Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

Transdisciplinary Pain Management: A Holistic Approach

Mazanec, Polly MSN, APRN, BC; Bartel, Judy MSN, APRN; Buras, Denise BSN, RN; Fessler, Pamela BSN, RN; Hudson, Joanne RN, CHPN; Jacoby, Martha MA, LSW, LPC; Montana, Bridget MSN, APRN, MBA; Phillips, Marie MA, MDiv

Journal of Hospice & Palliative Nursing: October 2002 - Volume 4 - Issue 4 - p 228-234

Pain management is the responsibility of all members of the hospice team. A transdisciplinary model of holistic pain assessment and management engages all disciplines in pain screening, management, and documentation. The nursing role in this model emphasizes detailed holistic assessment, pharmacological and nonpharmacological management, and patient and family education. The use of a transdisciplinary pain flow sheet captures the physical, psychological, social, and spiritual aspects of pain.

All authors are affiliated with Hospice of the Western Reserve, Cleveland, Ohio.

Polly Mazanec, MSN, APRN, BC, Nurse Practitioner, Palliative Care Team.

Judy Bartel, MSN, APRN, Director of Clinical Programs.

Denise Buras, BSN, RN, Community Facility Coordinator.

Pamela Fessler, BSN, RN, Community Facility Coordinator.

Joanne Hudson, RN, CHPN, Professional Relations Coordinator.

Martha Jacoby, MA, LSW, LPC, Social Worker.

Bridget Montana, MSN, APRN, MBA, Chief Operating Officer.

Marie Phillips, MA, MDiv, Spiritual Care Coordinator.

Address correspondence to Polly Mazanec, MSN, APRN, BC, Hospice of the Western Reserve, 300 East 185th St, Cleveland, OH 44119 (e-mail:

© 2002 The Hospice and Palliative Nurses Association