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<?xml version="1.0" encoding="utf-8"?>
<doi_batch xmlns="http://www.crossref.org/schema/4.3.6" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:jats="http://www.ncbi.nlm.nih.gov/JATS1" xmlns:ai="http://www.crossref.org/AccessIndicators.xsd" version="4.3.6" xsi:schemaLocation="http://www.crossref.org/schema/4.3.6 https://www.crossref.org/schemas/crossref4.3.6.xsd">
<head>
<doi_batch_id>_1789896338</doi_batch_id>
<timestamp>20260920062538000</timestamp>
<depositor>
<depositor_name>Idiberto José Zotarelli Filho</depositor_name>
<email_address>[email protected]</email_address>
</depositor>
<registrant>MetaScience Press</registrant>
</head>
<body>
<journal>
<journal_metadata>
<full_title>International Journal of College of Palliative Medicine of Sri Lanka</full_title>
<abbrev_title>ICPMSL</abbrev_title>
</journal_metadata>
<journal_issue>
<publication_date media_type="online">
<month>02</month>
<day>29</day>
<year>2024</year>
</publication_date>
<journal_volume>
<volume>2</volume>
</journal_volume>
<issue>1</issue>
</journal_issue>
<journal_article xmlns:jats="http://www.ncbi.nlm.nih.gov/JATS1" xmlns:ai="http://www.crossref.org/AccessIndicators.xsd" publication_type="full_text" metadata_distribution_opts="any">
<titles>
<title>Cancer-related pain management in hospice settings in Sri Lanka: adequacy, perceptions of patients and experiences of nurses</title>
</titles>
<contributors>
<person_name contributor_role="author" sequence="first" language="en">
<given_name>Manudi Nushara</given_name>
<surname>Vidanapathirana</surname>
</person_name>
<person_name contributor_role="author" sequence="additional" language="en">
<given_name>Deshan Mario</given_name>
<surname>Gomez</surname>
</person_name>
<person_name contributor_role="author" sequence="additional" language="en">
<given_name>Janaki</given_name>
<surname>Vidanapathirana</surname>
</person_name>
</contributors>
<jats:abstract xmlns:jats="http://www.ncbi.nlm.nih.gov/JATS1">
<jats:p>Pain debilitates over 75% of patients with advanced-stage cancers and its management is a primary palliative care objective1. This study aimed to assess the adequacy of cancer-related pain management and identify related patient-perceptions and nursing-experiences at Shantha-Sevana and Sathya-Sai Hospices, Sri Lanka. This was a descriptive study which used expert-developed questionnaires, Brief Pain Inventory, Focus Group Discussions to collect patient data and in-depth interviews to collect nursing data. Adequacy of analgesia was assessed using Pain Management Index [PMI]. Relevant ethical clearance was obtained. Twenty terminally-ill cancer patients and nine nurses took part in the study. Assessment of analgesic adequacy in patients revealed that negative, zero and positive PMI were 40%, 35% and 25% respectively. All patients with negative PMI had moderate-severe pain with none being treated with strong opioids. Adverse patient-perceptions emerged in cognitive and emotional aspects, with pain-related depression being dominant [n=14]. Key patient-perceptions on pain-management were decrease in pain after hospice admission [n=9] and satisfaction with the pain-management provided [n=10]. None of the nurses had received structured training on pain-management for palliative care at basic or recruitment stages. No grading of pain was performed during pain-management. Conclusively, cancerrelated pain is undertreated in hospices and room for improvement exists.</jats:p>
</jats:abstract>
<publication_date media_type="online">
<month>02</month>
<day>29</day>
<year>2024</year>
</publication_date>
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<ai:license_ref>https://creativecommons.org/licenses/by/4.0</ai:license_ref>
</ai:program>
<doi_data>
<doi>10.54448/jcpmsl24101</doi>
<resource>https://cpmsl.zotarellifilhoscientificworks.com/index.php/cpmsl/article/view/10</resource>
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<resource>https://cpmsl.zotarellifilhoscientificworks.com/index.php/cpmsl/article/download/10/11</resource>
</item>
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<resource mime_type="application/pdf">https://cpmsl.zotarellifilhoscientificworks.com/index.php/cpmsl/article/download/10/11</resource>
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</journal>
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