Barriers to Effective Cancer Pain Management: A Review of the Literature
As many as 90% of patients with cancer-related pain can attain satisfactory relief through available pharmacological and medical means. However, as many as 45% of patients in the earlier stages of cancer and 75% of patients in the advanced stages experience at least some pain. Although published gui...
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Veröffentlicht in: | Journal of Pain and Symptom Management 1999-11, Vol.18 (5), p.358-368 |
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creator | Pargeon, Kimberly L Hailey, B.Jo |
description | As many as 90% of patients with cancer-related pain can attain satisfactory relief through available pharmacological and medical means. However, as many as 45% of patients in the earlier stages of cancer and 75% of patients in the advanced stages experience at least some pain. Although published guidelines are available, the research literature suggests that health care providers continue to hold some negative misconceptions about cancer pain and its treatment. Patients also harbor similar misconceptions that contribute to ineffective management. Interventions have been discussed in the literature, and although some have proven successful, much still needs to be done to remedy this problem. This review outlines the published guidelines for cancer pain management and describes the literature related to provider and patient barriers, as well as some interventions designed to facilitate effective cancer pain management. |
doi_str_mv | 10.1016/S0885-3924(99)00097-4 |
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However, as many as 45% of patients in the earlier stages of cancer and 75% of patients in the advanced stages experience at least some pain. Although published guidelines are available, the research literature suggests that health care providers continue to hold some negative misconceptions about cancer pain and its treatment. Patients also harbor similar misconceptions that contribute to ineffective management. Interventions have been discussed in the literature, and although some have proven successful, much still needs to be done to remedy this problem. This review outlines the published guidelines for cancer pain management and describes the literature related to provider and patient barriers, as well as some interventions designed to facilitate effective cancer pain management.</description><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Attitude to Health</subject><subject>Biological and medical sciences</subject><subject>Cancer</subject><subject>Clinical death. Palliative care. Organ gift and preservation</subject><subject>Family</subject><subject>Health Personnel</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Neoplasms - physiopathology</subject><subject>Neoplasms - therapy</subject><subject>pain</subject><subject>Pain - physiopathology</subject><subject>pain measurement</subject><subject>palliative care</subject><subject>Palliative Care - methods</subject><subject>Palliative Care - standards</subject><subject>Patients</subject><subject>Practice Guidelines as Topic</subject><issn>0885-3924</issn><issn>1873-6513</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90c1OGzEUBWALFUGgPEKRFxU_iwF7rueO3Q2iERSkVEVA15aZuQZXyQy1J0F9-zohlF1X3nw6Vz6HsU9SnEgh8fROaF0VYEp1ZMyxEMLUhdpgI6lrKLCS8IGN_pFttpPSr4wqQNhi21JUWikUI3b11cUYKCY-9PzCe2qGsCA-dl1Dkd-40PHvrnOPNKNu-MLP-S0tAr3w3vPhifgkDBTdMI_0kW16N020t3532c_Li_vxVTH58e16fD4pCJQZCk-6VaVsjUaHRgFo8Fhh7bGt0JBoCOqmdY4kqhIR2tKAryvx4CtUpkTYZYevuc-x_z2nNNhZSA1Np66jfp5sjUosc-ssD_4r0QCAMDrD_TWcP8yotc8xzFz8Y99ayuDzGrjUuKmPuZ2Q3p3UUKvlwbNXRvn_uaVoUxMoF9mGmHu1bR9ypl3OZ1fz2eU21hi7ms8q-AvDMYjF</recordid><startdate>19991101</startdate><enddate>19991101</enddate><creator>Pargeon, Kimberly L</creator><creator>Hailey, B.Jo</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>19991101</creationdate><title>Barriers to Effective Cancer Pain Management: A Review of the Literature</title><author>Pargeon, Kimberly L ; Hailey, B.Jo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-e349t-fe8d421d986a6943383f6567f6d569e0ce37cdaae1642663d293f750bf5649263</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Attitude to Health</topic><topic>Biological and medical sciences</topic><topic>Cancer</topic><topic>Clinical death. Palliative care. Organ gift and preservation</topic><topic>Family</topic><topic>Health Personnel</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Neoplasms - physiopathology</topic><topic>Neoplasms - therapy</topic><topic>pain</topic><topic>Pain - physiopathology</topic><topic>pain measurement</topic><topic>palliative care</topic><topic>Palliative Care - methods</topic><topic>Palliative Care - standards</topic><topic>Patients</topic><topic>Practice Guidelines as Topic</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pargeon, Kimberly L</creatorcontrib><creatorcontrib>Hailey, B.Jo</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Journal of Pain and Symptom Management</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pargeon, Kimberly L</au><au>Hailey, B.Jo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Barriers to Effective Cancer Pain Management: A Review of the Literature</atitle><jtitle>Journal of Pain and Symptom Management</jtitle><addtitle>J Pain Symptom Manage</addtitle><date>1999-11-01</date><risdate>1999</risdate><volume>18</volume><issue>5</issue><spage>358</spage><epage>368</epage><pages>358-368</pages><issn>0885-3924</issn><eissn>1873-6513</eissn><abstract>As many as 90% of patients with cancer-related pain can attain satisfactory relief through available pharmacological and medical means. 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source | MEDLINE; ScienceDirect Journals (5 years ago - present); EZB-FREE-00999 freely available EZB journals |
subjects | Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Attitude to Health Biological and medical sciences Cancer Clinical death. Palliative care. Organ gift and preservation Family Health Personnel Humans Medical sciences Neoplasms - physiopathology Neoplasms - therapy pain Pain - physiopathology pain measurement palliative care Palliative Care - methods Palliative Care - standards Patients Practice Guidelines as Topic |
title | Barriers to Effective Cancer Pain Management: A Review of the Literature |
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