Pain management nursing : official journal of the American Society of Pain Management Nurses
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Pain is one of the most common and undesired symptoms in cancer patients, affecting patients' physical and psychological well-being. Barriers to effective pain management in cancer patients need to be identified and addressed by clinicians. ⋯ Tailoring culturally appropriate educational programs regarding effective cancer pain management could facilitate pain management among patients with cancer.
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A key to successful symptom management in patients with cancer is to adapt the treatment to patient needs and complexities in an individual and dynamic manner. Rapid access to a clinician via telephone consultation supports treatment compliance, safety, and effectiveness and reduces the number of patients unnecessarily consulting emergency departments. ⋯ A telephone call service available for patients and other clinicians is an efficient way to enhance continuity of care for ambulatory patients. Continued efforts to make such a service cost effective must be implemented.
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Many patients with cancer pain deviate from prescribed analgesic regimens. Our aim was to elicit the trade-offs patients make based on their beliefs about analgesic use and rank utilities (importance scores) using maximum difference (MaxDiff) scaling. We also investigated if there were unique clusters of patients based on their analgesic beliefs. ⋯ Our findings support tailored pain management interventions that attend to individual beliefs about cancer pain and analgesic use. Future research should explore the relationship between analgesic utilities, actual analgesic taking behaviors, and how they impact patients' cancer pain outcomes.
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When students with intellectual disability (ID) experience pain, the pain may limit the extent to which they may engage in school activities. Although school nurses are primarily responsible for addressing students' pain, there are many barriers to identifying pain in students with ID. ⋯ Because pain intensity ratings were rarely documented, the utility of such ratings in the school setting may be low. Alternatively, obtaining pain intensity ratings from younger children may be challenging without the use of appropriate tools. Nurses, teachers, and other staff providing education and care to students with ID may require pain training. Implementation of tools that elicit student pain information from parents/guardians in the school setting could decrease point-of-care contact during the school day and proactively provide information on unique child pain behaviors.
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To investigate the level of knowledge and attitudes related to pain management among nurses and physicians working in primary medical centres in Jordan. ⋯ The result of this study indicated that Jordanian healthcare professionals have a low level of knowledge and negative attitudes toward pain management, so educational programmes related to the topic are strongly recommended. The findings also revealed a discrepancy between knowledge and practice. Therefore, guidelines and protocols related to pain assessment and management should be designed and implemented to bridge the gap between knowledge and practice.