2.50
Hdl Handle:
http://hdl.handle.net/10755/165185
Category:
Abstract
Type:
Presentation
Title:
REDUCING BARRIERS TO PAIN & FATIGUE MANAGEMENT FOR CANCER PATIENTS
Author(s):
Borneman, Tami; Ferrell, Betty; Koczywas, Marianna; Piper, Barbara; Uman, Gwen
Author Details:
Tami Borneman, RN MSN CNS, Senior Research Specialist, City of Hope National Medical Center, Duarte, California, USA, email: tborneman@coh.org; Betty Ferrell, PhD, FAAN; Virginia Sun, RN, MSN; Marianna Koczywas, MD; Barbara Piper, DNSc, RN, FAAN, AOCN, University of Arizona, Scottsdale, Arizona; Gwen Uman, RN, PhD; Vital Research, LLC, Los Angeles, California
Abstract:
Pain and fatigue impact all dimensions of the patient's life including physical, psychological, social, and spiritual well being. The overall purpose of this prospective longitudinal study funded by NCI is to test an innovative model of reducing barriers to managing pain and fatigue in cancer patients using evidenced-based guidelines from the National Comprehensive Cancer Network. The model, "Passport to Comfort" addresses patient, professional and system barriers to the relief of pain and fatigue, and is based on evidence based guidelines developed by the National Comprehensive Cancer Network. The study, conducted in a comprehensive cancer center is designed in three phases. In Phase I: Usual care, we described the current status of pain and fatigue management in 83 patients with breast, lung, colon or prostate cancer. Methods of data collection included 7 questionnaires conducted at Accrual, 1-month, and 3-month, and a chart audit at 1-month. An interdisciplinary Advisory Board provides input and direction regarding patient care and education. This team includes Psychology, Chaplaincy, SW, Nutrition, Rehab, Medical Oncology, and Pharmacy. Phase II includes intensive patient and professional education along with peer audit and feedback to address each category of barriers. In Phase III, investigators will continue to move the intervention to a more realistic model of care to be maintained and replicated in other clinical settings. Phase I: Of the 83 patients, 64% were disease stage III or IV, mean age was 61, and 81% were currently on treatment. Overall mean score for quality of life was 5.4 (0=negative to 10-positive). 85% reported fear of addiction, 45% were reluctant to report pain for fear of being seen as a "bad patient." Overall score for patient knowledge pain tool was 75% correct. Chart audits revealed a lack of documenting presence of pain. Regarding fatigue, 80% reported > 4 severity and 84% reported > fatigue as emotionally distressing. Overall score for patient knowledge fatigue tool was 82%. Chart audits revealed lack of documentation of the presence of fatigue. This clinical intervention has identified key barriers to symptom relief and should create a replicable model for other oncology settings. These findings represent the need to provide further education and interventions to patients and professionals to better address existing barriers to pain and fatigue management and resulting psychosocial issues.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
32nd Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Las Vegas, Nevada, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleREDUCING BARRIERS TO PAIN & FATIGUE MANAGEMENT FOR CANCER PATIENTSen_GB
dc.contributor.authorBorneman, Tamien_US
dc.contributor.authorFerrell, Bettyen_US
dc.contributor.authorKoczywas, Mariannaen_US
dc.contributor.authorPiper, Barbaraen_US
dc.contributor.authorUman, Gwenen_US
dc.author.detailsTami Borneman, RN MSN CNS, Senior Research Specialist, City of Hope National Medical Center, Duarte, California, USA, email: tborneman@coh.org; Betty Ferrell, PhD, FAAN; Virginia Sun, RN, MSN; Marianna Koczywas, MD; Barbara Piper, DNSc, RN, FAAN, AOCN, University of Arizona, Scottsdale, Arizona; Gwen Uman, RN, PhD; Vital Research, LLC, Los Angeles, Californiaen_US
dc.identifier.urihttp://hdl.handle.net/10755/165185-
dc.description.abstractPain and fatigue impact all dimensions of the patient's life including physical, psychological, social, and spiritual well being. The overall purpose of this prospective longitudinal study funded by NCI is to test an innovative model of reducing barriers to managing pain and fatigue in cancer patients using evidenced-based guidelines from the National Comprehensive Cancer Network. The model, "Passport to Comfort" addresses patient, professional and system barriers to the relief of pain and fatigue, and is based on evidence based guidelines developed by the National Comprehensive Cancer Network. The study, conducted in a comprehensive cancer center is designed in three phases. In Phase I: Usual care, we described the current status of pain and fatigue management in 83 patients with breast, lung, colon or prostate cancer. Methods of data collection included 7 questionnaires conducted at Accrual, 1-month, and 3-month, and a chart audit at 1-month. An interdisciplinary Advisory Board provides input and direction regarding patient care and education. This team includes Psychology, Chaplaincy, SW, Nutrition, Rehab, Medical Oncology, and Pharmacy. Phase II includes intensive patient and professional education along with peer audit and feedback to address each category of barriers. In Phase III, investigators will continue to move the intervention to a more realistic model of care to be maintained and replicated in other clinical settings. Phase I: Of the 83 patients, 64% were disease stage III or IV, mean age was 61, and 81% were currently on treatment. Overall mean score for quality of life was 5.4 (0=negative to 10-positive). 85% reported fear of addiction, 45% were reluctant to report pain for fear of being seen as a "bad patient." Overall score for patient knowledge pain tool was 75% correct. Chart audits revealed a lack of documenting presence of pain. Regarding fatigue, 80% reported > 4 severity and 84% reported > fatigue as emotionally distressing. Overall score for patient knowledge fatigue tool was 82%. Chart audits revealed lack of documentation of the presence of fatigue. This clinical intervention has identified key barriers to symptom relief and should create a replicable model for other oncology settings. These findings represent the need to provide further education and interventions to patients and professionals to better address existing barriers to pain and fatigue management and resulting psychosocial issues.en_GB
dc.date.available2011-10-27T12:14:02Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:14:02Z-
dc.conference.date2007en_US
dc.conference.name32nd Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationLas Vegas, Nevada, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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