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Issues in Palliative Care Research$
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Russell K. Portenoy and Eduardo Bruera

Print publication date: 2003

Print ISBN-13: 9780195130652

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780195130652.001.0001

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Changing Pain Management Practices in Hospitals and Cancer Centers

Changing Pain Management Practices in Hospitals and Cancer Centers

(p.319) 21 Changing Pain Management Practices in Hospitals and Cancer Centers
Issues in Palliative Care Research

Russell K. Portenoy

Eduardo Bruera

Oxford University Press

Undertreatment of pain continues throughout the world. Hospitalized patients with pain continue to be inadequately managed, despite the availability of safe and effective treatments. This chapter familiarizes the reader with the efforts of today's clinicians as they work toward achieving “best practices” in pain management. This requires champions, who build teams and use a systematic process to solve problems, seek evidenced-based solutions, and recognize the need for long-term evaluations. The discussion holds that through implementation of standards, such as the American Pain Society (APS) Quality Improvement Guidelines for the Treatment of Acute and Cancer Pain, the Agency for Healthcare Research and Quality (AHRQ) Guidelines for Cancer Pain, and the new Joint Commission of Accreditation of Hospitals Organization (JCAHO) pain standards, cancer centers and hospitals have the potential to improve pain management for all patients.

Keywords:   pain undertreatment, chronic pain, American Pain Society, Guidelines for Cancer Pain, pain standards

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