Nai-Ching Chi, PhD, RN, Assistant Professor

Donor: Woodrow W. Morris Gerontology Research Grant

Project: Development of Family Caregivers’ Barriers to Pain Management Screening Questions and Revision of the Educational Material in the Caregiver Pain Management Manual

Funding Year: 2017 - 2018

Project Description:

Background: Over the last two decades, the number of patients enrolled in hospice services increased by 300%. In 2016, about 60% of hospice patients received care at home. Family caregivers are asked to perform professional pain management for patients at home: pain assessment, delivering pain treatments, evaluating treatment effects, administrating as-needed (PRN) pain medications, and reporting pain management to care team. Due to a lack of adequate training, family caregivers encounter various barriers to pain management. However, there is a lack of clinically applicable resources for nurses to assess family caregivers’ barriers to pain management and adequately prepare family caregivers for pain management.

Objectives: The objectives of this project are (1) to develop a list of screening questions that can be used to assess family caregivers’ barriers to pain management; (2) to update a previously developed pain management manual that aims to help hospice providers to educate family caregivers in pain management.

Population: Hospice nurses and family caregivers of patients enrolled in hospice programs.

ApproachAn integrative review of studies is conducted to comprehensively identify family caregivers’ barriers to pain management. The results are used to develop a list of screening questions. Additionally, a critical review of existing pain management interventions for family caregivers is conducted. The results are used to update the previously developed pain management manual.

Targeted OutcomesTo complete the development of a list of screening questions and revision of the pain management manual.

For more information, contact Dr. Chi.