Barriers to Cancer Pain Management in Danish and Lithuanian Patients Treated in Pain and Palliative Care Units

Jacobsen, Ramunė; Samsanaviciene, Jurgita; Liubarskienė, Zita Vincentina; Sjøgren, Per; Møldrup, Claus; Christrup, Lona Louring; Ščiupokas, Arūnas; Hansen, Ole

doi:10.1016/j.pmn.2012.06.002

Cited by 13 publications

(13 citation statements)

References 25 publications

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“…[23,30,34,36] This barrier was considered the second highest barrier among Norwegian and Jordanian cancer patients who are in pain. [28,37] Haozous et al [34] found 13 Indian Americans who participated in their study constantly link their poor adherence to cancer pain management to their fear of doing embarrassing things. According to Liang et al, [34] approximately 59% of 92 Taiwanese patients in their study indicated cancer pain medication's side effects as a barrier toward effective pain management.…”

Section: Fear Of Drug Side Effectsmentioning

confidence: 99%

Adult cancer patients’ barriers toward pain management: A literature review

Ibrahim

Khraim

Al-Tawafsheh

2020

JNEP

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Background and objective: Cancer pain is the most common symptom among cancer patients. Despite strategies to control cancer pain, cancer patients’ beliefs and attitudes influence the effectiveness of cancer pain management. The aim of this literature review was to identify and explore adult cancer patients’ barriers toward pain management.Methods: A literature review was conducted. CINAHL, Medline, and PsychINFO databases were searched for relevant articles from 2008 to 2019. Twenty one articles were included in this literature review. Thematic analysis was conducted to identify and explore adult cancer patients’ barriers toward pain management. Results: This literature review revealed several patient barriers toward pain management. These barriers were categorized into cognitive barriers that include poor pain communication, fatalism, and fear of addiction and tolerance; sensory barrier, such as fear of drug side effects; affective barriers, such as anxiety and depression, and socio-demographic barriers that influence cancer pain management.Conclusions: Adult cancer patients’ barriers toward pain management significantly compromise the effectiveness of pain management and affect cancer patients’ quality of life. A better understanding of cancer patients’ barriers toward pain management by the healthcare providers will result in better assessment and management of these barriers and will enhance evidenced-based patient education.

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Section: Fear Of Drug Side Effectsmentioning

confidence: 99%

Adult cancer patients’ barriers toward pain management: A literature review

Ibrahim

Khraim

Al-Tawafsheh

2020

JNEP

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“…Otherwise, patients struggle with misconceptions about analgesic use, concerns about pain communication, and a belief that pain is inevitable and uncontrollable [10]. All reasons for the lack of adequate pain control are varied: (a) personal-fear of drug addiction, (b) legal issues by issuing a higher dose of these medicines, (c) material-with regard to the price and quantity of medicinal products, (d) organizational-regular supply and storage of medicines, (e) psychological-the conviction of the patient or his family members that narcotic analgesics can be used only in the last stages of the illness, (f) causes of medical staff in the absence of sufficient knowledge of analgesia and the principles for its administration, and (g) poor adherence to pain medication and poor pain relief, which appear to be more country-specific problems [11].…”

Section: Introductionmentioning

confidence: 99%

Cancer Pain

Ščiupokas¹,

Brogienė²,

Skorupskienė³

2019

From Conventional to Innovative Approaches for Pain Treatment

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In 1986, the World Health Organization (WHO) has published a document entitled "A Declaration of the Rights of Patients with Chronic Cancer," which says that according to the WHO, three-step analgesic ladder pain relief should be adequate for 70-90% of patients. However, despite increased attention on assessment and management, pain continues to be a prevalent symptom for patients with cancer. That is why refreshment of knowledge in cancer pain is necessary for every active practitioner. Broad overview of current understanding in cancer pain is presented in the chapter. Cancer pain syndromes are analyzed in between acute or chronic, and in among various causes occurred. Cancer pain assessment was presented with challenges meeting clinical practitioners. For cancer pain treatment, principles of multimodal approach are used. The pharmaceutical treatment presented in detail included rational use of opioids. Big attention is paid on palliative care of cancer pain patients and hospice-based palliative care model is presented too. New technologies of breakthrough cancer pain management are disclosed in detail including special questionnaire for patients. Cancer survivors' pain treatment and general practitioner's role among cancer pain problems are new topics presented in the chapter.

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“…Pain is a frequent, and often undertreated, symptom among cancer patients, with 33 to 64% of patients experiencing pain depending on disease trajectory and treatment phase [4][5][6]. There are many barriers to adequate pain management [7][8][9], including poor patient-provider communication [7]. Although pain is one of the most often discussed symptoms in the clinical setting [10,11], some patients' pain may go unrecognized, and the level of pain may be underestimated by the doctor [6].…”

Section: Introductionmentioning

confidence: 99%

“…Although pain is one of the most often discussed symptoms in the clinical setting [10,11], some patients' pain may go unrecognized, and the level of pain may be underestimated by the doctor [6]. Patients may choose not to tell their doctor about it because they do not want to burden the doctor with too many issues or because they are concerned about side effects of or addiction to pain medication [7][8][9].…”

Section: Introductionmentioning

confidence: 99%