Barriers to Successful Treatment of Cancer Pain

Barriers to Successful Management of Cancer Pain

Facilitated by Abdulqadir J. Nashwan, RN, BSN, MSN

Introduction

Objectives

Patient

Healthcare Professionals

Conclusion

Strategies

System

Objectives

• To discuss barriers that prevent effective

treatment of cancer pain

• To propose solutions to promote effective

cancer pain management

Pain vs.

Suffering

Healthcare Professionals-

System-related

Patient-related

Reluctance to report pain

Patient-related

Reluctance to take pain

medication

Patient-related

High costs of medications and treatments

Patient-related

Belief that pain is unavoidable in cancer 4/6

Patient-related

Fear of distracting care givers 5/6

Patient-related

Fear of addiction,

dependence,

adverse effects of

medications6/6

Healthcare Professionals-related

Inadequate knowledge/training in pain management

Inadequate pain assessment

Concerns about regulation of controlled substances

Fear of patient addiction

Ethnic/racial/gender/age biases

Negative feelings towards patients’ pain

System-related

Low priority given to cancer pain treatment

System-related

Very restrictive regulations of controlled substances

System-related

Failure to recognize pain as a major cause of disability

System-related

Availability of treatments

Healthcare Professionals-

System-related

Strategies to overcome barriers

System-related

• Individualized Treatment Plan

• Reform regulations (balanced)

• Monitoring programs

Patient-related

• Awareness, Education, Bill of Rights, patient engagement

Healthcare Professiona

ls-related

• Education, Clear guidelines, Multidisciplinary approach, quality management

Pain vs.

Suffering

Barriers to Successful Treatment of Cancer Pain

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