title: Pain management at home. Struggle, comfort, and mission.
abstract: This article presents findings from an exploratory, descriptive study that investigated the experiences of pain in the home from the perspective of the patient, the primary family caregiver, and the home care nurse. The following research questions are addressed: What are the special problems associated with pain management at home as identified by patients, caregivers, and nurses? What are the similarities and differences among patients, caregivers, and nurses regarding issues of managing pain at home? Qualitative techniques were used to collect and analyze data. The sample included 10 cancer patients with pain and their respective caregivers and nurses. After the in-depth interviews were transcribed, a multidisciplinary research team performed content analysis on the data. Overall, the findings suggest that patients approach pain management with a struggle for control, whereas self-denying caregivers seek to provide comfort, and nurses attempt to fulfill an urgent mission to eradicate pain.
authors.affiliation: City of Hope National Medical Center, Duarte, CA 91010-0269.
authors.forename: B R
authors.initials: BR
authors.lastname: Ferrell
authors.forename: E J
authors.initials: EJ
authors.lastname: Taylor
authors.forename: M
authors.initials: M
authors.lastname: Grant
authors.forename: M
authors.initials: M
authors.lastname: Fowler
authors.forename: R M
authors.initials: RM
authors.lastname: Corbisiero
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D017028:Caregivers / Q000523:psychology; D005190:Family / Q000523:psychology; D005260:Female; D006699:Home Care Services; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000150:complications*; D015404:Nursing Methodology Research; D010146:Pain / Q000209:etiology / Q000451:nursing / Q000517:prevention & control* / Q000523:psychology; D011788:Quality of Life