http://web.b.ebscohost.com/ehost/detail?vid=8&sid=7c428fb1-abbb-4a9a-953f54a8023b61ac%40sessionmgr110&hid=103&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=c8h&AN= 2012410611 Achieving effective control in cancer pain: a review of current guidelines.

Authors: Fielding, Flannery; Sanford, Tanya M.; Davis, Mellar P. Affiliation: Nurse Practitioner, Cleveland Clinic, Taussig Cancer Institute Nurse Practitioner, Cleveland Clinic, Taussig Cancer Institute Cleveland Clinic, Harry R. Horvitz Center for Palliative Medicine Source: International Journal of Palliative Nursing (INT J PALLIAT NURS), 2013 Dec; 19 (12): 584-91. (35 ref) Publication Type: journal article - algorithm, pictorial, review, tables/charts Language: English Major Subjects: Cancer Pain -- Therapy Cancer Pain -- Drug Therapy Cancer Pain -- Nursing Analgesia -- Methods Analgesics -- Administration and Dosage Hospice and Palliative Nursing Nursing Practice, Evidence-Based Practice Guidelines Minor Subjects: Cancer Patients; Patient Assessment; Pain Measurement; Cancer Pain -Physiopathology; Combined Modality Therapy; Drug Therapy, Combination; Decision Making, Clinical; Dose-Response Relationship, Drug; Narcotics -- Administration and Dosage; Narcotics -Pharmacokinetics; Narcotics -- Adverse Effects; Breakthrough Pain -- Drug Therapy; Nerve Block; Alternative Therapies; Bowel and Bladder Management; Cathartics -- Therapeutic

Use; Substance Dependence; Drug Tolerance; Guideline Adherence; Oncologic Nursing; Algorithms Abstract: Pain is one of the most common and distressing elements of suffering related to cancer and cancer treatment. Progress in cancer treatment means people will live longer with the sequelae of cancer and disease-directed treatments, and both the short- and long-term effects of opioid use must be considered. Skilled practitioners caring for individuals with cancer help to alleviate cancer-related pain by using the World Health Organization (WHO) step-wise approach to pain management as well as recently updated national and international guidelines. Current guidelines go beyond the unidimensional WHO model by addressing comprehensive assessment, pharmacological management of opioids and adverse effects associated with opioid use, the role of adjuvants, and the application of non-pharmacological treatments. By following current guidelines promoting a multifaceted approach to the management of cancer-related pain and advocating for patient-centered care, nurses are uniquely positioned to champion effective cancer pain management. Journal Subset: Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Online/Print; Peer Reviewed; UK & Ireland Special Interest: Evidence-Based Practice; Oncologic Care; Pain and Pain Management; Palliative Care/Hospice ISSN: 1357-6321 MEDLINE Info: PMID: 24356502 NLM UID: 9506762 Entry Date: 20140103 Revision Date: 20140131 Accession Number: 2012410611 Database:

CINAHL with Full Text Cancer pain in Jordan: prevalence and adequacy of treatment. Authors: Al Qadire, Mohammad; Tubaishat, Ahmad; Aljezawi, Ma'en M. Affiliation: Assistant Professor, School of Nursing, Al Al-Bayait University, Jordan Source: International Journal of Palliative Nursing (INT J PALLIAT NURS), 2013 Mar; 19 (3): 125-30. (27 ref) Publication Type: journal article - research, tables/charts Language: English Major Subjects: Cancer Pain -- Epidemiology -- Jordan Cancer Pain -- Drug Therapy Palliative Care Analgesia Minor Subjects: Epidemiological Research; Jordan; Human; Cancer Patients; Cross Sectional Studies; Surveys; Convenience Sample; Scales; Brief Pain Inventory; Pain Measurement; Summated Rating Scaling; Treatment Outcomes; Questionnaires; Hospital Units; Academic Medical Centers; Hospitals, Public; Health Status; Coefficient Alpha; Data Analysis Software; Mann-Whitney U Test; Employment Status; Marital Status; Educational Status; Chronic Disease; Adolescence; Adult; Middle Age; Aged; Male; Female; Descriptive Statistics; Activities of Daily Living; Analgesics -- Administration and Dosage Abstract: Background: Despite the introduction of numerous guidelines and pharmacological interventions to manage cancer pain, poor assessment and under-medication remain common. Aim: To estimate the prevalence of cancer pain and the adequacy of its management in Jordan. Method: A convenience sample of 162 cancer patients from two hospitals participated in a

cross-sectional survey using an Arabic version of the Brief Pain Inventory-short form (BPI). Results: 73.3% of the patients had pain severe enough to merit rating on the BPI.The mean of the worst pain scores in the past 24 hours was high at 7.5 out of 10 (standard deviation (SD) 2.7). 31 % of patients with pain had not been treated for their pain, and the mean Pain Management Index score was -1.20 (SD 1.0). Conclusion: These cancer patients were experiencing high levels of pain, which was undertreated. Providing adequate pain management is a priority, hence more education, training, and resources are needed in Jordan to reduce cancer patients' suffering. Journal Subset: Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Online/Print; Peer Reviewed; UK & Ireland Special Interest: Pain and Pain Management; Palliative Care/Hospice Instrumentation: Pain Management Index (PMI) Brief Pain Inventory-short form (BPI)[Arabic] ISSN: 1357-6321 MEDLINE Info: PMID: 23665570 NLM UID: 9506762 Entry Date: 20130412 Revision Date: 20130906 Accession Number: 2012062669 Database: CINAHL with Full Text

http://web.b.ebscohost.com/ehost/detail?vid=8&sid=7c428fb1-abbb-4a9a-953f54a8023b61ac%40sessionmgr110&hid=103&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=c8h&AN= 2012062669

Achieving effective control in cancer pain: a review of current guidelines. Authors: Fielding, Flannery; Sanford, Tanya M.; Davis, Mellar P. Affiliation: Nurse Practitioner, Cleveland Clinic, Taussig Cancer Institute Nurse Practitioner, Cleveland Clinic, Taussig Cancer Institute Cleveland Clinic, Harry R. Horvitz Center for Palliative Medicine Source: International Journal of Palliative Nursing (INT J PALLIAT NURS), 2013 Dec; 19 (12): 584-91. (35 ref) Publication Type: journal article - algorithm, pictorial, review, tables/charts Language: English Major Subjects: Cancer Pain -- Therapy Cancer Pain -- Drug Therapy Cancer Pain -- Nursing Analgesia -- Methods Analgesics -- Administration and Dosage Hospice and Palliative Nursing Nursing Practice, Evidence-Based Practice Guidelines Minor Subjects: Cancer Patients; Patient Assessment; Pain Measurement; Cancer Pain -Physiopathology; Combined Modality Therapy; Drug Therapy, Combination; Decision Making, Clinical; Dose-Response Relationship, Drug; Narcotics -- Administration and Dosage; Narcotics --

Pharmacokinetics; Narcotics -- Adverse Effects; Breakthrough Pain -- Drug Therapy; Nerve Block; Alternative Therapies; Bowel and Bladder Management; Cathartics -- Therapeutic Use; Substance Dependence; Drug Tolerance; Guideline Adherence; Oncologic Nursing; Algorithms Abstract: Pain is one of the most common and distressing elements of suffering related to cancer and cancer treatment. Progress in cancer treatment means people will live longer with the sequelae of cancer and disease-directed treatments, and both the short- and long-term effects of opioid use must be considered. Skilled practitioners caring for individuals with cancer help to alleviate cancer-related pain by using the World Health Organization (WHO) step-wise approach to pain management as well as recently updated national and international guidelines. Current guidelines go beyond the unidimensional WHO model by addressing comprehensive assessment, pharmacological management of opioids and adverse effects associated with opioid use, the role of adjuvants, and the application of non-pharmacological treatments. By following current guidelines promoting a multifaceted approach to the management of cancer-related pain and advocating for patient-centered care, nurses are uniquely positioned to champion effective cancer pain management. Journal Subset: Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Online/Print; Peer Reviewed; UK & Ireland Special Interest: Evidence-Based Practice; Oncologic Care; Pain and Pain Management; Palliative Care/Hospice ISSN: 1357-6321 MEDLINE Info: PMID: 24356502 NLM UID: 9506762 Entry Date: 20140103 Revision Date: 20140131 Accession Number:

2012410611 Database: CINAHL with Full Text http://web.b.ebscohost.com/ehost/detail?vid=10&sid=7c428fb1-abbb-4a9a-953f54a8023b61ac%40sessionmgr110&hid=103&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=c8h&AN= 2012410611

http://web.b.ebscohost.com/ehost/detail?vid=10&sid=7c428fb1-abbb-4a9a-953f54a8023b61ac%40sessionmgr110&hid=103&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=c8h&AN= 2012384499 How do nurses in specialist palliative care assess and manage breakthrough cancer pain? A multicentre study. Authors: Soden, Katie; Ali, Simone; Alloway, Lara; Barclay, David; Barker, Stephanie; Bird, Lydia; Hall, Lesley; Perkins, Paul Affiliation: Palliative Medicine Consultant, Priscilla Bacon Centre for Specialist Palliative Care Services, Colman Hospital, Unthank Road, Norwich, NR2 2PJ, England Palliative Medicine Consultant, Martlets Hospice, England Palliative Medicine Consultant, North Hampshire Palliative Care Service, England Palliative Medicine Consultant, St Wilfrid's Hospice, England Nurse Consultant, Priscilla Bacon Centre for Specialist Palliative Care Services Senior Research Fellow, Division of Primary Care, University of Nottingham, England Community Specialist Palliative Care Nurse, Priscilla Bacon Centre for Specialist Palliative Care Services Palliative Medicine Consultant, Sue Ryder Leckhampton Court Hospice and Gloucestershire Hospitals NHS Foundation Trust, England Source: International Journal of Palliative Nursing (INT J PALLIAT NURS), 2013 Nov; 19 (11): 528-34. (21 ref) Publication Type: journal article - research, tables/charts

Language: English Major Subjects: Registered Nurses Hospice and Palliative Nursing Cancer Pain -- Nursing Breakthrough Pain -- Nursing Analgesia Minor Subjects: Funding Source; Qualitative Studies; Quantitative Studies; Questionnaires; Thematic Analysis; Semi-Structured Interview; England; Descriptive Statistics; Pain Measurement; Nursing Assessment; Nursing Interventions; Outpatients; Job Experience; Educational Status; Vignettes; Inpatients; Cancer Patients; Narcotics -- Therapeutic Use; Cancer Pain -- Drug Therapy; Breakthrough Pain -- Drug Therapy; Clinical Assessment Tools; Human Abstract: INSET: Box 2. Clinical scenarios used in the questionnaire. Journal Subset: Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Online/Print; Peer Reviewed; UK & Ireland Special Interest: Pain and Pain Management; Palliative Care/Hospice ISSN: 1357-6321 MEDLINE Info: PMID: 24263896 NLM UID: 9506762 Grant Information: unrestricted educational grant from Cephalon UK Limited Entry Date: 20131220

Revision Date: 20131220 Accession Number: 2012384499 Database: CINAHL with Full Text http://web.b.ebscohost.com/ehost/detail?vid=10&sid=7c428fb1-abbb-4a9a-953f54a8023b61ac%40sessionmgr110&hid=103&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=c8h&AN= 2012449171

Breakthrough cancer pain: the current situation. Authors: Buchanan, Alison; Davies, Andrew Affiliation: Research Nurse in Palliative Care, Royal Surrey County Hospital, Egerton Road, Guildford, Surrey, GU2 7XX, England Lead Consultant in Palliative Medicine and End-of- Life Care, Royal Surrey County Hospital, Egerton Road, Guildford, Surrey, GU2 7XX, England Source: International Journal of Palliative Nursing (INT J PALLIAT NURS), 2014; 20 (1): 6-8. (13 ref) Publication Type: journal article - tables/charts Language: English Major Subjects: Cancer Pain -- Therapy Breakthrough Pain -- Therapy Palliative Care Professional Practice

Cancer Patients Activities of Daily Living Minor Subjects: Narcotics -- Administration and Dosage; Analgesics, Nonnarcotic -- Administration and Dosage; Medication Compliance; Health Resource Utilization; Pain Measurement; Europe; Cancer Pain -- Diagnosis; Cancer Pain -- Complications; Cancer Pain -Drug Therapy; Breakthrough Pain -- Diagnosis; Breakthrough Pain -Complications; Breakthrough Pain -- Drug Therapy; Physical Mobility; Work; Social Participation; Sleep; Quality of Life Abstract: Breakthrough pain is common in patients with cancer. This paper describes the clinical features of breakthrough cancer pain (BTcP) and its impact on activities of daily living. It also describes the principles of BTcP management, highlighting some of the current issues and problems. A follow-up paper will describe current approaches to managing BTcP. Journal Subset: Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Online/Print; Peer Reviewed; UK & Ireland Special Interest: Oncologic Care; Pain and Pain Management; Palliative Care/Hospice ISSN: 1357-6321 MEDLINE Info: PMID: 24464167 NLM UID: 9506762 Entry Date: 20140207 Revision Date: 20140221 Accession Number: 2012449171

Database: CINAHL with Full Text http://web.b.ebscohost.com/ehost/detail?vid=13&sid=7c428fb1-abbb-4a9a-953f54a8023b61ac%40sessionmgr110&hid=103&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=c8h&AN= 2012328345

The Effect of Complementary Music Therapy on the Patient's Postoperative State Anxiety, Pain Control, and Environmental Noise Satisfaction.

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Authors: Comeaux, Tressa; Steele-Moses, Susan Affiliation: Staff Nurse, Our Lady of the Lake Regional Medical Center, Patient Care Services, Baton Rouge, LA Research Director, Our Lady of the Lake Regional Medical Center, Academic Affairs, Baton Rouge, LA Source: MEDSURG Nursing (MEDSURG NURS), 2013 Sep-Oct; 22 (5): 313-8. (15 ref) Publication Type: journal article - research, tables/charts Language: English Major Subjects: Music Therapy Postoperative Period Anxiety -- Prevention and Control Postoperative Pain -- Prevention and Control

Noise Patient Satisfaction Minor Subjects: Human; Quasi-Experimental Studies; Analgesia; Treatment Outcomes; State-Trait Anxiety Inventory; Clinical Assessment Tools; Summated Rating Scaling; Descriptive Statistics; T-Tests Abstract: Unrelieved postoperative pain remains a common problem despite advances in pain management. Complementary music has been suggested as an adjuvant to the standard of care treatment for postoperative pain. The purpose of this study was to determine if music therapy was an effective adjunct to decrease state anxiety, and increase pain management and environmental noise satisfaction in the postoperative patient. A quasi-experimental nonequivalent control group design was used in this study with participants assigned based on room assignment rather than randomly. The control group, which consisted of participants admitted to the A hallway, received the standard of care. The intervention group, which consisted of participants admitted to the B hallway, received complementary music therapy in the form of pre-programmed MP3 players, in addition to the standard of care. Based on the premise of a non-equivalent control design, neither analgesia type nor route was controlled. Each participant was enrolled for a total of 3 days or until discharge, whichever came first. Outcome measures were collected upon enrollment (Time One) and for the next 2 consecutive days (Time Two and Time Three). Participants in the intervention group were encouraged to listen to a selection of non-lyrical low decibel (less than 60 db) pre-programmed music, for at least 30 minutes via a MP3 player after their prescribed analgesia was administered. Non-lyrical low decibel music was chosen for this study because previous research supported its effectiveness. State trait anxiety as well as pain and environmental noise satisfaction were assessed using the State-Trait Anxiety Inventory and two standardized questions from the Press Ganey survey. Before the intervention was implemented, both groups were the same related to their average level of state and trait anxiety, pain, and noise perception. The patient's state anxiety, pain perception, and noise perception were measured 1 day after the intervention was in place. A significant difference was found from Time One to Time Two in pain management (t=3.938, p<u.001 ) and environmental noise satisfaction (t=3.457, p=0.001), while there was no change in state anxiety (t=0.373, p=0.711 ). The intervention group experienced improved pain management (t=7.385, p<0.011 ) and environmental noise satisfaction over time (t=4.371 ; /xO.001 ); however, there was no improvement in state anxiety (t=1.47; p=0.159). The findings suggest music therapy decreases pain and environmental noise perception, although there was no effect on state anxiety. Use of music therapy improves patients' postoperative experience by increasing their pain management and white noise satisfaction. Because the intervention was tested on a busy post-surgical unit with a short inpatient stay (mean=3.57), the effect of music therapy over more than 2 days could not be measured. This intervention was inexpensive and easy to implement in the clinical setting, and therefore recommended to improve postoperative outcomes in other

facilities. It is recommended the study be replicated with a larger sample size and different patient populations to validate these findings. Journal Subset: Nursing; Peer Reviewed; USA Special Interest: Perioperative Care Instrumentation: State-Trait Anxiety Inventory (STAI) (Spielberger) Press Ganey Survey ISSN: 1092-0811 MEDLINE Info: PMID: 24358573 NLM UID: 9300545 Entry Date: 20131025 Revision Date: 20140131 Accession Number: 2012328345 http://web.b.ebscohost.com/ehost/detail?vid=15&sid=7c428fb1-abbb-4a9a-953f54a8023b61ac%40sessionmgr110&hid=103&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=c8h&AN= 2012384499 How do nurses in specialist palliative care assess and manage breakthrough cancer pain? A multicentre study. Authors: Soden, Katie; Ali, Simone; Alloway, Lara; Barclay, David; Barker, Stephanie; Bird, Lydia; Hall, Lesley; Perkins, Paul Affiliation:

Palliative Medicine Consultant, Priscilla Bacon Centre for Specialist Palliative Care Services, Colman Hospital, Unthank Road, Norwich, NR2 2PJ, England Palliative Medicine Consultant, Martlets Hospice, England Palliative Medicine Consultant, North Hampshire Palliative Care Service, England Palliative Medicine Consultant, St Wilfrid's Hospice, England Nurse Consultant, Priscilla Bacon Centre for Specialist Palliative Care Services Senior Research Fellow, Division of Primary Care, University of Nottingham, England Community Specialist Palliative Care Nurse, Priscilla Bacon Centre for Specialist Palliative Care Services Palliative Medicine Consultant, Sue Ryder Leckhampton Court Hospice and Gloucestershire Hospitals NHS Foundation Trust, England Source: International Journal of Palliative Nursing (INT J PALLIAT NURS), 2013 Nov; 19 (11): 528-34. (21 ref) Publication Type: journal article - research, tables/charts http://web.b.ebscohost.com/ehost/detail?vid=15&sid=7c428fb1-abbb-4a9a-953f54a8023b61ac%40sessionmgr110&hid=103&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=c8h&AN= 2012251266