Pain management of a cancer patient in palliative care : a systematic review
Valo, Elli (2012)
Turun ammattikorkeakoulu
2012
Creative Commons Attribution-NonCommercial-NoDerivs 1.0 Suomi
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2012121018869
https://urn.fi/URN:NBN:fi:amk-2012121018869
Tiivistelmä
This is a bachelor’s thesis on pain management of a cancer patient in palliative care. A systematic literature review was used to analyze the data and research question was set to determine different methods of pain management. Academic databases, Cinahl and Medline were used to find research articles. Several books were used in the background. Multiple inclusion and exclusion criteria were used to choose the research articles for this research.
Cancer is a group of diseases and it’s the leading cause of deaths worldwide. As cancer has many manifestations and it can develop at any site and tissue of the body, care of a cancer patient can be complex. Despite research that has provided more information about the disease, the overall survival rate remains 66 %.
Palliative care is an approach that supports and improves the quality of life of patients with terminal illness. It regards dying as a normal process and does not intend to hasten or extend life. Palliatiative care can be given in an addition to therapeutic measures such as chemotherapy. Palliative care originates from the work of nurse and doctor Dame Cicely Saunder’s work who founded St. Cristopher’s hospice in London in 1967. Saunders advocated systemic research and scientific observation as an essential part of this specialty. Saunder’s work has lead to foundation of so many hospices worldwide. There are many obstacles in palliative care, like incomplete pain management.
The aim of the thesis is to provide information about the care of a cancer patient in palliative care to nurses on Hoitonetti. The research question was: How to manage pain of a cancer patient in palliative care?
Eight viable research articles were chosen for the literature review and the results of them made it possible to answer the research question. For different groups of pain management methods were identified: 1. Opioids 2. Non-opioids 3. Adjuvant analgesics and 4. Nonpharmacological methods.
Cancer is a group of diseases and it’s the leading cause of deaths worldwide. As cancer has many manifestations and it can develop at any site and tissue of the body, care of a cancer patient can be complex. Despite research that has provided more information about the disease, the overall survival rate remains 66 %.
Palliative care is an approach that supports and improves the quality of life of patients with terminal illness. It regards dying as a normal process and does not intend to hasten or extend life. Palliatiative care can be given in an addition to therapeutic measures such as chemotherapy. Palliative care originates from the work of nurse and doctor Dame Cicely Saunder’s work who founded St. Cristopher’s hospice in London in 1967. Saunders advocated systemic research and scientific observation as an essential part of this specialty. Saunder’s work has lead to foundation of so many hospices worldwide. There are many obstacles in palliative care, like incomplete pain management.
The aim of the thesis is to provide information about the care of a cancer patient in palliative care to nurses on Hoitonetti. The research question was: How to manage pain of a cancer patient in palliative care?
Eight viable research articles were chosen for the literature review and the results of them made it possible to answer the research question. For different groups of pain management methods were identified: 1. Opioids 2. Non-opioids 3. Adjuvant analgesics and 4. Nonpharmacological methods.