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Barriers to successful treatment of cancer pain

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Objectives:

1. To discuss barriers that prevent effective treatment of cancer pain
2. To propose solutions to promote effective cancer pain management

Published in: Healthcare
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Barriers to successful treatment of cancer pain

  1. 1. Facilitated by Abdulqadir J. Nashwan, RN, BSN, MSN
  2. 2. Objectives • To discuss barriers that prevent effective treatment of cancer pain • To propose solutions to promote effective cancer pain management
  3. 3. Pain vs. Suffering
  4. 4. Barriers to Successful Management of Cancer Pain Healthcare Professionals- related Patient- related System- related
  5. 5. Patient-related
  6. 6. Patient-related Reluctance to report pain
  7. 7. Patient-related Reluctance to take pain medication
  8. 8. Patient-related High costs of medications and treatments
  9. 9. Patient-related Belief that pain is inevitable in cancer
  10. 10. Patient-related Fear of alienating care givers
  11. 11. Patient-related Fear of addiction, dependence, adverse effects of medications
  12. 12. System-related
  13. 13. System-related Low priority given to cancer pain treatment
  14. 14. System-related Restrictive regulation of controlled substances
  15. 15. System-related Failure to recognize pain as a major cause of disability
  16. 16. System-related Problems of availability of treatments
  17. 17. Healthcare Professionals- related
  18. 18. 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
  19. 19. Healthcare Professionals-related Inadequate knowledge/training in pain management Inadequate pain assessment Concerns about regulation of controlled substances Fear of patient addiction Ethnic/racial/gender/age biases Negative feelings towards patients’ pain
  20. 20. Healthcare Professionals-related Inadequate knowledge/training in pain management
  21. 21. Healthcare Professionals-related Inadequate pain assessment
  22. 22. Healthcare Professionals-related Concerns about regulation of controlled substances
  23. 23. Healthcare Professionals-related Fear of patient addiction
  24. 24. Healthcare Professionals-related Ethnic/racial/gender/age biases
  25. 25. Healthcare Professionals-related Negative feelings towards patients’ pain
  26. 26. Barriers to Successful Management of Cancer Pain Healthcare Professionals- related Patient- related System- related
  27. 27. Strategies to overcome barriers
  28. 28. 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

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