Original Article: PDF OnlyExperience and management of cancer pain at homeFerrell, Betty R. R.N., Ph.D.; Schneider, Cynthia R.N., M.S.Author Information Betty R. Ferrell is Assistant Chairperson, Department of Nursing, University of Southern California, Los Angeles, California. Cynthia Schneider is Assistant Professor, College of Nursing, Oklahoma Baptist University, Shawnee, Oklahoma. Cancer Nursing: April 1988 - Volume 11 - Issue 2 - p 84-90 Buy Abstract Pain has been cited as a critical factor in determining functional ability and quality of life for the patient with cancer. The problem of pain management is of particular importance in outpatient and home health care where complex symptom management is often provided by family members of patients themselves. This study served as the first phase of a four-phase research program with the goal of improved pain management for cancer patients at home. Seventy-five adult patients with chronic cancer pain served as subjects in this descriptive study. Subjects were interviewed in hospital and 7 to 10 days post-discharge to compare responses on the McGill Melzack Pain Questionnaire (MPQ) and Pain Experience Measure (PEM). Analysis of the McGill Melzack Questionnaire PPI (Present Pain Intensity) and PRI (Pain Rating Index) suggest 70% of patients experienced more intensive pain at home. Dependent t tests were used to analyze the subscales of the MPQ and indicated few significant differences but important trends regarding pain management at home. Qualitative analysis of narrative data obtained from the PEM provided a description of the management of pain. Patients described their perceptions of pain at home and drug as well as nondrug interventions. The findings of the study suggest that pain is not effectively managed by cancer patients at home and that pain management is critical to functional ability. Investigation is needed to further explore home care of patients in pain and to test interventions for improved management of pain. © Lippincott-Raven Publishers.