The Current State of Pain Management Practices for Older Adults with Cancer in Hospices

12.50
Hdl Handle:
http://hdl.handle.net/10755/147675
Type:
Presentation
Title:
The Current State of Pain Management Practices for Older Adults with Cancer in Hospices
Abstract:
The Current State of Pain Management Practices for Older Adults with Cancer in Hospices
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Herr, Keela, RN, PhD, FAAN
P.I. Institution Name:University of Iowa
Title:professor
Co-Authors:Marita Titler, PhD, RN, FAAN; Perry Fine, MD; Chris Forcucci, RN, BSN, BA; Patty McNichol, RN, BSN, CHPN; Kimberly Bergen, RN, BSN; Jimmy Reyes, RN, BSN; Melissa Lehan Mackin, RN, BSN; Xiangming Fang, MS; Sara Sanders, PhD; John Swegle, DPh
[Clinical session research presentation] The purpose of this presentation is to describe the current state of pain management for older adults with cancer in hospice programs in the Midwest. Despite existence of evidence-based guidelines to improve assessment and management of pain in this vulnerable population, adoption and use of recommendations based on best scientific evidence lags. Data from the National Hospice and Palliative Care Organization suggests that 50% of patients cared for in hospices are older adults with advanced cancer where one of the priorities is to assure a pain free death. Studies evaluating pain-related outcomes in non-hospice settings show insufficient pain control in the last days to weeks prior to death. While surveys (e.g. Family Evaluation of Hospice Care) show high degrees of satisfaction with pain control in the hospice setting, detailed studies regarding pain outcomes in home-based hospice settings are lacking. Data collected by the Cancer Pain in Elders: Promoting the use of Evidence Based Practices in Hospices Grant details health care provider treatment practices related to pain management for older adults with cancer who received services in a community-based hospice setting. This large study, which is still in process, is a randomized control trial to test adoption and maintenance of practices recommended in three current EBP guidelines: the American Pain Society Cancer Pain Guideline, National Consensus Project Clinical Practice Guidelines for Quality Palliative Care, and the University of Iowa Geriatric Nursing Interventions Research Center's Acute Pain Management in Older Adults. Our sample is randomly selected and consists of 320 older adults  65 years of age or older with an active cancer diagnosis and enrolled in one of 16 community hospices in Iowa, Nebraska, and Missouri.  In this presentation we will report our current findings, the current state of pain management practices, and implications for future research and practice.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Current State of Pain Management Practices for Older Adults with Cancer in Hospicesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/147675-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Current State of Pain Management Practices for Older Adults with Cancer in Hospices</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Herr, Keela, RN, PhD, FAAN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Iowa</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">keela-herr@uiowa.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Marita Titler, PhD, RN, FAAN; Perry Fine, MD; Chris Forcucci, RN, BSN, BA; Patty McNichol, RN, BSN, CHPN; Kimberly Bergen, RN, BSN; Jimmy Reyes, RN, BSN; Melissa Lehan Mackin, RN, BSN; Xiangming Fang, MS; Sara Sanders, PhD; John Swegle, DPh</td></tr><tr><td colspan="2" class="item-abstract">[Clinical session research presentation] The purpose of this presentation is to describe the current state of pain management for older adults with cancer in hospice programs in the Midwest. Despite existence of evidence-based guidelines to improve assessment and management of pain in this vulnerable population, adoption and use of recommendations based on best scientific evidence lags. Data from the National Hospice and Palliative Care Organization suggests that 50% of patients cared for in hospices are older adults with advanced cancer where one of the priorities is to assure a pain free death.&nbsp;Studies evaluating pain-related outcomes in non-hospice settings show insufficient pain control in the last days to weeks prior to death.&nbsp;While surveys (e.g. Family Evaluation of Hospice Care) show high degrees of satisfaction with pain control in the hospice setting, detailed studies regarding pain outcomes in home-based hospice settings are lacking. Data collected by the Cancer Pain in Elders: Promoting the use of Evidence Based Practices in Hospices Grant details health care provider treatment practices related to pain management for older adults with cancer who received services in a community-based hospice setting. This large study, which is still in process, is a randomized control trial to test adoption and maintenance of practices recommended in three current EBP guidelines: the American Pain Society Cancer Pain Guideline, National Consensus Project Clinical Practice Guidelines for Quality Palliative Care, and the University of Iowa Geriatric Nursing Interventions Research Center's Acute Pain Management in Older Adults. Our sample is randomly selected and consists of 320 older adults&nbsp;&nbsp;65 years of age or older with an active cancer diagnosis and enrolled in one of 16 community hospices in Iowa, Nebraska, and Missouri.&nbsp; In this presentation we will report our current findings, the current state of pain management practices, and implications for future research and practice.</td></tr></table>en_GB
dc.date.available2011-10-26T09:35:00Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:35:00Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.