AI Article Synopsis
- High healthcare needs for cancer pain management are evident, requiring effective differentiation of roles among various care providers to prevent mistreatment.
- Research shows that a significant number of ambulatory care nurses and primary caregivers utilize pain assessment scales, although the types of scales vary.
- Coordination between outpatient and primary care providers is essential for effective pain therapy, focusing on assessment, scope of action, and accessibility.
Article Abstract
Background: High healthcare needs are evident for pain caused by cancer. Those affected are not only looking for help in acute inpatient structures but also for a much larger part in outpatient care structures. To avoid mistreatment, undertreatment or overtreatment of pain in people with cancer, it is necessary to differentiate the tasks and roles of different providers while highlighting the specific aspects of pain management within the given network structures.
Materials And Methods: Aspects, such as pain assessment and the necessary scope of action in pain treatment are illustrated from the perspective of nurses from home care services, primary physicians as well as the general or special ambulatory palliative care (AAPV or SAPV) on the basis of initial survey results and a documentation analysis.
Results: Ambulatory care nurses (93 %) and primary caregivers (64 %) use pain assessment scales. The kind of scales used varies. The ability to provide adequate pain care for patients in the immediate care situation is reported as given by more than half of the nurses (56.6 %).
Conclusions: In order to ensure an adequate pain therapy targeted interprofessional coordination is required between outpatient and primary physicians with respect to aspects of pain assessment, scope of action and accessibility.
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| http://dx.doi.org/10.1007/s00482-013-1305-2 | DOI Listing |
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