Evaluation of the prevalence and severity of pain in patients with stable chronic heart failure

Udeoji, Dioma U.

doi:10.4330/wjc.v4.i8.250

Cited by 21 publications

(25 citation statements)

References 33 publications

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“…(17) Within other branches of oncology, ESAS has been used by medical oncologists,(59, 60) radiation oncologists,(61) surgical oncologists,(62, 63) and gynecological oncologists. (64, 65) Outside of oncology, ESAS has also been adopted for symptom assessment in patients with kidney diseases,(66, 67) heart failure,(68, 69) pulmonary disorders,(70) hepatic diseases,(71) and sickle cell anemia. (72)…”

Section: Present Applicationsmentioning

confidence: 99%

The Edmonton Symptom Assessment System 25 Years Later: Past, Present, and Future Developments

Hui

Bruera

2017

Journal of Pain and Symptom Management

561

428

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Context Routine symptom assessment represents the cornerstone of symptom management. ESAS is one of the first quantitative symptom assessment batteries that allows for simple and rapid documentation of multiple patient-reported symptoms at the same time. Objective To discuss the historical development of ESAS, its current uses in different settings, and future developments. Methods Narrative review Results Since its development in 1991, ESAS has been psychometrically validated and translated into over 20 languages. We will discuss the variations, advantages and limitations with ESAS. From the clinical perspective, ESAS is now commonly used for symptom screening and longitudinal monitoring in patients seen by palliative care, oncology, nephrology, and other disciplines in both inpatient and outpatient settings. From the research perspective, ESAS has offered important insights into the nature of symptom trajectory, symptom clusters and symptom modulators. Furthermore, multiple clinical studies have incorporated ESAS as a study outcome and documented the impact of various interventions on symptom burden. On the horizon, multiple groups are actively investigating further refinements to ESAS, such as incorporating it in electronic health records, employing ESAS as a trigger for palliative care referral, and coupling ESAS with personalized symptom goals to optimize symptom response assessment. Conclusion ESAS has evolved over the past 25 years to become an important symptom assessment instrument in both clinical practice and research. Future efforts are needed to standardize this tool and explore its full potential to support symptom management.

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Section: Present Applicationsmentioning

confidence: 99%

The Edmonton Symptom Assessment System 25 Years Later: Past, Present, and Future Developments

Hui

Bruera

2017

Journal of Pain and Symptom Management

561

428

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“…(61,62,66) As expected based upon the advanced age of many patients with HF, musculoskeletal pain is extremely common and tends to be worsened by physical inactivity as HF progresses. In one study, musculoskeletal pain afflicted 75% of veterans with HF who were lacking concomitant edema (62).…”

Section: Painmentioning

confidence: 99%

“…Total pain is comprised of physical, emotional, social, existential, and spiritual components. (66) Physical pain can be nociceptive, resulting from damage to non-neuronal tissue, or neuropathic, resulting from damage to the body’s peripheral sensors. Nociceptive pain can be further subdivided into somatic pain and visceral pain.…”

Section: Painmentioning

confidence: 99%

“…In contrast, visceral pain, an internal pain brought on by stretch, ischemia, or inflammation, manifests as deep, diffuse, and dull discomfort. (66,71) An adequate assessment of pain should include questions of frequency, location, duration, qualities, precipitants, and alleviating factors. (71) Using a numeric pain intensity scale ranging from 0 (no pain) to 10 (worst pain possible) provides the clinician with a metric to gauge response to treatment as well.…”

Section: Painmentioning

confidence: 99%

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Symptom burden in heart failure: assessment, impact on outcomes, and management

et al. 2016

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Evidence-based management has improved long-term survival in patients with heart failure (HF). However, an unintended consequence of increased longevity is that patients with HF are exposed to a greater symptom burden over time. In addition to classic symptoms such as dyspnea and edema, patients with HF frequently suffer additional symptoms such as pain, depression, gastrointestinal distress, and fatigue. In addition to obvious effects on quality of life, untreated symptoms increase clinical events including emergency department visits, hospitalizations, and long-term mortality in a dose-dependent fashion. Symptom management in patients with HF consists of two key components: comprehensive symptom assessment and sufficient knowledge of available approaches to alleviate the symptoms. Successful treatment addresses not just the physical but also the emotional, social, and spiritual aspects of suffering. Despite a lack of formal experience during cardiovascular training, symptom management in HF can be learned and implemented effectively by cardiology providers. Co-management with palliative medicine specialists can add significant value across the spectrum and throughout the course of HF.

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“…Of equal importance, results indicating that patients with higher pain intensities were more likely to be classified as HF III-IV contribute to the small body of research on this topic. To date, evidence has been mixed, as reports by Shah and Gan are consistent with findings here, but Udeoji did not detect this relationship in a study that excluded subjects with HF class IV (Gan et al, 2012;Shah et al, 2013;Udeoji, Shah, Bharadwaj, Katsiyiannis, & Schwarz, 2012).…”

Section: Relationships Among Variablessupporting

confidence: 83%

Pain and physical activity in older depressed heart failure patients

Haedtke¹

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In loving memory of my husband Alan Haedtke iii The person who says something is impossible should not interrupt the person who is doing it Chinese Proverbs iv ACKNOWLEDGEMENTS I want to thank Carolyn Turvey for allowing me to add "my" tools to your ongoing study and being so supportive. Special thanks to Marianne and Keela for working over the summer to make this possibility a reality. Without your guidance and unending reiterations none of this would have been possible. Finally, thanks to each member of my dissertation committee for the time invested in preparing me to become a scholar. v ABSTRACT Background/SignificanceHeart failure patients have high mortality, co-morbidity, hospitalization rates, costs and numerous recommendations to follow. Non-cardiac pain is common and an additional compounding problem as it decreases heart failure (HF) patients' ability to follow recommendations, decreases quality of life and increases the likelihood of being hospitalized.When depression is combined with HF and pain, patients are even less able to follow recommendations, treatment plans, and self-care behaviors.Exercise is an important, low-cost intervention for pain that has considerably fewer adverse effects/interactions than pharmacologic therapies. Given the low rates of participation in exercise and the many barriers that discourage exercise participation, an essential first step is to establish current physical activity levels and how pain may further influence potential engagement in exercise programs. ObjectivesTo characterize and describe: the experience of pain, pain management, the self-reported physical activity level including relationships between pain intensity, pain interference, total activity time, sitting time, perceptions of exercise, and depression, in older depressed HF participants. MethodsThis descriptive cross-sectional study analyzed data from 62 participants with depression and Class II-IV HF. Data from the Brief Pain Inventory, Rand 36, International Physical Activity Questionnaire, Beck Depression Inventory II, and Exercise and Pain Management Questionnaire were used in the analysis.vi ResultsThe majority of depressed HF patients had moderate to severe pain intensity and interference and no differences were found in demographics between those who had pain and those who didn't. Depression level did not have an additional impact on pain intensity or pain interference. Non-pharmacological treatments were severely underutilized. The majority of participants think exercise will be helpful to treat their pain. The most common barriers to exercise for depressed HF patients include: shortness of breath (72%), having no one to exercise with (59%), fatigue (56%), other health conditions (56%), and the weather is too hot or too cold (55%). Those who had higher pain intensity, pain interference, or depression scores were just as likely to report that exercise would be helpful in managing pain as those with lower scores.Lastly, the majority would like to be more physically active. ConclusionThe prevalence...

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Evaluation of the prevalence and severity of pain in patients with stable chronic heart failure

Abstract: Pain appears to be prevalent and significantly affects quality of life in HF patients. Adequate pain assessment and management should be an integral part of chronic heart failure management.

Cited by 21 publications

References 33 publications

The Edmonton Symptom Assessment System 25 Years Later: Past, Present, and Future Developments

The Edmonton Symptom Assessment System 25 Years Later: Past, Present, and Future Developments

Symptom burden in heart failure: assessment, impact on outcomes, and management

Pain and physical activity in older depressed heart failure patients

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