cancer pain (rebecca kirch)
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Taking Action to Control CancerPain
Rebecca Kirch
Associate Director, Policy
October 2008
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Painkillers often hit the headlines
Rising use of painkillers taking
deadly toll
Prescription drug deaths
overtake those from street drugs
Las Vegas Sun (NV)
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Stories of suffering pain patients
often dont
Many cancer patients forgopainkillers
Mon Sep 29, 2008 1:06pm EDT
NEW YORK (Reuters Health)
Many Cancer Patients Receive Insufficient
Pain Management Therapy
ScienceDaily
09/09/2008
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Pain Hurts Everyone
The answer to that old
question, does cancer hurt?Thats an easy one.
Yes.-- Leroy Sievers,
posted October 12, 2007
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Cancer Pain: A Persisting Problem
Nearly all cancer pain CAN be relieved, but:
(1) Pain prevalence in cancer patients is consistently high:
64% advanced disease
59% active treatment, and
33% after treatment concludes
(2) One-third rate pain as moderate to severe, but fewer
than half receive adequate pain relief
(3) Pain burden is even greater in medically underserved
populations and treatment disparities exist
(4) Uncontrolled pain can devastate quality of life for
patients, survivors and their loved ones
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National Cancer Information Center
Pilot Pain Project (2007)
Questions
(1) Experiencing
pain?
(2) Discussed with
doctor or
nurse?
(3) If so, what didthey do to help
you?
Findings:
Pain reported in 50%
of callers
Some did not raise
pain with doctor
Treatment
approaches varied
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Pain Project Phase 2: Identify and
Quantify the Problem (2008)
Just over half the callers were experiencingpain, with nearly 60% rating it moderate orsevere
An overwhelming majority said they toldtheir healthcare team and felt they wereheard
But about two-thirds of those callers werenot getting adequate relief, rating their painas moderate or severe
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Barriers to Pain Control
Fear, misperceptions and
confusion about addiction,
dependence, and pain medicines
Lack of knowledge and
reluctance among patients andloved ones
Insufficient training for
healthcare professionals
Concerns that prescribing will
trigger investigation, disciplinary
action, or criminal prosecution
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Pain & Policy Studies Group Report Card
ACS Nationwide Pain ControlObjective
By 2015:
50 states & DC get at least a B
10 of those states get an A
This year, 33 states received at
least a B and 5 of those
received an A
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National Pain Care Policy Act
(S. 3387/HR 2994)
Institute ofMedicine
Pain Conference and
Report
NIH Pain Research
Coordination
Healthcare
Professional Education
& Training
Public Awareness
Campaign
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Helpful Pain Information at
www.cancer.org
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