Page 75 - CPG - Clinical Practice Guidelines - Management of Cancer Pain

Management of Cancer Pain (Second Edition)
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and addressed. A systematic review found negative attitudes and a lack
of knowledge towards cancer pain management among the healthcare
providers, patients, family caregivers and general public. The most
commonly cited barriers were fear of drug addiction, tolerance and AEs
of opioids. 123, level III

In another study on cancer pain management by family caregivers, the
main challenges can be grouped into three parts: 124, level III
{ communication and teamwork issues which included caregivers’
receipt of inadequate information regarding pain management and,
inappropriate and ineffective communication from the healthcare
team
{ caregiver issues which were related to caregivers’ fear and beliefs,
concurrent responsibilities and, lack of pain-related knowledge
and skills
{ patient issues which included patient’s own fear and beliefs,
psychological and physiological well-being, adherence to
medications and reluctance to report pain

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Malaysia showed that: 125, level III
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II score, followed by harmful effects, physiological effects and
communication
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on various barrier domains
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A multinational cross-sectional survey showed: 126, level III
{ of all the attitudinal barriers, fear of addiction to opioids was the
strongest barrier across all countries whereas fatalism was the
weakest barrier
{ barriers scores were higher in patients of older age, male gender,
higher pain severity or pain interference, lower Karnofsky scores
and shorter duration of opioid use
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associated with total barrier score to cancer pain management.
Therefore, screening and treatment of depression should be an
important component of successful pain management. 127, level III

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