Metastatic bone pain. Meanings associated with self-report and self-management decision making.

Abstract:

:Patients with cancer and bone metastases are vulnerable to severe pain, especially when changing their body position, and many such persons die with unrelieved pain. One step in obtaining acceptable pain control is communicating one's pain to health care providers. This descriptive study aimed to depict possible gender differences in the meaning of pain in the context of pain self-report and self-management decision making for 10 men and 10 women with cancer and bone metastasis. No clear gender differences were found in the narrative data obtained during semistructured interviews. Both men and women equated pain with cancer recurrence. Pain interfered with work, social activities, and relationships. Most participants preferred not to tell others, even health care providers, about their pain. More than one half of the 20 participants did not take pain medications on schedules recommended by physicians. The study findings provide oncology nurses with direction for education related to pain management for persons with metastatic bone pain and their family members. Further research with a larger sample is needed to clarify how to overcome barriers to better pain management in this population.

journal_name

Cancer Nurs

journal_title

Cancer nursing

authors

Coward DD,Wilkie DJ

doi

10.1097/00002820-200004000-00005

subject

Has Abstract

pub_date

2000-04-01 00:00:00

pages

101-8

issue

2

eissn

0162-220X

issn

1538-9804

journal_volume

23

pub_type

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