Journal article
Racial Differences in Pain Management for Patients Receiving Hospice Care
Oncology nursing forum, Vol.47(2), pp.228-240
03/01/2020
DOI: 10.1188/20.ONF.228-240
PMID: 32078609
Abstract
OBJECTIVES: To investigate racial differences in implementation of 11 evidence-based cancer pain management strategies in a matched sample of patients in hospice.
SAMPLE & SETTING: 32 African American and 32 Caucasian American older adults (aged 65 years or older) with cancer pain receiving hospice care in the midwestern United States.
METHODS & VARIABLES: Matched cohort secondary data analysis of postintervention data in a cluster randomized controlled trial was used. Main outcomes are the summative and individual Cancer Pain Practice Index scores.
RESULTS: There were few statistically significant or clinically meaningful differences in implementation of individual best practices for pain management by race. Assessment of primary pain characteristics and management of opioid-induced constipation with a bowel regimen was significantly lower in African Americans than in Caucasian Americans.
IMPLICATIONS FOR NURSING: African American older adults receiving hospice care at the end of life received pain management that was, overall, comparable to matched Caucasian American older adults. Hospice and oncology nurses play a critical role in effective pain management and should continue to implement evidence-based guidelines for pain management into daily practice. Diffusing the hospice model and principles of pain and symptom management into other settings and specialty care areas may reduce widespread pain disparities.
Details
- Title: Subtitle
- Racial Differences in Pain Management for Patients Receiving Hospice Care
- Creators
- Staja Q. Booker - University of Florida Health Science CenterKeela A. Herr - University of IowaCynthia Wilson Garvan - University of Florida Health
- Resource Type
- Journal article
- Publication Details
- Oncology nursing forum, Vol.47(2), pp.228-240
- Publisher
- Oncology Nursing Soc
- DOI
- 10.1188/20.ONF.228-240
- PMID
- 32078609
- ISSN
- 0190-535X
- eISSN
- 1538-0688
- Number of pages
- 13
- Grant note
- RO1CA115363 / National Cancer Institute; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI) T32 NR011147 / National Institute of Nursing Research; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Nursing Research (NINR) T32 T32AGO4967301SI / National Institute on Aging; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA)
- Language
- English
- Date published
- 03/01/2020
- Academic Unit
- Nursing
- Record Identifier
- 9984370748102771
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