Changing Pain Management Practices in Hospitals and Cancer Centers

Russell K. Portenoy and Eduardo Bruera

in Issues in Palliative Care Research

Published in print September 2003 | ISBN: 9780195130652
Published online November 2011 | e-ISBN: 9780199999842 | DOI:
Changing Pain Management Practices in Hospitals and Cancer Centers

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Undertreatment of pain continues throughout the world. Hospitalized patients with pain continue to be inadequately managed, despite the availability of safe and effective treatments. This chapter familiarizes the reader with the efforts of today's clinicians as they work toward achieving “best practices” in pain management. This requires champions, who build teams and use a systematic process to solve problems, seek evidenced-based solutions, and recognize the need for long-term evaluations. The discussion holds that through implementation of standards, such as the American Pain Society (APS) Quality Improvement Guidelines for the Treatment of Acute and Cancer Pain, the Agency for Healthcare Research and Quality (AHRQ) Guidelines for Cancer Pain, and the new Joint Commission of Accreditation of Hospitals Organization (JCAHO) pain standards, cancer centers and hospitals have the potential to improve pain management for all patients.

Keywords: pain undertreatment; chronic pain; American Pain Society; Guidelines for Cancer Pain; pain standards

Chapter.  6981 words.  Illustrated.

Subjects: Palliative Medicine

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