Use of Goals in Cancer Pain Management: A Systematic Review.
J Pain Symptom Manage
; 68(3): e194-e205, 2024 Sep.
Article
in En
| MEDLINE
| ID: mdl-38851545
ABSTRACT
CONTEXT Cancer pain is multidimensional and management should be individualized to patient goals. The current standard for pain goal assessment is the personal pain goal (PPG), a numeric rating for tolerable pain intensity. However, the PPG may not accurately capture a personally meaningful goal for tailoring pain management. OBJECTIVES:
Identify how pain goals are used in cancer pain management and types of goals researched.METHODS:
CINAHL, PsychInfo, and PubMed databases and manual searching were used to locate research or scholarship about cancer pain goals. Authors reviewed titles, abstracts and full text to agree on the final sample.RESULTS:
Sixteen articles met inclusion criteria. Study designs included quality improvement project (1), concept analysis (1), qualitative methods (5), quantitative methods (8), and mixed methods (1). Findings included goal setting as a key attribute of pain management; achieving personal goals as the outcome of pain management work; qualitative themes discussed personal goals related to pain management; developing a patient pain management resource including a SMART goal; using motivational interviewing to set functional pain goals; PPG assessment was feasible; and achieving PPG equated to having controlled pain when compared to the clinically important difference measure used in research (≥30%). Quantitative studies reported on PPGs only.CONCLUSION:
Currently, assessments for cancer pain goals do not include function, activities, moods, medication effects, or safety that patients wish to achieve as a pain management outcome. Development and testing of multidimensional patient pain goals assessments is warranted so that goals can be consistently assessed, documented, and personally meaningful.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pain Management
/
Cancer Pain
/
Goals
Limits:
Humans
Language:
En
Journal:
J Pain Symptom Manage
Journal subject:
NEUROLOGIA
/
PSICOFISIOLOGIA
/
TERAPEUTICA
Year:
2024
Type:
Article