Return to Article Details Putting community-based palliative care into practice through primary health care: policy, education and service delivery considerations for Sri Lanka Download Download PDF

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    <timestamp>20250520200859000</timestamp>
    <depositor>
      <depositor_name>Idiberto José Zotarelli Filho</depositor_name>
      <email_address>[email protected]</email_address>
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    <registrant>MetaScience Press</registrant>
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      <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>
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          <volume>2</volume>
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        <issue>1</issue>
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        <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>
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          <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>
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          <month>02</month>
          <day>29</day>
          <year>2024</year>
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          <doi>10.54448/jcpmsl24101</doi>
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