Complex Cancer Pain Assessment - 04/05/18

Doi : 10.1016/j.hoc.2018.01.001

Regina M. Fink, PhD, APRN ^a,^⁎ , Jeannine M. Brant, PhD, APRN ^b
^a General Internal Medicine, University of Colorado Anschutz Medical Campus School of Medicine, College of Nursing, 12631 East 17th Avenue, B-180, Aurora, CO 80045, USA
^b Department of Collaborative Science and Innovation, Billings Clinic, 2800 Tenth Avenue North, Billings, MT 59101, USA

^∗Corresponding author.

Resumen

Pain is widespread, multidimensional, and one of the most distressing symptoms patients with cancer face. Pain assessment is the foundation to optimal pain management. Despite evidence-based practice guidelines, inadequate pain assessment is a barrier. Patients should be routinely screened for pain at each encounter. If new, worsening, or persistent pain is present, a comprehensive pain assessment and reassessment should be regularly performed and documented to communicate the pain problem. Patient self-report of pain is the gold standard even in those who are nonverbal or cognitively impaired. Clinicians should follow the Hierarchy of Pain Assessment Framework to guide pain assessment approaches.

El texto completo de este artículo está disponible en PDF.

Keywords : Cancer pain, Pain assessment, Breakthrough pain, Pain syndromes, Barriers, Pain behaviors

Esquema

Disclosure Statement: R.M. Fink reports no commercial or financial conflicts of interest. J.M. Brant is on speaker’s bureaus for Insys and Genentech. The authors alone are responsible for the content and writing of this article.