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The following is a summary of Functional Goals and How Palliative Cancer Patients Cope with Pain, published in the October 2022 issue. Pain management by Ehrlich et al.
The high prevalence of pain in people with advanced cancer reduces their quality of life. Cancer pain has proven to be difficult to treat, and research is revealing some of the reasons why. However, there is a paucity of literature on the specific motivations and coping mechanisms of those experiencing cancer pain. The purpose of this analysis is to detail the drivers behind people’s pain management strategies and the ways in which they use these strategies. Analysis of the quantitative aspects of the content. Palliative care is an outpatient service which is made up of 27 people suffering from cancer.
The researchers evaluated anonymous audio recordings of people talking about their experiences with motivational interviewing for functional pain. A priori conceptual categories were used to categorize the data: There are 5 main themes covered in this section: Pain as a challenge, Living with controlled pain, What used to help with pain, Pain management tips used and Patient seeking help. Each individual’s set of thoughts, feelings, and actions were counted and sorted into their respective categories. A total of 108 interviews were analyzed and the average frequency of each concept discussed fell somewhere between 0.5 and 3.
Based on their personal motivations, “Getting help” was the least talked about topic, while “Pain control” was the most talked about. Nurses’ ability to provide individualized care is hindered by current cancer pain assessment techniques that do not capture the specific subtleties of cancer pain affecting behavior or personal functional goals. To determine whether and how intrinsic factors might improve cancer pain management in specific patients, nurses must rely on their own knowledge and experience until a measure with sufficient granularity to capture individual patient goals is established.
source: sciencedirect.com/science/article/abs/pii/S1524904222000108
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