Virginia Sun|Tami Borneman|Betty Ferrell|Barbara F. Piper|Marianna Koczywas|Kyong Sook Choi
Overcoming Barriers to Cancer Pain Management: An Institutional Change Model
City Of Hope National Medical Center|Vital Research|University of Arizona|University of Arizona|City Of Hope National Medical Center|Vital Research|City Of Hope National Medical Center|Vital Research|University of Arizona|City Of Hope National Medical Center|Vital Research|University of Arizona|City Of Hope National Medical Center|University of Arizona|Vital Research|City Of Hope National Medical Center|Vital Research|University of Arizona
agency health care policy research pain guidelines 1994 recognized pain critical symptom impacts quality life qol barriers optimum pain relief classified three categories patient professional system barriers prospective longitudinal clinical trial underway test effects passport comfort innovative intervention pain fatigue management article reports preintervention findings related barriers pain management cancer patients diagnosis breast lung colon prostate cancer reported pain rating 4 accrued subjects completed questionnaires assess subjective ratings overall qol barriers pain management pain knowledge baseline one threemonth evaluations chart audit conducted one month document objective data related pain management majority subjects moderate 46 010 numeric rating scale pain time accrual patient barriers pain management existed attitudes knowledge regarding addiction tolerance able control pain subjects currently receiving chemotherapy reluctant communicate pain health care professionals professional system barriers focused around screening documentation reassessment followup pain lack referrals supportive care services patients also noted several welldescribed patient professional system barriers continue hinder efforts provide optimal pain relief phase ii initiative attempt eliminate barriers using passport intervention manage cancer pain