Mapping cancer pain screening, assessment and reassessment practices within one Australian health district: results from a baseline chart audit
Poster
Paper/Presentation Title | Mapping cancer pain screening, assessment and reassessment practices within one Australian health district: results from a baseline chart audit |
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Presentation Type | Poster |
Authors | Phillips, Jane, Heneka, Nicole and Shaw, Tim |
Journal or Proceedings Title | Asia Pacific Journal of Clinical Oncology |
Journal Citation | 9, pp. 126-127 |
Number of Pages | 2 |
Year | Nov 2013 |
Place of Publication | Australia |
ISSN | 1743-7555 |
1743-7563 | |
Conference/Event | COSA Annual Scientific Meeting 2013 |
Event Details | COSA Annual Scientific Meeting 2013 Delivery In person Event Date 12 to end of 14 Nov 2013 Event Location Adelaide, Australia |
Abstract | Introduction: Despite, people receiving cancer treatment being in frequent contact with health professionals, some 30–75% experience cancer related pain, which is frequently undertreated. International cancer pain guidelines recommend routine: screening, obtaining patient reported pain scores, completing a comprehensive pain assessment and reassessment. Yet, the degree to which these practices are embedded into routine inpatient cancer care in Australia is largely unknown. Aim: To determine the level of pain screening, assessment and re-assessment practices within four public hospitals, including a specialist gynecological oncology service within one health district in NSW, Australia. Methods: Consecutive chart audits of all inpatients with a cancer related admission of ≥ 3 days during a one month audit period and who experienced pain on or during this admission. Results: Of the 92 inpatients that met the inclusion criteria, the majority were female (58%), median age 65.1 years (SD + 12.4), with lung cancer (17%) and a mean inpatient stay of 8.3 days (SD + 6.2). A third (33%) had been admitted specifically for pain control. On admission, 86% were screened for pain, with a pain score documented for 34% on or during their admission. Very few (3%) had a comprehensive pain assessment documented. There was no evidence of a standardized pain assessment tool being used, with patients’ reports of pain documented in a variety of locations. Conclusions: This chart audit data suggests there are opportunities to improve pain screening, assessment and reassessment practice across these inpatient cancer care units by focusing on: patient, provider and system level factors. |
Keywords | cancer treatment |
Public Notes | There are no files associated with this item. |
Byline Affiliations | University of Notre Dame Australia |
University of Technology Sydney |
https://research.usq.edu.au/item/y575v/mapping-cancer-pain-screening-assessment-and-reassessment-practices-within-one-australian-health-district-results-from-a-baseline-chart-audit
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