Evidence map›Paper›PMID 23731855›Full record

ArticleJournal of pain and symptom management2013

Hospice caregivers' experiences with pain management: "I'm not a doctor, and I don't know if I helped her go faster or slower".

Debra Parker Oliver, Elaine Wittenberg-Lyles, Karla Washington, Robin L Kruse, David L Albright, Paula K Baldwin, Amy Boxer, George Demiris

Registry-linked trialOpen access · greenAbstract readMulticenter Study
In one paragraph

Article in Journal of pain and symptom management, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04869085 (The Use of a Digital Application for Reporting Pain and Pain Management in Home Hospice), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04869085 nacompletednot on this mapstarted 2021, after this paper: background citation

The Use of a Digital Application for Reporting Pain and Pain Management in Home Hospice

TypeinterventionalSponsorRush University Medical CenterRan2021 to 2024Enrolled88ConditionsPainArmse-PainSupport
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

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  19. Pain Management Concerns From the Hospice Family Caregivers' Perspective.The American journal of hospice & palliative care · 2018
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  20. Pain in Hospice Patients With Dementia: The Informal Caregiver Experience.American journal of Alzheimer's disease and other dementias · 2016
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Debra Parker OliverCurtis W. and Ann H. Long Department of Family and Community Medicine, University of Missouri, Columbia, Missouri, USA. Electronic address: oliverdr@missouri.edu.
Elaine Wittenberg-Lyles
Karla Washington
Robin L Kruse
David L Albright
Paula K Baldwin
Amy Boxer
George Demiris
University of Missouri · USNeurobehavioral Systems · USUniversity of Kentucky · US

Funding

The ACTIVE Intervention to Improve Hospice Caregiver Pain ManagementR01NR011472 · NINR · UNIVERSITY OF MISSOURI-COLUMBIA · PI PARKER OLIVER, DEBRA · 2010 to 2013
$2.0M
NINR NIH HHS R01 NR011472NINR NIH HHS R01NR011472
6 · The paper itself

Abstract

contextThose caring for their loved ones in hospice experience tremendous stress, being faced with numerous decisions as they work to manage the pain experienced by their loved one. Although hospice care teams create pain management strategies, it is the role of the caregiver to implement these plans.

objectivesThe purpose of this study was to further understand the hospice caregiver experience relating to pain management.

methodsSemistructured interviews with 146 caregivers provided data for the study. Responses to seven questions asking for a ranking of end-of-life pain management indicated a less than ideal experience. Available narratives from 38 caregivers were analyzed for themes related to further understanding of the concerns.

resultsFive themes were identified in the data including difficulty with administration of pain medicines, concerns about side effects of medications, insecurity with pain assessment, frustrations with communication among health care team members, and memories of unrelieved pain.

conclusionThese findings should raise concern among hospice professionals, whose commitment is to the management of pain, including emotional pain, with a focus on both the patient and the family as a unit of care. These data clearly suggest that hospice providers have an opportunity to be sensitive to perceptions held by caregivers regarding pain management. Effective planning for pain control must incorporate the values and beliefs not only of each patient but also of the family caregiver.

Indexed as

Attitude of Health PersonnelAdultAgedAged, 80 and overCaregiversFemaleHospice CareHumansKentuckyMaleMiddle AgedMissouriOutcome Assessment, Health CarePainPain ManagementPatient SatisfactioncaregiversHospicepain

Identifiers

PMID23731855
PMCPMC3795892
OpenAlexW2102681961

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.