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Source:

Cancer Nursing

June 1997, Volume 20 Number 3 , p 201 - 212

Authors

  • Betty Rolling Ferrell Ph.D., F.A.A.N.
  • Margo McCaffery R.N., M.S., F.A.A.N.

Abstract

Outline

  • Abstract

  • REVIEW OF LITERATURE

  • STUDY PURPOSE

  • METHODS

  • Population and Sample

  • Survey Instrument

  • RESULTS

  • Demographics

  • Calculation of Equianalgesic Doses

  • Breakthrough (Rescue) Dosing

  • Dose Titration

  • Pharmacokinetics of TD Fentanyl

  • DISCUSSION

  • CLINICAL IMPLICATIONS

  • Titration of Opioids Doses

  • Calculation of the Breakthrough Dose

  • Appropriate/Inappropriate Indications for TD Fentanyl

  • Use of the Equianalgesic Chart

  • REFERENCES



  • Graphics

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  • Abstract

    : Nurses are recognized as the cornerstone of palliative care. Yet, surveys of nurses' knowledge of cancer pain management reveal serious knowledge deficits that could adversely affect the care of patients with cancer pain. Previous research has explored basic pain management issues such as pain assessment and myths and misconceptions surrounding pain, and principles of analgesic use. Advances in recent years have increased the demand for continuing education that will extend scientific advances in pain to clinical practice. The purpose of this article is to share results from a study which evaluated nurses knowledge regarding three methods of analgesic delivery that have become common in clinical practice: intravenous morphine, extended release morphine, and transdermal fentanyl. Several resources are provided to assist clinicians in the appropriate use of these analgesic methods.

    Numerous studies conducted in ...

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