Palliative Pain Management: Evidence Synthesis Research Paper

Exclusively available on IvyPanda Available only on IvyPanda
Updated: Feb 17th, 2024

Evidence Review

The study by Howie and Peppercorn (2013) provide evidence of early palliative care in the form of a systematic review of available clinical trials. The article was published in a reputable peer-reviewed journal. The information is properly systematized and grouped into three sections representing different aspects of palliative care, which contributes to the clarity and usability of the data. The information is derived from reputable peer-reviewed sources. All sources are cited appropriately using APA format. The majority of the sources are within the seven-year range which is an acceptable time frame. Several studies used for the systematic review are randomized controlled trials, such as the study by Temel et al. (2010).

We will write a custom essay on your topic a custom Research Paper on Palliative Pain Management: Evidence Synthesis
808 writers online

The authors responsibly report the key statistical parameters used by the researchers, including the p-value for each quantitative finding. However, the data is not systematized in any way and is provided descriptively. Furthermore, Howie and Peppercorn (2013) do not specify the criteria for inclusion of the sources in the analysis and do not include the rationale for any of the included studies, which undermines the reliability of the data. Also, such an approach introduces the possibility of bias since the data may be applied selectively (). Therefore, despite the value of the provided evidence, the article is categorized as level V of evidence quality. The population chosen by the authors (cancer patients) makes it relevant to the chosen area of study.

The article by Satija et al. (2014) addresses the issues associated with analgesia as a dominant intervention for pain management in breast cancer patients by exploring the available alternatives. The article was published in a peer-reviewed source. The information was obtained primarily from medical journals and official web resources of relevant organizations. The article is properly systematized by the type of intervention, with claims in each section supported by evidence from several sources. However, only a small fraction of the studies used to support the claims are randomized controlled trials. Besides, Satija et al. (2014) do not specify important aspects of the studies used to support their claims, such as the adequate size of the sample or the p-value of the findings for quantitative data. The authors also do not specify the criteria for inclusion in the review. However, the authors include a range of sources that deal with the limitations and known weaknesses of the suggested interventions, which increases the credibility of the provided data. Nevertheless, such an approach is not systematized in any way, which means that the possibility of bias cannot be dismissed. In conclusion, the article provides level V quality of evidence and is to be used as an overview of the available options rather than a guide on their viability. Its relevance is determined primarily by the consistency of the population with that specified in the PICOT.

The article by Wilkie and Ezenwa (2012) offers a literature update of pain management in palliative care published after 2004. As a result, the primary sources used in the paper are relatively recent and are chosen using at least one definitively specified criterion. The article was published in a reputable peer-reviewed nursing journal. All sources are properly cited. Wilkie and Ezenwa (2012) do not explicitly specify the search criteria. However, a detailed description of the data collection is provided, which contributes to the replicability of the research. Only a small fraction of the information used in the article is derived from randomized controlled trials. The findings of the studies used for the review are not provided in detail, and important parameters such as statistical significance are excluded. However, the authors acknowledge this and cite page limit as a reason for such an approach. Next, the limitations and shortcomings cited by the researchers are grouped in a dedicated section of the review, which further improves the reliability of the data. Therefore, the quality of evidence of the source is level V. Nevertheless, the concrete orientation towards recent sources as well as the acknowledgment of the known gaps makes the information from the article relevant to the chosen population.

Evidence Synthesis

According to Satija et al. (2014), analgesia, which remains the most common approach to pain management in patients with cancer, has several adverse effects that undermine patients’ quality of life. Therefore, alternative approaches should be sought and evaluated. The intervention I plan to use in my project proposal is palliative care from the palliative care team. According to Howie and Peppercorn (2013), the involvement of comprehensive palliative care teams (CCT) increased the quality of palliative care in terms of both healthcare utilization and patient satisfaction. A CCT usually consists of nurses, physicians, pharmacists, social workers, psychologists, and art therapists. Such an approach also facilitates the use of various support groups, counseling sessions, and individual visits. Finally, Howie and Peppercorn (2013) point out enhancements in specific areas, such as a decrease in intensive care unit admissions associated with the incorporation of CCTs. However, the findings on the matter lack consistency, which necessitates further inquiry in the area.

References

Howie, L., & Peppercorn, J. (2013). Early palliative care in cancer treatment: Rationale, evidence and clinical implications. Therapeutic Advances in Medical Oncology, 5(6), 318-323.

Satija, A., Ahmed, S. M., Gupta, R., Ahmed, A., Rana, S. P. S., … Bhatnagar, S. (2014). Breast cancer pain management: A review of current & novel therapies. The Indian Journal of Medical Research, 139(2), 216–225.

1 hour!
The minimum time our certified writers need to deliver a 100% original paper

Temel, J.S., Greer, J.A., Muzikansky, A., Gallagher, E.R., Admane, S., … Lynch, T.J. (2010). Early palliative care for patients with metastatic non-small-cell lung cancer. The New England Journal of Medicine, 363(8), 733-742.

Wilkie, D., & Ezenwa, M. O. (2012). Pain and symptom management in palliative care and at end of life. Nursing Outlook, 60(6), 357-357.

Print
Need an custom research paper on Palliative Pain Management: Evidence Synthesis written from scratch by a professional specifically for you?
808 writers online
Cite This paper
Select a referencing style:

Reference

IvyPanda. (2024, February 17). Palliative Pain Management: Evidence Synthesis. https://ivypanda.com/essays/palliative-pain-management-evidence-synthesis/

Work Cited

"Palliative Pain Management: Evidence Synthesis." IvyPanda, 17 Feb. 2024, ivypanda.com/essays/palliative-pain-management-evidence-synthesis/.

References

IvyPanda. (2024) 'Palliative Pain Management: Evidence Synthesis'. 17 February.

References

IvyPanda. 2024. "Palliative Pain Management: Evidence Synthesis." February 17, 2024. https://ivypanda.com/essays/palliative-pain-management-evidence-synthesis/.

1. IvyPanda. "Palliative Pain Management: Evidence Synthesis." February 17, 2024. https://ivypanda.com/essays/palliative-pain-management-evidence-synthesis/.


Bibliography


IvyPanda. "Palliative Pain Management: Evidence Synthesis." February 17, 2024. https://ivypanda.com/essays/palliative-pain-management-evidence-synthesis/.

Powered by CiteTotal, referencing machine
If you are the copyright owner of this paper and no longer wish to have your work published on IvyPanda. Request the removal
More related papers
Cite
Print
1 / 1