Reviewer: Jack Wei, MD
The Abramson Cancer Center of the University of Pennsylvania
Ultima Vez Modificado: 13 de junio del 2005
Authors: Augusto Caraceni, Anna Galbiati, Cinzia Brunelli, et al.
Source: Journal of Pain and Symptom Management 27(5):417-424, 2004
Pain has a high impact on the quality of life of many cancer patients. In light of the extremely subjective nature of pain, patient self-assessment is vital to guiding pain management. It has been well established that more frequent assessment of pain provides increased validity in pain assessment; however, the optimal schedule and method of pain assessment has not been established. The current study describes patient compliance using a high-frequency, highly detailed pain assessment tool.
Less than one-quarter of patients were fully compliant with the pain assessment in this study, with over one-third of assessment forms going completely unfilled. Without this valuable information regarding patient pain, clinicians' ability to adequately manage pain is considerably limited. Importantly, this article identifies several barriers to compliance that may be addressed. Psychological barriers, including forgetting to complete the assessment form and depression, can be addressed with active intervention. In addition, patients can be educated to complete forms even when they feel no pain, as information regarding lack of pain is as valuable to the health care provider as the presence of pain. Additional research is needed regarding interventions to improve compliance in pain self-assessment.
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