Pain management autobiographies and reluctance to use opioids for cancer pain management.

Abstract:

:Although pain management education results in improved pain control for some patients, it does not work for all patients because some patients remain reluctant or unwilling to use prescribed analgesics to their optimal effect. In a randomized clinical trial that tested the effectiveness of the PRO-SELF Pain Control Program, 11 patients declined to increase their analgesic use despite moderate to severe pain. These patients were selected for a qualitative analysis of their audiotaped discussions about pain management with their intervention nurses. This analysis revealed that these patients often spontaneously provided detailed explanations about why they were reluctant or unwilling to take analgesics in general or opioids in particular. We termed these explanatory accounts pain management autobiographies because of their narrative character and multilayered, richly detailed quality. Pain management autobiographies included stories about (1) previous experience with chronic pain management, including stigmatizing interactions with clinicians and family members; (2) bad experiences with cancer pain management, including severe constipation; and 3) strongly held conventions about medication use, including the belief that all medications are "toxins" that should be avoided. The study findings suggest that a small subset of patients with cancer pain may need interventions such as individual or family counseling or alternative pain management strategies to augment education about opioids.

journal_name

Cancer Nurs

journal_title

Cancer nursing

authors

Schumacher KL,West C,Dodd M,Paul SM,Tripathy D,Koo P,Miaskowski CA

doi

10.1097/00002820-200204000-00009

subject

Has Abstract

pub_date

2002-04-01 00:00:00

pages

125-33

issue

2

eissn

0162-220X

issn

1538-9804

journal_volume

25

pub_type

临床试验,杂志文章,多中心研究,随机对照试验
  • Psychometric Properties of the Kessler 10 Scale in Chinese Parents of Children With Cancer.

    abstract:BACKGROUND:The Kessler Psychological Distress Scale (K10) has been widely used in rating psychological distress in general and clinical populations. However, whether it can be used in parents of children with cancer is unknown. Still lacking is the evidence on its reliability and validity in culturally diverse groups. ...

    journal_title:Cancer nursing

    pub_type: 杂志文章

    doi:10.1097/NCC.0000000000000392

    authors: Bu XQ,You LM,Li Y,Liu K,Zheng J,Yan TB,Chen SX,Zhang LF

    更新日期:2017-07-01 00:00:00

  • Uncertainty intervention for watchful waiting in prostate cancer.

    abstract::Watchful waiting is a reasonable alternative to treatment for some older men with localized prostate cancer, but it inevitably brings uncertainty. This study tested the effectiveness of the watchful waiting intervention (WWI) in helping men cognitively reframe and manage the uncertainty of watchful waiting. Based on M...

    journal_title:Cancer nursing

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00002820-200409000-00001

    authors: Bailey DE,Mishel MH,Belyea M,Stewart JL,Mohler J

    更新日期:2004-09-01 00:00:00

  • Investigating the effects of TTS-fentanyl for cancer pain on the psychological status of patients naïve to strong opioids: an open label study.

    abstract::Few studies have investigated the effect of fentanyl delivered via the transdermal route with regard to the patient's psychological status. Patients who were naive to strong opioids and were attending a palliative care unit for pain relief from advanced cancer participated in this study to determine the effect of tran...

    journal_title:Cancer nursing

    pub_type: 临床试验,杂志文章

    doi:10.1097/00002820-200403000-00005

    authors: Mystakidou K,Tsilika E,Parpa E,Papageorgiou C,Georgaki S,Vlahos L

    更新日期:2004-03-01 00:00:00

  • Effects of Exercise Interventions on Breast Cancer Patients During Adjuvant Therapy: A Systematic Review and Meta-analysis of Randomized Controlled Trials.

    abstract:BACKGROUND:Effects of exercise interventions on patients with breast cancer (BC) have shown benefits regardless of the measured variables, although the type of exercise and its duration during adjuvant therapy are unclear. OBJECTIVE:We investigated the effects of exercise interventions on each measurement, physical fi...

    journal_title:Cancer nursing

    pub_type: 杂志文章,meta分析

    doi:10.1097/NCC.0000000000000682

    authors: Lee J,Lee MG

    更新日期:2020-03-01 00:00:00

  • Nutritional risk factors and breast cancer in Jewish and Arab women.

    abstract::Based on a lower reported incidence of breast cancer in the Arab population in Israel, nutritional levels were evaluated in a case-control study of 33 Jewish and 10 Arab patients with breast cancer all matched with a first-degree family-related control. Demographic, gynecologic, obstetric, anthropometric, genetically ...

    journal_title:Cancer nursing

    pub_type: 杂志文章

    doi:

    authors: Henquin N,Trostler N,Horn Y

    更新日期:1994-08-01 00:00:00

  • Fundamentals for a new concept of oncology nursing in the professional nursing education program.

    abstract::Cancer is a life-threatening illness affecting approximately one-third of the population in America and western Europe. All nurses and student nurses will in all probability be confronted at some time in their careers with the specific problems of cancer patients and their families. Are all nurses, however, being prep...

    journal_title:Cancer nursing

    pub_type: 杂志文章

    doi:

    authors: Pope S

    更新日期:1992-04-01 00:00:00

  • Nurses' perceptions of the meaning of quality of life for bone marrow transplant survivors.

    abstract::Nurses play an integral role in the care of bone marrow transplant (BMT) patients from pre-transplant to posttransplant. The purpose of this study was to explore the nurses' perceptions of the impact of transplant on the quality of life (QOL) of survivors. The conceptual framework for the study was the model of QOL de...

    journal_title:Cancer nursing

    pub_type: 杂志文章

    doi:

    authors: King CR,Ferrell BR,Grant M,Sakurai C

    更新日期:1995-04-01 00:00:00

  • Concerns about reporting pain and using analgesics. A comparison of persons with and without cancer.

    abstract::Cancer pain is not adequately managed, and patients' reluctance to report pain and to use analgesics contribute to this problem. The Barriers Questionnaire (BQ) assesses eight patient concerns about reporting pain and using analgesics. This study was designed to determine (a) whether such concerns differ for persons w...

    journal_title:Cancer nursing

    pub_type: 杂志文章

    doi:

    authors: Ward S,Gatwood J

    更新日期:1994-06-01 00:00:00

  • Women with lung cancer: quality of life after thoracotomy: a 6-month prospective study.

    abstract:BACKGROUND:Data about health-related quality of life (QOL) after surgical treatment for lung cancer are limited. Such information can be valuable in developing appropriate nursing interventions for follow-up care for survivors. OBJECTIVES:The purposes of this study were to describe physical and emotional QOL of diseas...

    journal_title:Cancer nursing

    pub_type: 杂志文章

    doi:10.1097/NCC.0b013e3181be5e51

    authors: Sarna L,Cooley ME,Brown JK,Chernecky C,Padilla G,Danao L,Chakravarty D,Elashoff D

    更新日期:2010-03-01 00:00:00

  • Nurses' Experiences in Safe Handling of Chemotherapeutic Agents: The Taiwan Case.

    abstract:BACKGROUND:Nurses are the least compliant with the guidelines for use of personal protective equipment (PPE) among health professionals. While the literature regarding nurses not following the guidelines focuses on nonuse of PPE, the experiences of using PPE from nurses' perspectives have not been examined. OBJECTIVE:...

    journal_title:Cancer nursing

    pub_type: 杂志文章

    doi:10.1097/NCC.0000000000000314

    authors: Chen HC,Lu ZY,Lee SH

    更新日期:2016-09-01 00:00:00

  • A tailored Web-based psychoeducational intervention for cancer patients and their family caregivers.

    abstract:BACKGROUND:Most programs addressing psychosocial concerns of cancer survivors are in-person programs that are expensive to deliver, have limited availability, and seldom deal with caregivers' concerns. OBJECTIVE:This study examined the feasibility of translating an efficacious nurse-delivered program (FOCUS Program) f...

    journal_title:Cancer nursing

    pub_type: 杂志文章

    doi:10.1097/NCC.0000000000000159

    authors: Northouse L,Schafenacker A,Barr KL,Katapodi M,Yoon H,Brittain K,Song L,Ronis DL,An L

    更新日期:2014-09-01 00:00:00

  • Associations between hospital and patient characteristics and breast cancer patients' satisfaction with nursing staff.

    abstract:BACKGROUND:Only a few studies have investigated the association between hospital characteristics and breast cancer patients' satisfaction with nursing staff. OBJECTIVE:The aim of this study was to determine whether the satisfaction of newly diagnosed breast cancer patients with nursing staff correlates with hospital c...

    journal_title:Cancer nursing

    pub_type: 杂志文章

    doi:10.1097/NCC.0b013e318229df11

    authors: Kowalski C,Diener SE,Steffen P,Wuerstlein R,Harbeck N,Pfaff H

    更新日期:2012-05-01 00:00:00

  • Mutual Support and Challenges Among Chinese Couples Living With Colorectal Cancer: A Qualitative Study.

    abstract:BACKGROUND:A diagnosis of cancer and its treatment affect couples as a unit, and they must cope and give each other mutual support as dyads. Few studies have focused explicitly on understanding mutual support among couples coping with colorectal cancer (CRC). OBJECTIVE:The aim of this study was to explore the mutual s...

    journal_title:Cancer nursing

    pub_type: 杂志文章

    doi:10.1097/NCC.0000000000000553

    authors: Li Q,Lin Y,Chen Y,Loke AY

    更新日期:2018-09-01 00:00:00

  • Japanese Nurses' Perceptions Toward Tobacco Use Intervention for Hospitalized Cancer Patients Who Entered End of Life.

    abstract:BACKGROUND:Smoking patients who are admitted to a smoke-free hospital often experience nicotine withdrawal. Control of withdrawal symptoms in hospitalized patients with terminal illness by nurses may be important to end-of-life care. OBJECTIVE:The aims of this study were to assess Japanese nurses' perceptions toward p...

    journal_title:Cancer nursing

    pub_type: 杂志文章

    doi:10.1097/NCC.0000000000000336

    authors: Taniguchi C,Sakakibara H,Saka H,Oze I,Tanaka H

    更新日期:2016-11-01 00:00:00

  • Quality of life in women with breast cancer: a review of the literature and implications for nursing practice.

    abstract::This article discusses the gap between an ever-increasing interest in research on the quality of life in patients with breast cancer and the lack of impact this research has had in the actual care of these women. A critical review of the literature is used to answer the question of how much can be accepted as establis...

    journal_title:Cancer nursing

    pub_type: 杂志文章,评审

    doi:10.1097/00002820-200012000-00003

    authors: Rustøen T,Begnum S

    更新日期:2000-12-01 00:00:00

  • Predicting Engagement With Online Walking Promotion Among Metropolitan and Rural Cancer Survivors.

    abstract:BACKGROUND:Physical activity has numerous associated benefits for cancer survivors. Compared with their urban counterparts, rural Australians experience a health disadvantage, including poorer survival rate after diagnosis of cancer. OBJECTIVE:The aims of this study were to test the effectiveness of an online 12-week ...

    journal_title:Cancer nursing

    pub_type: 临床试验,杂志文章

    doi:10.1097/NCC.0000000000000649

    authors: Frensham LJ,Parfitt G,Dollman J

    更新日期:2020-01-01 00:00:00

  • Creating a research agenda with relevance to cancer nursing practice.

    abstract::To be clinically relevant, a research program must seek to answer questions considered significant and meaningful by front-line clinicians. This article describes the process used by one Nursing Department to identify significant clinical questions in cancer nursing that could form the basis for a clinical research ag...

    journal_title:Cancer nursing

    pub_type: 杂志文章

    doi:10.1097/00002820-199610000-00001

    authors: Fitch MI

    更新日期:1996-10-01 00:00:00

  • Nursing care for oral complications associated with chemotherapy. A survey among members of the Dutch Oncology Nursing Society.

    abstract::The incidence of oral complications among adult cancer patients undergoing chemotherapy varies from 12% to 80%. Adequate oral hygiene has been shown to be important in prevention, and an essential role is reserved for the nursing staff. These considerations prompted the decision to survey, by means of a questionnaire,...

    journal_title:Cancer nursing

    pub_type: 杂志文章

    doi:

    authors: Nieweg R,van Tinteren H,Poelhuis EK,Abraham-Inpijn L

    更新日期:1992-10-01 00:00:00

  • Coping Strategies for Self-perceived Burden Among Advanced Cancer Patients.

    abstract:BACKGROUND:Self-perceived burden (SPB) causes stress and negatively impacts the quality of life and mental health of patients. It is important to identify effective coping methods to reduce SPB when supporting advanced cancer patients. OBJECTIVE:To qualitatively elucidate advanced cancer patients' strategies for copin...

    journal_title:Cancer nursing

    pub_type: 杂志文章

    doi:10.1097/NCC.0000000000000723

    authors: Oeki M,Takase M

    更新日期:2020-11-01 00:00:00

  • Patient participation in decision making about care.

    abstract::The purpose of this study was to find out how cancer patients perceive patient participation in decision-making and to see which factors in their view facilitate and restrict participation. Data were collected in focus group interviews with 25 patients, most of whom had breast cancer. Data interpretation was based on ...

    journal_title:Cancer nursing

    pub_type: 杂志文章

    doi:10.1097/00002820-200106000-00002

    authors: Sainio C,Eriksson E,Lauri S

    更新日期:2001-06-01 00:00:00

  • Family Functioning Predicts End-of-Life Care Quality in Patients With Cancer: Multicenter Prospective Cohort Study.

    abstract:BACKGROUND:Treating patients with cancer within a family setting is the accepted standard of care and a hallmark of end-of-life (EoL) quality of care (QoC). OBJECTIVE:The aim of this study was to determine whether family caregiver functioning predicts EoL QoC received by terminally ill patients with cancer. METHODS:F...

    journal_title:Cancer nursing

    pub_type: 杂志文章,多中心研究

    doi:10.1097/NCC.0000000000000495

    authors: Lee MK,Yun YH

    更新日期:2018-05-01 00:00:00

  • Symptom, symptom experiences, and symptom distress encountered by women with breast cancer undergoing current treatment modalities.

    abstract::Adjuvant chemotherapy protocols used to treat women with breast cancer have evolved over the last decade and have dramatically altered the symptoms and symptom experiences of these women. The purpose of this study was to identify symptoms, symptom experiences, and resulting symptom distress encountered by women with b...

    journal_title:Cancer nursing

    pub_type: 杂志文章

    doi:10.1097/00002820-200509000-00008

    authors: Boehmke MM,Dickerson SS

    更新日期:2005-09-01 00:00:00

  • The Experience of Complex Pain Dynamics in Oncology Outpatients: A Longitudinal Qualitative Analysis.

    abstract:BACKGROUND:Few qualitative studies of cancer patients' everyday experiences with pain exist within the large body of cancer pain research. Longitudinal qualitative studies are particularly sparse, and no studies have qualitatively described patients' pain experience over time during participation in a self-management i...

    journal_title:Cancer nursing

    pub_type: 杂志文章

    doi:10.1097/NCC.0000000000000747

    authors: Schumacher KL,Plano Clark VL,Rabow MW,Paul SM,Miaskowski C

    更新日期:2019-09-27 00:00:00

  • Issues in Internet survey research among cancer patients.

    abstract::Considering the increasing number of cancer patients who are online, it is clear that the Internet will provide an important research medium and/or setting for oncology nurses in the near future. Despite increasing Internet usage in nursing research and practice, issues in using the Internet among cancer patients as a...

    journal_title:Cancer nursing

    pub_type: 杂志文章

    doi:10.1097/00002820-200401000-00005

    authors: Im EO,Chee W

    更新日期:2004-01-01 00:00:00

  • From Challenges to Resources: A Qualitative Study of Cancer Coordinators' Experiences of Barriers and Facilitators to Enacting Their System-Focused Tasks.

    abstract:BACKGROUND:Cancer coordinators (CCs) operate at both patient and system levels in order to provide patients with tailored and coordinated services. In common with international CCs, Norwegian CCs denote notable progress in their patient-focused work, while reporting ongoing challenges in carrying out system-focused tas...

    journal_title:Cancer nursing

    pub_type: 杂志文章

    doi:10.1097/NCC.0000000000000617

    authors: Lie NK,Solvang PK,Hauken MA

    更新日期:2019-09-01 00:00:00

  • Psychometric properties of a Chinese version of the Colorectal Cancer Perceptions Scale in a sample of older Chinese people.

    abstract:BACKGROUND:Older adults are more susceptible to colorectal cancer (CRC). Psychosocial constructs in the Health Belief Model are targets for interventional studies. No tool to measure these beliefs of older Chinese people has been validated. OBJECTIVE:The present study aimed to examine the preliminary psychometric prop...

    journal_title:Cancer nursing

    pub_type: 杂志文章

    doi:10.1097/NCC.0000000000000107

    authors: Leung DY,Wong EM,Chan CW

    更新日期:2014-09-01 00:00:00

  • Experiences of mothers in five countries whose child died of cancer.

    abstract::Although increasing attention is being focused on the emotional aspects of caring for dying children and their families, few research reports concentrate on the experiences of mothers, particularly in different countries. This article describes the findings of an exploratory, descriptive study that investigated the ex...

    journal_title:Cancer nursing

    pub_type: 杂志文章

    doi:10.1097/00002820-199810000-00001

    authors: Davies B,Deveau E,deVeber B,Howell D,Martinson I,Papadatou D,Pask E,Stevens M

    更新日期:1998-10-01 00:00:00

  • The Reliability and Validity of the Turkish Version of the Lymphedema Life Impact Scale in Patients With Breast Cancer-Related Lymphedema.

    abstract:BACKGROUND:Health-related quality of life is measured to detect the influence of lymphedema on physical, functional, and social aspects of life in patients with breast cancer-related lymphedema (BCRL). OBJECTIVE:This study aimed to perform the psychometric evaluation of the Lymphedema Life Impact Scale (LLIS) in Turki...

    journal_title:Cancer nursing

    pub_type: 杂志文章

    doi:10.1097/NCC.0000000000000709

    authors: Orhan C,Üzelpasaci E,Baran E,Nakip G,Özgül S,Aksoy S,Akbayrak T

    更新日期:2020-09-01 00:00:00

  • The BRIGHTLIGHT National Survey of the Impact of Specialist Teenage and Young Adult Cancer Care on Caregivers' Information and Support Needs.

    abstract:BACKGROUND:Teenage and young adult cancer services in England are centralized in 13 principal treatment centers (TYA-PTC). These "specialist services" are designed to support caregivers as well as young people. OBJECTIVES:To evaluate whether caregivers of young people with cancer had fewer unmet information and suppor...

    journal_title:Cancer nursing

    pub_type: 杂志文章

    doi:10.1097/NCC.0000000000000771

    authors: Martins A,Alvarez-Galvez J,Fern LA,Vindrola-Padros C,Barber JA,Gibson F,Whelan JS,Taylor RM

    更新日期:2019-12-28 00:00:00

  • A Model of Consultation in Prostate Cancer Care: Evidence From a Systematic Review.

    abstract:BACKGROUND:There has been an evolution of various consultation models in the literature. Men affected by prostate cancer can experience a range of unmet supportive care needs. Thus, effective consultations are paramount in the delivery of supportive care to optimize tailored self-management plans at the individual leve...

    journal_title:Cancer nursing

    pub_type: 杂志文章,评审

    doi:10.1097/NCC.0000000000000404

    authors: Paterson C,Nabi G

    更新日期:2017-07-01 00:00:00