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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
Barriers to Successful Management of Cancer Pain
Healthcare Professionals-
related
Patient-related
System-related
Patient-related
0/6
Patient-related
Reluctance to report pain
1/6
Patient-related
Reluctance to take pain
medication
2/6
Patient-related
High costs of medications and treatments
3/6
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
0/6
Healthcare Professionals-related
Inadequate knowledge/training in pain management
1/6
Healthcare Professionals-related
Inadequate pain assessment
2/6
Healthcare Professionals-related
Concerns about regulation of controlled substances
3/6
Healthcare Professionals-related
Fear of patient addiction
4/6
Healthcare Professionals-related
Ethnic/racial/gender/age biases
5/6
Healthcare Professionals-related
Negative feelings towards patients’ pain
6/6
System-related
0/4
System-related
Low priority given to cancer pain treatment
1/4
System-related
Very restrictive regulations of controlled substances
2/4
System-related
Failure to recognize pain as a major cause of disability
3/4
System-related
Availability of treatments
4/4
Barriers to Successful Management of Cancer Pain
Healthcare Professionals-
related
Patient-related
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