A pilot study investigating the effect of a patient-held pain assessment tool in palliative care outpatients attending a rural Kenyan hospital

Besley, Charlie; Kariuki, Hellen; Fallon, Marie

doi:10.1177/0269216314536947

Cited by 8 publications

(29 citation statements)

References 13 publications

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“…Other opportunities for improving care are patient education and implementation of tools that can provide patients with guidance on self-management of pain. 24 Furthermore, expanded outpatient and inpatient hospice services would improve end-of-life care for many patients. Ultimately, the economic health of Kenya will be key to improving the outlook for Kenyans with cancer.…”

Section: Discussionmentioning

confidence: 99%

Integration of Palliative Care Into Comprehensive Cancer Treatment at Moi Teaching and Referral Hospital in Western Kenya

Cornetta

Kipsang

Gramelspacher

et al. 2015

JGO

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PurposeThe prognosis for the majority of patients with cancer in Kenya is poor, with most patients presenting with advanced disease. In addition, many patients are unable to afford the optimal therapies required. Therefore, palliative care is an essential part of comprehensive cancer care. This study reviews the implementation of a palliative care service based at the Moi Teaching and Referral Hospital in Eldoret, Kenya, and describes the current scope and challenges of providing palliative care services in an East African tertiary public referral hospital.MethodsThis is a review of the palliative care clinical services at the only tertiary public referral hospital in western Kenya from January 2012 through September 2014. Palliative care team members documented each patient's encounter on standardized palliative care assessment forms; data were then entered into the Academic Model Providing Access to Health Care (AMPATH)-Oncology database. Interviews were also conducted to identify current challenges and opportunities for program improvement.ResultsThis study documents the implementation of a palliative care service line in Eldoret, Kenya. Barriers to providing optimal palliative cancer care include distance to pharmacies that stock opioids, limited selection of opioid preparations, education of health care workers in palliative care, access to palliative chemoradiation, and limited availability of outpatient and inpatient hospice services.ConclusionPalliative care services in Eldoret, Kenya, have become a key component of its comprehensive cancer treatment program.

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Section: Discussionmentioning

confidence: 99%

Integration of Palliative Care Into Comprehensive Cancer Treatment at Moi Teaching and Referral Hospital in Western Kenya

Cornetta

Kipsang

Gramelspacher

et al. 2015

JGO

View full text Add to dashboard Cite

show abstract

“…31 Three studies excluded patients with cognitive impairment. 24,25,28 One study did not provide any patient inclusion or exclusion criteria, and all patients in the clinic were eligible for participation. 30,32 Of the 10 studies, 4 included both patients and caregivers (eg, the primary or most involved person in the patient's care), 26 patients.…”

Section: Study Country Setting Inclusion and Exclusion Criteria Samentioning

confidence: 99%

“…26,27,31 The 2 studies that included caregiver demographics of race/ethnicity also reported a predominately white sample (>70%). 27,31 The designs of the 10 studies included 2 single-group pretest-posttest, 29,32 3 quasi-experimental, 23,28,30 and 5 randomized control trials. [24][25][26][27]31 Five studies had 2 assessment points, 25,26,28,30,32 4 studies had 3 assessment points, 23,24,27,29 and 1 study had more than 3 assessment points.…”

Section: Study Country Setting Inclusion and Exclusion Criteria Samentioning

confidence: 99%

“…31 Three studies were delivered without person contact but through media, including DVD, 29 webbased modules, 30 and an information card that contained action triggers to support the patient's decision-making. 28 One study used a telephone response system to assess current pain, and, when pain reached a given threshold, a call was made by a provider to discuss pain management. 32 Five studies had a usual care control group condition.…”

Section: Intervention Attrition Measures Significance and Effect mentioning

confidence: 99%

“…Five studies looked at pain occurring "now" 23,25,27,29,32 or in the "last 12 hours." 28 Three studies looked at worst pain in the "last 24 hours," 24,29,30 and 1 looked at the worst pain in the "last week." 27 Two studies assessed least pain severity in the "last 24 hours," 29,30 and 3 assessed average pain severity in the "last 24 hours."…”

Section: Intervention Attrition Measures Significance and Effect mentioning

confidence: 99%

See 2 more Smart Citations

Behavioral Pain Intervention for Hospice and Palliative Care Patients: An Integrative Review

Mayahara

Wilbur

Fogg

et al. 2018

Am J Hosp Palliat Care

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Despite the advances in pain management, achieving optimal pain control in hospice and palliative care is challenging. Patient/caregiver's lack of pain management knowledge, poor pain reporting, and poor adherence to pain management regimens are all associated with inadequate pain control. The purpose of this integrated review is to examine behavioral interventions designed for patients and caregivers to improve pain control in hospice and palliative care settings. Ten studies were identified through a database search. Seven of the 10 studies found significant improvement in at least 1 pain marker. Of the 7 studies that looked at changes in pain knowledge, 5 had significant improvements in at least 1 knowledge subscale. The 2 studies that looked at adherence to pain management found significant improvements. One limitation of the reviewed studies was that the delivery of them would not be efficient across all health-care settings, and, as a consequence, more technologically sophisticated delivery methods are needed. Therefore, while it is clear from the review that effective pain management interventions have been developed for hospice and palliative care patients, it is also clear that future research needs to focus on providing these same interventions through a more technologically sophisticated delivery method.

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A Systematic Review of Palliative Care Intervention Outcomes and Outcome Measures in Low-Resource Countries

Potts

Cartmell

Nemeth

et al. 2018

Journal of Pain and Symptom Management

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A pilot study investigating the effect of a patient-held pain assessment tool in palliative care outpatients attending a rural Kenyan hospital

Abstract: This study has demonstrated that a simple pain assessment tool, when linked to some action, may help achieve better analgesia.

Cited by 8 publications

References 13 publications

Integration of Palliative Care Into Comprehensive Cancer Treatment at Moi Teaching and Referral Hospital in Western Kenya

Integration of Palliative Care Into Comprehensive Cancer Treatment at Moi Teaching and Referral Hospital in Western Kenya

Behavioral Pain Intervention for Hospice and Palliative Care Patients: An Integrative Review

A Systematic Review of Palliative Care Intervention Outcomes and Outcome Measures in Low-Resource Countries

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