Kariadi Semarang

2019 ◽  
Vol 6 (1) ◽  
pp. 40-43
Author(s):  
Mufid Mufid
Keyword(s):  
Pain Management ◽  
Cancer Patients ◽  
General Hospital ◽  
Medical Center ◽  
Sampling Technique ◽  
Cross Sectional ◽  
Hospital Medical ◽  
Treatment Room ◽  
Oncology Treatment ◽  
Keywords Cancer

Background of the Study: Cancer is a disease or abnormalities of cells that grow new abnormally, excessively, uncontrollably, and finally can attack and spread to other organs around it. The pain always impairs cancer patients, it will differentially impair cancer patients', from mild, moderate, and severe. The pains can be overcome according to their standard: mild pain with nonpharmacology as an independent area of nursing, moderate pain with non-pharmacological and pharmacological combinations, they are collaborative areas, and severe pain with pharmacology, it is commonly given with medication. Objective of the Study: Find the description of pain management scales 1-3 by nurses towards cancer patients in oncology treatment room Dr. Kariadi General Hospital Medical Center or RSUP. Dr. Kariadi Semarang Research Methodology: The design used was descriptive quantitative with cross-sectional approach, the sample size was 124 people. The sampling technique was Cluster-random sampling. The research instrument used was questionnaire sheet, while the analysis used was descriptive statistics to be displayed in the form of frequency distribution. Results of the Study: Description of the implementation of pain management scales 1-3 by nurses towards cancer patients in oncology treatment room Dr. Kariadi General Hospital Medical Center or RSUP. Dr. Kariadi Semarang quantitatively on medical records shows that the average achievement of 95.16% (Good), quantitatively in the patients shows that the average achievement of 75.8% (Poor). Conclusion: Description of the implementation of pain management scales 1-3 by nurses towards cancer patients in oncology treatment room  Dr. Kariadi General Hospital Medical Center or RSUP. Dr. Kariadi Semarang generally shows fair category. Keywords: Cancer, Pain Management, Semarang   Latar Belakang : Kanker adalah penyakit atau kelainan sel-sel yang tumbuh  baru secara abnormal, berlebihan, tidak terkendali, serta kemudian dapat menyerang dan  menyebar ke organ lain di sekitarnya. Nyeri selalu menyertai penderita kanker, dengan tingkat nyeri yang dirasakan oleh penderita bervariasi, dari ringan, sedang, dan berat.Nyeri dapat ditanggulangi sesuai  standartnya: yang ringan dengan non farmakologi sebagai area independen keperawatan, sedang dengan kombinasi non farmakologi dan farmakologi yaitu area kolaboratif, dan berat dengan farmakologi biasanya dengan pemberian medikasi.  Tujuan penelitian: Mengetahui  gambaran tatalaksana nyeri skala 1-3 oleh perawat pada pasien kanker diruang perawatan onkologi RSUP Dr. Kariadi Semarang Metode Penelitian : Desain yang digunakan deskriptif kuantitatif dengan pendekatan cross-sectional, besar sampel 124 orang. Tehnik sampling Clusterrandom sampling. Instrumen penelitian menggunakan lembar kuesioner sedangkan analisis yang digunakan statistik diskriptif yang akan ditampilkan dalam bentuk distribusi frekuensi. Hasil Penelitian : Gambaran implementasi tatalaksana nyeri skala 1-3 oleh perawat pada pasien kanker diruang perawatan onkologi RSUP Dr. Kariadi Semarang secara kuantitatif pada rekam medis menunjukkan bahwa rata – rata capaian 95,16 % (baik), secara kuantitatif pada pasien  menunjukkan bahwa rata – rata capaian 75,8 %(kurang baik). Kesimpulan : Gambaran implementasi tatalaksana nyeri skala 1-3 oleh perawat pada pasien kanker diruang perawatan onkologi RSUP Dr. Kariadi Semarang secara umum menunjukkan cukup baik. Kata kunci     : Kanker , Tatalaksana nyeri, Semarang

scholarly journals Readiness of Pharmacists Based in Utah About Pain Management and Opioid Dispensing

Pharmacy ◽  
2019 ◽  
Vol 7 (1) ◽  
pp. 11
Author(s):  
Meghan Balough ◽  
Stephen Nwankpa ◽  
Elizabeth Unni
Keyword(s):  
Pain Management ◽  
Prescription Drugs ◽  
Online Survey ◽  
Risk Identification ◽  
Opioid Use Disorder ◽  
Prescription Opioid ◽  
Opioid Use ◽  
Cross Sectional ◽  
Opioid Crisis ◽  
Prescription Opioid Use

Prescription opioid use disorder is a growing epidemic and pharmacists as the dispensers of prescription drugs can play a crucial role in the management of the opioid crisis. However, few studies have examined pharmacists’ perceptions of their role in it. The objective of this study was to evaluate the perceptions of pharmacists in Utah regarding their role in the opioid epidemic. The study utilized a cross sectional online survey design to understand the pharmacist knowledge and beliefs regarding pain management, opioids, naloxone, and the various opioid risk identification tools. Frequencies, t-tests, and chi-squared were used to describe and analyze the data. A total of 239 surveys were qualified for analysis. Analysis showed that pharmacists have positive attitudes towards opioid crisis management; however, this positive attitude was higher among newer pharmacists. Though the pharmacists were knowledgeable with the opioid pharmacotherapy and prescribing guidelines, they demonstrated education needs for hands-on training when faced with a situation of prescription opioid use disorder in their practice. The use of risk identification tools was not prevalent. Results show lack of active participation by pharmacists in this major public health challenge, and the need for education in several aspects of opioid dispensing, naloxone use, and efficient use of risk identification tools.

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