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10.1016/j.jpainsymman.2021.06.026

http://scihub22266oqcxt.onion/10.1016/j.jpainsymman.2021.06.026
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34273522!ä!34273522

suck abstract from ncbi


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pmid34273522      J+Pain+Symptom+Manage 2022 ; 63 (1): 98-105
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  • Healthcare Professionals Experiences of the Barriers and Facilitators to Pediatric Pain Management in the Community at End-of-Life: A Qualitative Interview Study #MMPMID34273522
  • Greenfield DK; Carter B; Harrop DE; Jassal DS; Bayliss MJ; Renton DK; Holley DS; Howard DRF; Johnson MM; Liossi C
  • J Pain Symptom Manage 2022[Jan]; 63 (1): 98-105 PMID34273522show ga
  • CONTEXTS: Inadequate pain management in community pediatric palliative care is common. Evidence to inform improved pain management in this population is limited. OBJECTIVES: To explore the barriers and facilitators to pediatric community-based pain management for infants, children and young people at end-of-life as perceived by healthcare professionals. METHODS: A qualitative interview study was conducted. Semi-structured interviews were undertaken with 29 healthcare professionals; 12 nurses, five GPs, five consultants and registrar doctors, two pharmacists and five support therapists working in primary, secondary or tertiary care in the United Kingdom and involved in community end-of life care of 0 to 18-year-olds. RESULTS: The data corpus was analyzed using an inductive thematic analysis and seven themes emerged: parents' abilities, beliefs and wellbeing; working relationships between families and healthcare professionals, and between healthcare teams; healthcare professionals' knowledge, education and experience; health services delivery; nature of pain treatment; and pediatric-specific factors. Across themes, the concepts of partnership working between families and healthcare professionals, and within healthcare teams, and sharing expertise were prevalent. CONCLUSION: Partnership working and trust between healthcare professionals and parents, and within healthcare teams, is needed for effective at-home pediatric palliative pain management. Community healthcare professionals require more education from experienced multidisciplinary teams to effectively manage pediatric pain at end-of-life and prevent emergency hospice or hospital admissions, particularly during the COVID-19 pandemic.
  • |*COVID-19[MESH]
  • |*Pain Management[MESH]
  • |Adolescent[MESH]
  • |Child[MESH]
  • |Death[MESH]
  • |Delivery of Health Care[MESH]
  • |Health Personnel[MESH]
  • |Humans[MESH]
  • |Infant[MESH]
  • |Pandemics[MESH]
  • |Qualitative Research[MESH]


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