PALLIATIVE CARE

Role of Nurse in Providing in Pain Management at the End of Life in Clinical Setting



Literature Review

Author/Publication date/Country

Title

Method

Measurement

Sample

Summary of Key Findings

Answer to the Research Questions

Du Pen, S. L., Du Pen, A. R., Polissar, N., Hansberry, J., Kraybill, B. M., Stillman, M., ... & Syrjala, K. (1999)

Journal of Clinical Oncology

Implementing guidelines for cancer pain management: results of a randomized controlled clinical trial

Quantitative

Measurement of the level of pain witness by patients participating in the controlled clinical trial

A total of 81 patients suffering from cancer and aged 37 to 76 years

Brief Pain Inventory

Memorial Symptom Assessment Scale

Functional Assessment of Cancer Therapy Scale

Patients who were randomized to the pain algorithm group witnessed a significant reduction in pain. The standard community practice was proved to be ineffective.

Hilden, J. M., Emanuel, E. J., Fairclough, D. L., Link, M. P., Foley, K. M., Clarridge, B. C., ... & Mayer, R. J. (2001)

Journal of Clinical Oncology

UK, Canada & USA

Attitudes and practices among pediatric oncologists regarding end-of-life care: results of the 1998 American Society of Clinical Oncology survey

Quantitative

The answers were analyzed in order to determine the measures that were most highly rated and those that were rated low.

118 questions were presented to ASCO members in the sample countries. These were completed by 228 pediatric oncologists.

It was found out in this study that the effective team was the backbone to establishing an understanding of the importance of changing things and taking them forward.

Although barriers exist, pediatric oncologists are working to integrate palliative care, psychosocial support, and symptom control, into the routine care.

Lorenz, K. A., Lynn, J., Dy, S. M., Shugarman, L. R., Wilkinson, A., Mularski, R. A., ... & Shekelle, P. G. (2008)

Annals of internal medicine

USA

Evidence for improving palliative care at the end of life: a systematic review

Qualitative

Nursing literature published in several journals were reviewed. This research gave an overview of the quality of life being lived by people

Various electronic sources were used in order to gather articles that were relevant to the subject area.

The quality of life is an important concept in nursing because nurses have an important task to ensure that their patients live a life in which they do not have to worry about anything. The role of the nurses is to provide adequate care to patients.

It was determined that patients live a much better life under hospice nursing care than by being provided care at home.

Miller, S. C., Mor, V., Wu, N., Gozalo, P., & Lapane, K. (2002)

Journal of the American Geriatrics Society

USA

Does receipt of hospice care in nursing homes improve the management of pain at the end of life?

Quantitative

The details of the drugs used just before the death were collected in order to measure if nursing care would have had an impact.

Over 800 nursing homes in Kansas. 709 hospice and 1,326 nonhospice residents.

The drugs not recommended during end of life care were searched in order to determine how hospice care could improve the management of pain.

Analgesic management

 of pain was proved to be much better than home care since the nurses cared more for the ...