Evidence-Based Practices for Cancer Pain Assessment & Management in Older Adults in Hospices: Current State of Practice

2.50
Hdl Handle:
http://hdl.handle.net/10755/159756
Type:
Presentation
Title:
Evidence-Based Practices for Cancer Pain Assessment & Management in Older Adults in Hospices: Current State of Practice
Abstract:
Evidence-Based Practices for Cancer Pain Assessment & Management in Older Adults in Hospices: Current State of Practice
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2009
Author:Herr, Keela, PhD
P.I. Institution Name:The University of Iowa
Title:College of Nursing
Contact Address:2139 Westlawn, Iowa City, IA, 52242, USA
Contact Telephone:319-335-9532
Co-Authors:K. Herr, M. Titler, P. Fine, K. Bergen-Jackson, B. Black, C. Forcucci, M. Lehan Mackin, P. McNichol, J. Reyes, College of Nursing, The University of Iowa, Iowa City, IA; S. Sanders, School of Social Work, The University of Iowa, Iowa City, IA; J. Swegle,
The purpose of this paper is to report baseline findings on Evidence-Based Practices (EBP) for cancer pain assessment & management in older adults in hospices from an ongoing project funded by the National Cancer Institute. Cancer Pain in Elders: Promoting Evidence-Based Practices in Hospices is a translational research project evaluating the use of a Translating Research into Practice (TRIP)-Cancer intervention). Sixteen Midwestern community-based hospices stratified by size serve as the clinical sites in this randomized control trial. Data includes 400 retrospective medical records for adults 65 years and older with a cancer diagnosis, newly admitted to a community-based hospice with service in a home-care setting. The research team, with the assistance of national pain and hospice experts, developed a list of 12 Key Practice Indicators based on the following EBP Guidelines: Guideline for the Management of Cancer Pain in Adults and Children by the American Pain Society (American Pain Society); Evidence-Based Practice Guideline: Acute Pain Management in Older Adults (Herr et al); and Clinical Practice Guidelines for Quality Palliative Care by the National Consensus Project (National Consensus Project). Data on current practices related to the Key Indicators will be presented. Baseline data indicate professionals do not consistently use EBP's to assess patient's pain and guide treatment decisions and areas for practice improvement exist based on documented care provided. Implications for practice include the following recommendations: 1) hospices complete routine audits of practice to assist in identifying need for improvement and practice change; 2) documentation systems, both written or computer generated, should be designed to facilitate documentation of EBP and quality of care provided. Implications for research include the ongoing need to: study interventions for promoting EBP; further examine barriers to EBP implementation related to pain management in hospices; and research the relationship between use of EBP and direct patient outcomes.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEvidence-Based Practices for Cancer Pain Assessment & Management in Older Adults in Hospices: Current State of Practiceen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159756-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Evidence-Based Practices for Cancer Pain Assessment &amp; Management in Older Adults in Hospices: Current State of Practice</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Herr, Keela, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">The University of Iowa</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">College of Nursing</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">2139 Westlawn, Iowa City, IA, 52242, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">319-335-9532</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">K. Herr, M. Titler, P. Fine, K. Bergen-Jackson, B. Black, C. Forcucci, M. Lehan Mackin, P. McNichol, J. Reyes, College of Nursing, The University of Iowa, Iowa City, IA; S. Sanders, School of Social Work, The University of Iowa, Iowa City, IA; J. Swegle, </td></tr><tr><td colspan="2" class="item-abstract">The purpose of this paper is to report baseline findings on Evidence-Based Practices (EBP) for cancer pain assessment &amp; management in older adults in hospices from an ongoing project funded by the National Cancer Institute. Cancer Pain in Elders: Promoting Evidence-Based Practices in Hospices is a translational research project evaluating the use of a Translating Research into Practice (TRIP)-Cancer intervention). Sixteen Midwestern community-based hospices stratified by size serve as the clinical sites in this randomized control trial. Data includes 400 retrospective medical records for adults 65 years and older with a cancer diagnosis, newly admitted to a community-based hospice with service in a home-care setting. The research team, with the assistance of national pain and hospice experts, developed a list of 12 Key Practice Indicators based on the following EBP Guidelines: Guideline for the Management of Cancer Pain in Adults and Children by the American Pain Society (American Pain Society); Evidence-Based Practice Guideline: Acute Pain Management in Older Adults (Herr et al); and Clinical Practice Guidelines for Quality Palliative Care by the National Consensus Project (National Consensus Project). Data on current practices related to the Key Indicators will be presented. Baseline data indicate professionals do not consistently use EBP's to assess patient's pain and guide treatment decisions and areas for practice improvement exist based on documented care provided. Implications for practice include the following recommendations: 1) hospices complete routine audits of practice to assist in identifying need for improvement and practice change; 2) documentation systems, both written or computer generated, should be designed to facilitate documentation of EBP and quality of care provided. Implications for research include the ongoing need to: study interventions for promoting EBP; further examine barriers to EBP implementation related to pain management in hospices; and research the relationship between use of EBP and direct patient outcomes.</td></tr></table>en_GB
dc.date.available2011-10-26T22:18:20Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:18:20Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.