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A pain survey to support role development for Radiation Therapists in Ghana

Published online by Cambridge University Press:  24 May 2012

K. A. Kyei  and
P. Engel-Hills
K. A. Kyei*
Affiliation:
National Centre for Radiotherapy and Nuclear Medicine, Korle-Bu, Accra, Ghana
P. Engel-Hills
Affiliation:
Cape Peninsula University of Technology, Groote Schuur, Western Cape, South Africa
*
Correspondence to: Kofi Adesi Kyei, National Centre for Radiotherapy and Nuclear Medicine, Korle-Bu, Accra, Phone: +233-302-676222, Fax: +233-302-676221, Cell: +233-244-860538, +233-207-007124. E-mail: adesco41@hotmail.com
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Abstract

A research study was conducted at the radiation oncology department of a large teaching hospital in Ghana, to determine whether the use of a pain questionnaire would facilitate a contribution by the radiation therapists (RTs) to the management of pain in the patients undergoing external beam radiotherapy. The rationale for the study was to test the pain questionnaire as a tool for routine use by RTs and to increase the knowledge and skill of the RTs with regard to pain assessment in order that they could have an effective role in the multidisciplinary approach to pain management.

The pain questionnaire for administration by RTs was adapted as a tool for assessing pain. The tool and the process were tested in a prospective study of 90 participants who willingly consented to participate. The data was analysed as a means of evaluating the questionnaire and learning about pain in this group of cancer patients. The results of this analysis were integrated with the findings from textual data published in a previous paper.

Findings revealed that RTs could administer a limited pain questionnaire and use this for clinical assessment of patients with pain, refer patients who need urgent medical attention to the doctors, monitor the patients receiving radiotherapy and adjuvant chemotherapy as well as provide meaningful suggestions to the multidisciplinary team on the management of pain.

Through this reflective process it is recommended that because RTs have daily contact with patients during external beam radiotherapy treatment and because the majority of cancer patients in the study population experience pain, the RTs should enhance their knowledge of pain and participate in routine pain assessment. Through engagement in this role development the quality of care to the patient population in Ghana will be improved.

Keywords

cancer painradiotherapypain assessmentpain managementrole extension
Type
Original Article
Information
Journal of Radiotherapy in Practice , Volume 12 , Issue 2 , June 2013 , pp. 105 - 113
Copyright
Copyright © Cambridge University Press 2012

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References

Merskey, H, & Bogduk, N. (1994). Eds. Classification of Chronic Pain: Descriptions of Chronic Pain Syndromes and Definitions of Pain Terms. Prepared by the Task Force on Taxonomy of the International Association for the Study of Pain. 2nd ed. Seattle, Wash: IASP Press.Google Scholar
Wells, M. (2003). Pain and breathing problems. In Faithful, S & Wells, M (eds). Supportive care in radiotherapy. Elsevier science UK; 160–179.Google Scholar
Higginson, IJ, & Edmonds, PM. (2000). Effectiveness and efficiency in the management of cancer pain: current dilemmas in clinical practice. In: Hillier, R, Finlay, I, Welsh, R, Miles, A (eds). The effective management of cancer pain. Aesculapius Medical Press, London.Google Scholar
Pauline, L, & Portenoy, RK. (1999). Trend in Cancer Pain Management, Cancer Control Journal, 6(2): 12–15.Google Scholar
Van den Beuken-van Everdingen, MHJ.de Rijke, JM, Kessels, AG et al. (2007). Prevalence of Pain in Patients with cancer: Annals of Oncology 18(9):1437–1449.Google Scholar
Alexander, C, & Payne, R. (2007). Advocacy for palliative care in Africa, African Palliative Care Association, Accra, Ghana.Google Scholar
Scottish Intercollegiate Guidelines Network SIGN (2000). Control of Pain in Patients with Cancer. Scottish Intercollegiate Guidelines Network and Scottish Cancer Therapy. No 44. Network, Edinburgh, http://www.sign.ac.uk [25/08/2009].Google Scholar
Cleary, JF. (2000). Cancer Pain Management; Cancer Control 7(2):131CrossRefGoogle ScholarPubMed
Kyei, KA, & Engel-Hills, P. (2011). Pain assessment: The role of the radiation therapist, The South African Radiographer, 49(1):1–4.Google Scholar
Melzack, R. (2009). Measurement and Pain Assessment in Clinical Trials (IMMPACT), SF-MPQ-2. Development and initial validation of an expanded and revised version of the Short-form McGill Pain Questionnaire (SF-MPQ-2). Pain.Google Scholar
Funk, SG, Tornguist, EM, Champagne, MT, Copp, LA, & Wiese, RA, 1994. Management of Pain, Fatigue and Nausea, 25–31.Google Scholar
American Cancer Society (2007). Treatment Topics and Resources: http://www.cancer.org/docroot/MIT/MIT_0.asp. [10/5/2008].Google Scholar
National Cancer Institute (2009). Understanding Pain, http://www.cancer.gov/cancertopics/pdq/supportivecare/pain [28/08/2009].Google Scholar
American Academy of Sleep Medicine (2009). Trouble Sleeping Leads To Increased Ratings Of Pain In Cancer Patients, Study Suggests. Science Daily; 04/09. http://www.sciencedaily.com/releases/2009/04/090415075046.htm [12/10/2010].Google Scholar
Pain management services- England. 2009. They work for you.com, 20th April, 2009 http://www.theyworkforyou.com/debates/?id=2009-04-20b.124.0 [14/05/09].Google Scholar
Cox, J, & Davison, A. (2005). Comfort as a determiner of treatment position in radiotherapy of the male pelvis, Radiography 11, 109–115.Google Scholar
Burton, AW, Fanciullo, GJ, Beasley, RD, & Fisch, MJ. (2007). Chronic pain in the cancer survivor: a new frontier. Pain Med, 8:189–198.Google Scholar
Wells, M. (1995). The impact of Radiotherapy to the head and neck: a quantitative study of treatment after completion of treatment. MSc Thesis. Centre for Cancer and palliative care studies, Institute of Cancer Research, LondonGoogle Scholar
World Health Organization (WHO) Guidelines, (1996). Cancer Pain relief (2nd edition), World Health Organization, GenevaGoogle Scholar
CoR-The College of Radiographers. 2001. Prescribing by Radiographers: A Vision Paper, The College of Radiographers, http://www.sor.org/public/document-library/sor_positioning_therapeutic_radiographers.pdf [12/9/09].Google Scholar
Stelmach, DM (2002). Role development A&E, Synergy News, DecemberGoogle Scholar
Kyei, KA, Arthur, L, Vanderpuye, V, & Antwi, WK. (2008). Patients’ satisfaction with radiotherapy care. Ghana Journal of Allied Health Sciences, 2(1): 50–56.Google Scholar