Assessment of total pain in people in oncologic palliative care: integrative literature review

The promotion of comfort and quality of life of people with cancer in palliative care requires flawless evaluation and management of pain, understood in its multidimensionality and integrality. The objective of this study was to present an overview of the scientific production referring to evaluatio...

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Main Authors: Cristiane Aparecida Gomes-Ferraz, Gabriela Rezende, Amanda Antunes Fagundes, Marysia Mara Rodrigues do Prado De Carlo
Format: Article
Language:English
Published: SAGE Publishing 2022-09-01
Series:Palliative Care and Social Practice
Online Access:https://doi.org/10.1177/26323524221125244
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author Cristiane Aparecida Gomes-Ferraz
Gabriela Rezende
Amanda Antunes Fagundes
Marysia Mara Rodrigues do Prado De Carlo
author_facet Cristiane Aparecida Gomes-Ferraz
Gabriela Rezende
Amanda Antunes Fagundes
Marysia Mara Rodrigues do Prado De Carlo
author_sort Cristiane Aparecida Gomes-Ferraz
collection DOAJ
description The promotion of comfort and quality of life of people with cancer in palliative care requires flawless evaluation and management of pain, understood in its multidimensionality and integrality. The objective of this study was to present an overview of the scientific production referring to evaluation of the pain and total pain of patients with advanced cancer in palliative care. The study involved an integrative literature review, searching the databases PubMed, Embase, Cinahl, Lilacs and Web of Science using the descriptors ‘Total Pain’, ‘Cancer Pain’, ‘Pain’, ‘Symptom Assessment’, ‘Pain Measurement’, ‘Pain Evaluation’, ‘Neoplasms’, ‘Cancer’, ‘Tumor’, ‘Palliative Care’, ‘Hospice Care’ , and ‘Terminal Care’. To select the studies, the authors used the reference manager Mendeley and the application Rayyan™, as well as blind and independent peer review. Twenty-two articles were selected, published between 2002 and 2020 in different countries, and classified into two thematic units: ‘Physical, social, emotional, and spiritual factors related to pain in cancer’ ( N = 13) and ‘Importance of the overall evaluation and multidisciplinary team in the management of pain’ ( N = 9). Advanced cancer is associated with high mortality, a decline in health status, the presence of pain, and complex psychosocial concerns. Pain and symptoms in patients in palliative care should be evaluated as a whole and controlled thorough the work of an interdisciplinary team. The qualitative synthesis of the results demonstrates that most of the evaluated studies have a mixed nature; there are significant methodological differences among them and a low level of evidence in studies relating to the subject of pain evaluation in palliative care.
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spelling doaj.art-3c839db5ba154ec9bda5d9f4a440e53c2022-12-22T01:48:08ZengSAGE PublishingPalliative Care and Social Practice2632-35242022-09-011610.1177/26323524221125244Assessment of total pain in people in oncologic palliative care: integrative literature reviewCristiane Aparecida Gomes-FerrazGabriela RezendeAmanda Antunes FagundesMarysia Mara Rodrigues do Prado De CarloThe promotion of comfort and quality of life of people with cancer in palliative care requires flawless evaluation and management of pain, understood in its multidimensionality and integrality. The objective of this study was to present an overview of the scientific production referring to evaluation of the pain and total pain of patients with advanced cancer in palliative care. The study involved an integrative literature review, searching the databases PubMed, Embase, Cinahl, Lilacs and Web of Science using the descriptors ‘Total Pain’, ‘Cancer Pain’, ‘Pain’, ‘Symptom Assessment’, ‘Pain Measurement’, ‘Pain Evaluation’, ‘Neoplasms’, ‘Cancer’, ‘Tumor’, ‘Palliative Care’, ‘Hospice Care’ , and ‘Terminal Care’. To select the studies, the authors used the reference manager Mendeley and the application Rayyan™, as well as blind and independent peer review. Twenty-two articles were selected, published between 2002 and 2020 in different countries, and classified into two thematic units: ‘Physical, social, emotional, and spiritual factors related to pain in cancer’ ( N = 13) and ‘Importance of the overall evaluation and multidisciplinary team in the management of pain’ ( N = 9). Advanced cancer is associated with high mortality, a decline in health status, the presence of pain, and complex psychosocial concerns. Pain and symptoms in patients in palliative care should be evaluated as a whole and controlled thorough the work of an interdisciplinary team. The qualitative synthesis of the results demonstrates that most of the evaluated studies have a mixed nature; there are significant methodological differences among them and a low level of evidence in studies relating to the subject of pain evaluation in palliative care.https://doi.org/10.1177/26323524221125244
spellingShingle Cristiane Aparecida Gomes-Ferraz
Gabriela Rezende
Amanda Antunes Fagundes
Marysia Mara Rodrigues do Prado De Carlo
Assessment of total pain in people in oncologic palliative care: integrative literature review
Palliative Care and Social Practice
title Assessment of total pain in people in oncologic palliative care: integrative literature review
title_full Assessment of total pain in people in oncologic palliative care: integrative literature review
title_fullStr Assessment of total pain in people in oncologic palliative care: integrative literature review
title_full_unstemmed Assessment of total pain in people in oncologic palliative care: integrative literature review
title_short Assessment of total pain in people in oncologic palliative care: integrative literature review
title_sort assessment of total pain in people in oncologic palliative care integrative literature review
url https://doi.org/10.1177/26323524221125244
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