“We all talk about it as though we’re thinking about the same thing.” Healthcare professionals’ goals in the management of pain due to advanced cancer: a qualitative study

Bhatia, Rebecca; Gibbins, Jane; Forbes, Karen; Karen, Forbes; Reid, Colette; Colette, Reid

doi:10.1007/s00520-014-2191-6

Cited by 5 publications

(2 citation statements)

References 38 publications

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“…This pain goal, however, was established based on the authors’ assumption that complete pain relief was difficult, we would argue that healthcare providers need to have enthusiasm for providing more aggressive pain relief. It has been reported that pain goals of individual patients are often not clear to the healthcare providers [ 25 , 26 ]. Green et al have proposed that identifying a tailored personalized pain goal should be a critical part of pain management education, along with close communication between the patient and healthcare providers [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

Tolerable pain reduces gastric fundal accommodation and gastric motility in healthy subjects: a crossover ultrasonographic study

Hasuo

Kusunoki

Kanbara

et al. 2017

BioPsychoSocial Med

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BackgroundObstacles to pain management include patients’ reluctance to inform healthcare provides about their pain, and differences in the pain management aims between patients and healthcare providers. The objective of this study was to evaluate whether tolerable pain influences gastric fundal accommodation and gastric motility in healthy subjects.MethodsWe undertook a crossover comparison study to evaluate gastric fundal accommodation and gastric motility in 74 healthy subjects in the presence or absence of tolerable pain. The intensity of tolerable pain was defined as the upper limit of pain compatible with comfortable daily life. Pain was generated by clipping a clothes pin to the ear lobe, and the intensity of pain was adjusted by inserting the gauze between the ear lobe and the pin. Gastric fundal accommodation and gastric motility were assessed by external ultrasonography. The cross-sectional area of the proximal stomach was measured after subjects had taken 100 mL-liquid meals four times, then the amplitude and frequency of antral contractions were measured.ResultsThe median numerical rating scale of tolerable pain was 3 (interquartile rang 2–4). Gastric fundal accommodation, gastric motility and gastric emptying were all significantly impaired by tolerable pain (P < 0.001 for all comparisons).ConclusionsEven tolerable pain can reduce gastric fundal accommodation and gastric motility, which could result in anorexia or decreased quality of life. Our findings provide important insights into pain management education for patients tolerating pain and healthcare providers encouraging patients to tolerate pain. This study was registered retrospectively.

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Section: Discussionmentioning

confidence: 99%

Tolerable pain reduces gastric fundal accommodation and gastric motility in healthy subjects: a crossover ultrasonographic study

Hasuo

Kusunoki

Kanbara

et al. 2017

BioPsychoSocial Med

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“…More than one-third of cancer patients experience moderate or severe pain [7]. Despite clear recommendations from the World Health Organization (WHO), pain is still a major problem experienced by cancer patients during repeated hospitalizations [8–10].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the pain intensity differences among hospitalized cancer patients based on a nursing information system

Wang

Chu

et al. 2019

PLoS ONE

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Evaluating the absolute difference in pain intensity and the percentage difference in pain intensity could facilitate an understanding of pain reduction among cancer patients during repeated hospitalizations. Examinations of the absolute differences in pain intensity and the percentage differences in pain intensity according to the worst pain intensity and last evaluated pain intensity before discharge are lacking. The aim of this study was to evaluate the absolute and percentage difference in pain intensities among cancer patients with moderate or severe pain from their 1st to 18th hospitalizations from 2011–2013. A population-based retrospective cohort study was conducted. Pain intensity was assessed using scales and was recorded in a nursing information system. The absolute and percentage difference in pain intensities were examined via the one-sample Kolmogorov-Smirnov test, and group differences in moderate or severe pain were evaluated with the Mann-Whitney U test. For moderate pain patients, the mean absolute difference in pain intensity was 1.52, and the percentage difference in pain intensity was 29.0%; both these values were significant. More significant changes in the absolute and percentage difference in pain intensities were associated with severe pain patients. Both the average absolute difference in pain intensity (3.09) and the percentage difference in pain intensity (38.5%) in patients with severe pain were significantly higher than the average absolute difference in pain intensity (1.52) and the percentage difference in pain intensity (29.0%) in patients with moderate pain. Cancer patients with moderate and severe pain experienced pain reductions of approximately 30% and 40%, respectively. Early pain management intervention in patients with severe pain is necessary to achieve an obvious analgesic effect, and the formula of the percentage difference in pain intensity should be incorporated into the nursing information system to alert clinicians for early detection of the effectiveness of cancer pain management.

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Oncologist’s knowledge and implementation of guidelines for breakthrough cancer pain in Spain: CONOCE study

López‐López¹,

Herrero²,

Khosravi-Shahi

et al. 2017

Clin Transl Oncol

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“We all talk about it as though we’re thinking about the same thing.” Healthcare professionals’ goals in the management of pain due to advanced cancer: a qualitative study

Cited by 5 publications

References 38 publications

Tolerable pain reduces gastric fundal accommodation and gastric motility in healthy subjects: a crossover ultrasonographic study

Tolerable pain reduces gastric fundal accommodation and gastric motility in healthy subjects: a crossover ultrasonographic study

Evaluation of the pain intensity differences among hospitalized cancer patients based on a nursing information system

Oncologist’s knowledge and implementation of guidelines for breakthrough cancer pain in Spain: CONOCE study

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