The PRO-SELF©: Pain Control Program—An Effective Approach for Cancer Pain Management

Claudia M. West

Marylin Dodd

Steven M. Paul

Karen Schumacher

Debu Tripathy

Peter Koo

Christine Miaskowski

ONF 2003, 30(1), 65-73. DOI: 10.1188/03.ONF.65-73

Purpose/Objectives: To describe the PRO-SELF©: Pain Control Program, an educational approach that provides patients and family caregivers with the knowledge, skills, and nursing support needed to improve pain relief.

Data Sources: Published research studies, articles, and conference abstracts.

Data Synthesis: Patients with cancer and family caregivers lack knowledge about pain management and side effects. Engaging in selfcare behaviors improves patients' health outcomes.

Conclusions: The PRO-SELF: Pain Control Program is an effective approach that can be used to help patients with cancer and their family caregivers obtain the knowledge and skills that are needed to manage pain. Three key strategies for delivering the PRO-SELF prog ram are (a) provision of information using academic detailing, (b) skill building with ongoing nurse coaching, and (c) interactive nursing support.

Implications for Nursing: Adequate pain relief is vital to decreasing cancer morbidity and improving patients' quality of life. The PRO-SELF: Pain Control Program should be implemented in all settings where cancer care takes place.

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