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Pain Care Nurses

Most patients with advanced cancer, and up to 60% of patients with any stage of the disease, experience significant pain. The World Health Organization (WHO) estimates that 25% of all cancer patients die with unrelieved pain. Although pain can be relieved adequately in most cancer patients, it remains undertreated. Probably the most fearsome symptom regardless of cancer type will be the pain. The management of cancer-related pain is an ethical responsibility of healthcare professionals to relieve unnecessary suffering, as part of the duty to care.

Patients with cancer should be comforted with maximally achievable pain control and not live in fear of inadequately treated pain. As the survival of patients with cancer becomes longer, reliable pain relief is now a high-priority issue. Therefore, current approach to pain control should be individualized for every patient and will require specialized pain care nurses to take care of oncology patients.

Roles of Pain Care Nurse includes:-

  • In addition to general nursing care, responsibilities of Pain Care Nurses include (but are not limited to):
  • Directs and coordinates the Inpatient Pain Management Consultation Service, providing consultation to nursing, and others in inpatient units to develop, implement, and evaluate a comprehensive plan of care including a discharge plan, for patients with complex pain problems to achieve desired patient outcomes.
  • Consults with staff concerning patient care issues. Evaluates practice and ensures clinical care reflects up-to date clinical practices and integration of practice standards as appropriate.
  • Evaluates current pain management nursing practices in relation to expected standards across the continuum of care.
  • Act as a specialist resource for the clinical management of patients
  • Contributes to the design and conduct of pain management evidence-based practice and quality improvement activities related to the care of patients and their families.
  • Ensures the delivery of high quality pain management to patients and families.
  • Perform acute pain management procedures according to doctor’s order using Patient-controlled analgesia (PCA) or Patient-controlled epidural analgesia (PCEA).
  • Monitor patients using CADD pump for epidural infusions.
  • Visit the patients with consultant/doctors.
  • Act as an effective change agent integrating information gained from research and audit into clinical practice.
  • Provide formal and informal education to others involved in Pain care e.g. Medical and Nursing staff and students.
  • Educate the patients and relatives about the pharmacological and non-pharmacological methods of pain management.

Continually assesses the education needs of staff, patients, and families. Plans and contributes to formal and informal education for staff, patients and families.

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