Journal of Pain and Symptom Management
Volume 23, Issue 5 , Pages 393-405 , May 2002

Barriers to Effective Cancer Pain Management: A Survey of Hospitalized Cancer Patients in Australia

  • Patsy M Yates, RN, DipApSc, BA, MSocSc, PhD

      Affiliations

    • School of Nursing, Queensland University of Technology, Brisbane, Australia
    • Royal Brisbane Hospital, Brisbane, Queensland, Australia
    • Corresponding Author InformationAddress reprint requests to: Patsy M. Yates, RN, PhD, School of Nursing, Faculty of Health, Queensland University of Technology, Victoria Park Road, Kelvin Grove 4059, Australia
    • ,
  • Helen E Edwards, RN, RM, DipApSc, BA(Hon), PhD

      Affiliations

    • School of Nursing, Queensland University of Technology, Brisbane, Australia
    • ,
  • Robyn E Nash, RN, DipApSc, BA, MHSc

      Affiliations

    • School of Nursing, Queensland University of Technology, Brisbane, Australia
    • ,
  • Anne M Walsh, RN, RM, DipApSc, BA, Grad Dip HProm

      Affiliations

    • School of Nursing, Queensland University of Technology, Brisbane, Australia
    • ,
  • Belinda J Fentiman, RN, RM, DipApSc, MEd

      Affiliations

    • School of Nursing, Queensland University of Technology, Brisbane, Australia
    • ,
  • Helen M Skerman, DipTeach, BSc, MSocSc, Jan K. McDowell, RN, BNurs (Hons)

      Affiliations

    • School of Nursing, Queensland University of Technology, Brisbane, Australia
    • ,
  • Jake M Najman, BA, PhD

      Affiliations

    • Department of Anthropology and Sociology, University of Queensland, Brisbane, Australia

,Accepted 4 September 2001.

References 

  1. Bonica JJ. Treatment of cancer pain (current status and future needs). In:  Fields HL editors. Advances in Pain Research and Therapy. New York: Raven Press; 1985;p. 589–616
  2. Jacox A, Carr DB, Payne R. Treating cancer pain. New clinical-practice guidelines for the management of pain in patients with cancer. N Engl J Med. 1994;331:199–201
  3. Foley KM. Treatment of cancer pain. N Engl J Med. 1985;313:84–95
  4. Portenoy RK. Cancer pain. Epidemiology and syndromes. Cancer. 1989;63:2298–2307
  5. Cleeland CS. Research in cancer pain (What we know and what we need to know). Cancer. 1991;67:823–827
  6. Ferrell BR. The impact of pain on quality of life. A decade of research. Nursing Clinics of North America. 1995;30:609–624
  7. Zhukovksy DS, Gorowsky E, Hausdorff J, Napolitano B, Lesser M. Unmet analgesic needs in cancer patients. J Pain Symptom Manage. 1995;10:113–119
  8. Jacox A, Carr DB, Payne R, et al.  Management of cancer pain. Rockville MD: U.S. Department of Health and Human Services; 1994;
  9. Cleeland CS, Syrjala KL. How to assess cancer pain. In:  Turk DC,  Melzack R editor. Handbook of Pain Assessment. New York: The Guilford Press; 1992;p. 362–387
  10. WHO. Cancer pain relief. Geneva, 1986.
  11. WHO. Cancer pain relief, 2nd ed., with a guide to opioid availability. Geneva, 1996.
  12. NHMRC . Acute pain management scientific evidence. Commonwealth of Australia, Canberra: National Health and Medical Research Council; 1999;
  13. Zech DF, Grond S, Lynch J, Hertel D, Lehmann KA. Validation of World Health Organization Guidelines for cancer pain relief (a 10-year prospective study). Pain. 1995;63:65–76
  14. Ventafridda V, Selmi S, Di Mola G, Tamburini M, De Conno F. A new model of continuing care for advanced cancer pain treatment. Hospice Journal—Physical, Psychosocial, & Pastoral Care of the Dying. 1987;3:85–99
  15. de Wit R, van Dam F, Zandbelt L, et al.  A pain education program for chronic cancer pain patients (follow-up results from a randomized controlled trial). Pain. 1997;73:55–69
  16. Ferrell BR, Rhiner M, Ferrell BA. Development and implementation of a pain education program. Cancer. 1993;72:3426–3432
  17. Rimer B, Levy M, Keintz MK, MacElwee N, Engstrom PF. Improving cancer patients' pain control through education. Progress in Clinical & Biological Research. 1987;248:123–127
  18. Nash R, Najman J, Yates P, et al.  Educating nurses and patients for effective usage of analgesic medications. Brisbane: Queensland University of Technology; 1996;
  19. Riddell A, Fitch MI. Patients' knowledge of and attitudes toward the management of cancer pain. Oncology Nursing Forum. 1997;24:1775–1784
  20. Clarke EB, French B, Bilodeau ML, Capasso VC, Edwards A, Empoliti J. Pain management knowledge, attitudes and clinical practice (the impact of nurses' characteristics and education). J Pain Symptom Manage. 1996;11:18–31
  21. O'Brien S, Dalton JA, Konsler G, Carlson J. The knowledge and attitudes of experienced oncology nurses regarding the management of cancer-related pain. Oncology Nursing Forum. 1996;23:515–521
  22. Fife BL. A comparative study of the attitudes of physicians and nurses toward the management of cancer pain. J Pain Symptom Manage. 1993;8:132–139
  23. Dorrepaal KL, Aaronson NK, Van Dam FSA. Pain experience and pain management among hospitalized cancer patients (a clinical study). Cancer. 1989;63:593–598
  24. Lancee WJ, Vachon MLS, Ghadirian P, Adair W, Conway B, Dryer D. The impact of pain and impaired role performance on distress in persons with cancer. Can J Psychiatry. 1994;39:617–622
  25. Yates P, Dewar A, Edwards H, et al.  The prevalence and perception of pain amongst hospital in-patients. J Clin Nurs. 1998;7:521–530
  26. Ward SE, Goldenberg N, Miller-McCauley V, et al.  Patient-related barriers to management of cancer pain. Pain. 1993;52:319–324
  27. Jensen MP, Karoly P, Huger R. The development and preliminary validation of an instrument to assess patients' attitudes toward pain. J Psychometric Res. 1987;31:393–400
  28. Edwards LC, Pearce SA, Turner-Stokes L, Jones A. The Pain Beliefs Questionnaire (An investigation of beliefs in the causes and consequences of pain). Pain. 1992;51:267–272
  29. Ward S, Gatwood J. Concerns about reporting pain and using analgesics (a comparison of persons with and without cancer pain). Cancer Nursing. 1994;17:200–206
  30. Laing R, Lam M, Owen H, Plummer JL. Perceived risks of postoperative analgesia. Australian and New Zealand Surgery. 1993;63:760–765
  31. Lavies NG, Hart L, Rounsefell B, Runciman W. Identification of patient, medical, and nursing staff attitudes to postoperative opioid analgesia (Stage 1 of a longitudinal study of postoperative analgesia). Pain. 1992;48:313–319
  32. Donovan BD. Patient attitudes to postoperative pain relief. Anaesth Int Care. 1983;11:125–129
  33. Cleeland C. Brief Pain Inventory. In:  Turk DC,  Melzack R editor. Handbook of Pain Assessment. New York: The Guilford Press; 1991;p. 378–382
  34. Melzack R. The McGill Pain Questionnaire (Major properties and scoring methods). Pain. 1975;1:277–299
  35. Cleeland CS, Nakamura Y, Mendoza TR, et al.  Dimensions of the impact of cancer pain in a four country sample (new information from multidimensional scaling). Pain. 1996;67:267–273
  36. Miaskowski C, Dibble SL. The problem of pain in outpatients with breast cancer. Oncology Nursing Forum. 1995;22:791–797
  37. Caraceni A, Portenoy RK. An international survey of cancer pain characteristics and syndromes. IASP Task Force on Cancer Pain. International Association for the Study of Pain. Pain. 1999;82:263–274
  38. Bucher JA, Trostle GB, Moore M. Family reports of cancer pain, pain relief, and prescription access. Cancer Practice. 1999;7:71–77
  39. Elliott BA, Elliott TE, Murray DM, Braun BL, Johnson KM. Patients and family members (the role of knowledge and attitudes in cancer pain). J Pain Symptom Manage. 1996;12:209–220
  40. Ferrell BR, Taylor EJ, Grant M, Fowler M, Corbisiero RM. Pain management at home (struggle, comfort, and mission). Cancer Nursing. 1993;16:169–178
  41. Pargeon KL, Hailey BJ. Barriers to effective cancer pain management (a review of the literature). J Pain Symptom Manage. 1999;18:358–368
  42. Meissner JI, Anderson DM, Odenkrichen JC. Meeting information needs of significant others (use of the Cancer Information Service). Patient Education and Counseling. 1990;15:171–179
  43. Jassak PF. Families (an essential element in the care of the patient with cancer). Oncology Nursing Forum. 1992;19:871–876
  44. Trowbridge R, Dugan W, Jay SJ, et al.  Determining the effectiveness of a clinical-practice intervention in improving the control of pain in outpatients with cancer. Academic Medicine. 1997;72:798–800
  45. Green L, Krueter M, Deeds S, Partridge K. Health education planning (a diagnostic approach). California: Mayfield Publishing Company; 1980;
  46. Gu X, Belgrade MJ. Pain in hospitalized patients with medical illnesses. J Pain Symptom Manage. 1993;8:17–21
  47. Ferrell BA. Pain management in elderly people. JAGS. 1991;39:64–73
  48. Vigano A, Bruera E, Suarez-Almazor ME. Age, pain intensity, and opioid dose in patients with advanced cancer. Cancer. 1998;83:1244–1250
  49. Yates P, Dewar A, Fentiman B. Pain (the views of elderly people living in long-term residential care settings). J Adv. Nursing. 1995;21:667–674
  50. McNeil JA, Sherwood GD, Starck PL, Thompson CJ. Assessing clinical outcomes (patient satisfaction with pain management). J Pain Symptom Manage. 1998;16:29–40
  51. Stein WM, Miech RP. Cancer pain in the elderly hospice patient. J Pain Symptom Manage. 1993;8:474–482
  52. Sloman R, Ahern M, Wright A, Brown L. Nurses' knowledge of pain in the elderly. J Pain Symptom Manage. 2001;21:317–322
  53. Courtney M, Tong S, Walsh A. Older patients in the acute care setting (rural and metropolitan nurses' knowledge, attitudes and practices). Aust J Rural Health. 2000;8:94–102
  54. Portenoy RK, Lesage P. Management of cancer pain. Lancet. 1999;353:1695–1700

PII: S0885-3924(02)00387-1

Journal of Pain and Symptom Management
Volume 23, Issue 5 , Pages 393-405 , May 2002

Article Tools

* Image Usage & Resolution