Pain management in the home Journal Article


Author: Coyle, N.
Article Title: Pain management in the home
Abstract: There is a major shift in responsibility for day-to-day pain management when a patient is to be cared for at home. What was primarily the responsibility of the nurse/physician team in the inpatient setting now becomes the responsibility of the patient and family. Poorly controlled pain affects not only the patient, but the family system as a whole. Successful pain management at home depends on a patient and family who feel reasonably confident in understanding the cause of the pain and in their ability to use the analgesics as prescribed (eg, around-the-clock doses and "rescue" doses), how to recognize and report changes in the pain site, character and severity, how to recognize and report adverse side effects from the analgesic prescribed, how to use non-drug measures to help relieve the pain, and how to access help and support on a 24-hour basis. Therefore, family education is key. Copyright © 2005 by Current Science Inc.
Keywords: clinical trial; review; treatment planning; cancer patient; nursing; palliative care; gastrointestinal symptom; nausea; vomiting; patient education; cancer pain; self report; hospital care; medicaid; medicare; prescription; confusion; patient care; social support; narcotic analgesic agent; disease severity; paracetamol; cognitive therapy; hospital patient; physician; caregiver; methadone; morphine; somnolence; home care; drug dose regimen; medical ethics; hydromorphone; morphine sulfate; physiotherapy; patient care planning; cost benefit analysis; health care access; family; fentanyl; levorphanol; oxycodone; codeine; hydrocodone bitartrate plus paracetamol; fentanyl citrate; dextropropoxyphene; opiate derivative; home care services
Journal Title: Current Pain and Headache Reports
Volume: 9
Issue: 4
ISSN: 1531-3433
Publisher: Springer  
Date Published: 2005-08-01
Start Page: 231
End Page: 238
Language: English
PUBMED: 16004837
PROVIDER: scopus
DOI: 10.1007/s11916-005-0029-0
DOI/URL:
Notes: --- - "Export Date: 24 October 2012" - "CODEN: CPHRG" - "Source: Scopus"
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  1. Nessa M Coyle
    123 Coyle