Barriers to Pain Management - Pain - Clinical Evidence Summaries - Practice Ready Evidence - Evidence

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• Nurse-led intervention

• pain assessment,

• interdisciplinary collaboration

• medicines management,

• educational interventions including the use of protocols

• patient related issues which may interfere with optimal pain management

• difficulty in accepting their prognosis,

• lack of knowledge regarding the various treatments for pain

• a fear of those treatments and their adverse effects

• Common issues with family and caregivers

• a lack of understanding about analgesics

• poor communication with palliative care providers.

• Health system barriers to optimal pain management in palliative care

• a lack of referral pathways

• a lack of specialist services to refer to.

• A systematic review of models of service delivery for cancer pain

• ultidisciplinary pain consultation services, with referral via a clinical pathway

• The prevalence of uncontrolled pain is an important quality indicator for health services, and validated quality indicators are available. [35-39] The use of pain as a quality indicator is complex as multiple assessment tools are used within individual patient and disease groups and some patient cohorts are underrepresented.