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Barriers to Successful Management of Cancer Pain
Facilitated by Abdulqadir J. Nashwan, RN, BSN, MSN
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
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 inevitable in cancer
Patient-related
Fear of alienating care givers
Patient-related
Fear of addiction,
dependence,
adverse effects of
medications
System-related
System-related
Low priority given to cancer pain treatment
System-related
Restrictive regulation of controlled substances
System-related
Failure to recognize pain as a major cause of disability
System-related
Problems of availability of treatments
Healthcare Professionals-related
Healthcare Professionals-related
“Unbelievably, American doctors regularly refuse to prescribe effective doses of narcotic pain killers to dying patients on the grounds that the patients might become addicted. The treatment of cancer pain, clearly, is still not based solely on scientific fact but draws on ignorance, fear, prejudice, and on an invisible, unacknowledged moral code expressing half-baked notions about evil of drugs and the duty to bear affliction.”
- Dick Morris from The Culture of Pain
Healthcare Professionals-related
Inadequate knowledge/training in pain managementInadequate pain assessmentConcerns about regulation of controlled substancesFear of patient addictionEthnic/racial/gender/age biasesNegative feelings towards patients’ pain
Healthcare Professionals-related
Inadequate knowledge/training in pain management
Healthcare Professionals-related
Inadequate pain assessment
Healthcare Professionals-related
Concerns about regulation of controlled substances
Healthcare Professionals-related
Fear of patient addiction
Healthcare Professionals-related
Ethnic/racial/gender/age biases
Healthcare Professionals-related
Negative feelings towards patients’ pain
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
![Research Article Finding Ways to Lift Barriers to Care for ...downloads.hindawi.com/journals/prm/2016/8714785.pdf · successful treatment, management, and prevention of pain []. In](https://img.dokumen.tips/doc/110x75/5f04074f7e708231d40bf6a2/research-article-finding-ways-to-lift-barriers-to-care-for-successful-treatment.jpg)
