Cancer Pain Social Processes and Pain Management in Home Hospice Care

Ehrlich, Olga; Walker, Rachel; Jacelon, Cynthia S.

doi:10.1016/j.pmn.2019.06.011

Cited by 7 publications

(4 citation statements)

References 19 publications

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“…In a constructivist grounded theory study, Ehrlich and colleagues 15 found that functional pain goals underpinned hospice pain education and interventions in patient-caregiver-nurse triads. Functional pain goals were described as meaningful daily activities, a concept that was derived from the common theme of what each patient wanted to achieve during times of good pain control 15 . In a follow-up study using nurse-led motivational interviewing with persons receiving palliative care for cancer pain, participants were asked to provide functional pain goals.…”

Section: Linking Theory and Evidence To Practicementioning

confidence: 99%

“…Functional pain goals were described as meaningful daily activities, a concept that was derived from the common theme of what each patient wanted to achieve during times of good pain control. 15 In a follow-up study using nurseled motivational interviewing with persons receiving palliative care for cancer pain, participants were asked to provide functional pain goals. On the basis of participant responses, the definition of functional pain goals was revised to include patient self-reported important activities or states of being when pain is controlled.…”

Section: Linking Theory and Evidence To Practicementioning

confidence: 99%

“…The case scenario centers around the underlying goals that influence the patient's pain management choices and are key to effective nursing care planning. In a constructivist grounded theory study, Ehrlich and colleagues 15 found that functional pain goals underpinned hospice pain education and interventions in patient-caregiver-nurse triads. Functional pain goals were described as meaningful daily activities, a concept that was derived from the common theme of what each patient wanted to achieve during times of good pain control 15 .…”

Section: Linking Theory and Evidence To Practicementioning

confidence: 99%

See 2 more Smart Citations

Patient Goals in Hospice Cancer Pain Management

Ehrlich

Vallerand

2022

J Hosp Palliat Nurs

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Evidence-based clinical practice guidelines and hospice agency policies and procedures direct nursing assessment and interventions for the care of persons with cancer-related pain. Guidelines assert that pain should be assessed from a holistic perspective that considers physical, psychological, social, and spiritual aspects. In addition, guidelines maintain that hospice nurses should ascertain patient goals for pain management. Assessment and documentation of goals other than pain intensity goals is an area of nursing practice that has not been developed. Without inclusion of personally meaningful goals in pain assessment instruments, such goals cannot be routinely or consistently included in the hospice care plan. To address the assessment of pain and patient goals for pain management, this scenario-based article merges theoretical knowledge about pain from concept analyses with clinical guideline recommendations. Although research is needed to develop pain goal assessment tools, nurses can use this empirically based approach for asking about goals and integrating them into the plan of care.

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Section: Linking Theory and Evidence To Practicementioning

confidence: 99%

Section: Linking Theory and Evidence To Practicementioning

confidence: 99%

Section: Linking Theory and Evidence To Practicementioning

confidence: 99%

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Patient Goals in Hospice Cancer Pain Management

Ehrlich

Vallerand

2022

J Hosp Palliat Nurs

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“…10 The experience of cancer is different for individuals in various social groups, and their interpretation and compatibility with the symptoms could be unique. 11 Personalization is an essential aspect in providing care to patients with cancer, and sociocultural factors are important in the assessment and treatment of cancer pain. 12 It seems that culture and society influence multiple aspects of the pain experience, including its perception, presentation, and treatment in patients, their families, and health care providers.…”

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confidence: 99%

Pain Self-management Strategies in Patients With Cancer

Orujlu

Hassankhani

Rahmani

et al. 2023

Holistic Nursing Practice

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Successful pain management in patients with cancer is a significant challenge, and paying more attention to patients' experiences of pain self-management strategies has particular importance. This study aimed to explore pain self-management strategies in Iranian patients with cancer. This qualitative study was conducted on 14 patients with cancer. Data were collected using semistructured interviews and analyzed through the Graneheim and Lundman content analysis approach. Two main categories emerged from data analysis: (1) psychological pain self-management strategies, and (2) behavioral pain self-management strategies. Psychological strategies included pain distraction techniques, spiritual tendencies, increasing social interactions and support networks, pain tolerance and self-control, and resistance to pain. Behavioral strategies included massage and touch, heat and cold therapy, opium (Taryak in Persian) and tobacco use, herbal and home remedies, and proper diet.

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