Jeannine Brant, PhD, APRN-CNS, AOCN, Billings Clinic, discusses different factors in a patient's life that can influence the perception of pain.

The emotional and psychological wellbeing of a patient can determine their perception of pain. If there are adverse childhood events, they could lead to a lack of coping strategies. Additionally, spirituality can have an impact on pain, either helping to manage it or worsening it if a patient believes their pain is punishment. Cultural beliefs can also influence pain management.

Videos

Jeannine Brant discusses factors that can influence a patient's perception of malignant pain.

Jeannine Brant on Factors that Influence a Patient's Perception of Pain

Jeannine Brant, PhD, APRN-CNS, AOCN, Billings Clinic, discusses using opioids to treat cancer-related pain.

The issue of opioids has been getting a lot of attention recently. However, the pain a patient with cancer experiences is different from other, non-malignant pain. And preventing that pain is necessary to maintain their quality of life. Because of that, there will be patients with cancer who need to use opioids. However, patients with a substance use disorder should be taken into consideration. Brant points out that there are ways to manage those patients who are at high risk of such disorders.

Jeannine Brant discusses the effect of recent focus on opioid and opioid addiction on the use of opioid agents in pain management of patients with cancer.

Jeannine Brant on Managing Pain with Opioids for Patients with Cancer

Jeannine Brant, PhD, APRN-CNS, AOCN, Billings Clinic, discusses the important things to remember when assessing pain in patients with cancer.

Pain assessment relies on discovering who is having cancer pain and who is not, which relies on communication with the patient. Brant reminds nurses to check on the four A's: response to analgesia, daily activities and functionality, adverse events, aberrant behavior.

Jeannine Brant discusses the important things to remember when assessing pain in a patient with cancer.

Jeannine Brant on Assessing Pain in Patients with Cancer

Jeannine Brant, PhD, APRN-CNS, AOCN, of the Billings Clinic in Montana, discusses the importance of assessing and managing breakthrough cancer pain.

First, nurses must learn how to properly assess breakthrough pain, which can easily be accomplished by asking their patients such questions as whether the pain is constant, how frequent it is, and what, if anything, makes it worse?

Next, the medical staff must find the best option to control the breakthrough cancer pain. However, Brant says that many clinicians run into obstacles because they do not know the options and doses of the medications that can be used, the cost is often high, or the provider is apprehensive about prescribing drugs such as morphine. But once the pain is properly assessed and the providers become more familiar with treatment options, breakthrough cancer pain can be managed.


Jeannine Brant, PhD, APRN-CNS, AOCN, of the Billings Clinic in Montana, discusses the importance of assessing and managing breakthrough cancer pain.
 

Jeannine Brant, PhD, APRN-CNS, AOCN

Articles

Jeannine Brant on Factors that Influence a Patient's Perception of Pain

Jeannine Brant on Managing Pain with Opioids for Patients with Cancer

Jeannine Brant on Assessing Pain in Patients with Cancer

Jeannine Brant on Assessing and Managing Breakthrough Cancer Pain