The Meaning of Cancer Pain for Hospice Patients and Associated Caregiver and Nursing Concerns: A Synthesis of the Literature

2.50
Hdl Handle:
http://hdl.handle.net/10755/307994
Category:
Abstract
Type:
Presentation
Title:
The Meaning of Cancer Pain for Hospice Patients and Associated Caregiver and Nursing Concerns: A Synthesis of the Literature
Author(s):
Ehrlich, Olga
Lead Author STTI Affiliation:
Beta zeta
Author Details:
Olga Ehrlich, RN, BSN, oehrlich@nursing.umass.edu
Abstract:

Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013

Purpose: To enhance understanding of variables involved in uncontrolled cancer pain for adult home hospice patients. Three questions were asked in reviewing research: 1) What is the patient experience of physical cancer pain?  2) What is the experience of the carer in regards to the patient’s pain? 3) What is the experience of the hospice or palliative nurse in regards to the patient’s pain?

Method: A CINAHL search for articles related to cancer pain and hospice and snowballing of references led to abstraction and identification of studies. The Matrix Method developed by Garrard (2011) was used to organize and synthesize search results.

Results: Fourteen studies met inclusion criteria. The majority used qualitative methodology, with a few quantitative and mixed methods studies. Most were focused on the patient’s experience of pain, with few addressing the carer’s or nurse’s experiences. From the patient’s perspective pain has multiple meanings, multiple contexts and treatment is usually not chosen on the basis of physical symptoms and personal preferences alone.  The few studies addressing the role of the carer showed that their perceptions influence patients’ attainment of pain relief, and the two studies addressing the role of the hospice nurse identified the nurses’ perception of pain as a symptom needing treatment. 

Implications for nursing research: Because of the subjective nature of pain and its treatment, future research into the pain experience of hospice cancer patients should explore the roles and relationships between the patient, carer and nurse. A greater number of robust qualitative studies are needed to understand these complexities and provide direction for quantitative studies about interventions.

Keywords:
home hospice; adult; cancer pain
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
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.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleThe Meaning of Cancer Pain for Hospice Patients and Associated Caregiver and Nursing Concerns: A Synthesis of the Literatureen_GB
dc.contributor.authorEhrlich, Olgaen_GB
dc.contributor.departmentBeta zetaen_GB
dc.author.detailsOlga Ehrlich, RN, BSN, oehrlich@nursing.umass.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/307994-
dc.description.abstract<p>Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013</p>Purpose: To enhance understanding of variables involved in uncontrolled cancer pain for adult home hospice patients. Three questions were asked in reviewing research: 1) What is the patient experience of physical cancer pain?  2) What is the experience of the carer in regards to the patient’s pain? 3) What is the experience of the hospice or palliative nurse in regards to the patient’s pain? <p>Method: A CINAHL search for articles related to cancer pain and hospice and snowballing of references led to abstraction and identification of studies. The Matrix Method developed by Garrard (2011) was used to organize and synthesize search results. <p>Results: Fourteen studies met inclusion criteria. The majority used qualitative methodology, with a few quantitative and mixed methods studies. Most were focused on the patient’s experience of pain, with few addressing the carer’s or nurse’s experiences. From the patient’s perspective pain has multiple meanings, multiple contexts and treatment is usually not chosen on the basis of physical symptoms and personal preferences alone.  The few studies addressing the role of the carer showed that their perceptions influence patients’ attainment of pain relief, and the two studies addressing the role of the hospice nurse identified the nurses’ perception of pain as a symptom needing treatment.  <p>Implications for nursing research: Because of the subjective nature of pain and its treatment, future research into the pain experience of hospice cancer patients should explore the roles and relationships between the patient, carer and nurse. A greater number of robust qualitative studies are needed to understand these complexities and provide direction for quantitative studies about interventions.en_GB
dc.subjecthome hospiceen_GB
dc.subjectadulten_GB
dc.subjectcancer painen_GB
dc.date.available2013-12-19T17:25:08Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:25:08Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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.en_GB
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