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on 20 April 2015

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Transcript of SWOT ANALYSIS

SWOT ANALYSIS: No Administration of Placebos for Pain to Cancer Patients

Position to oppose placebos for pain endorsed by the following:
The American Pain Society
Agency for Healthcare Policy & Research
World Health Organization
Healthcare Facilities Accreditation Program
Joint Commision on Accreditation of Healthcare Organizations
Education for Physicians on End-of-Life Care, co-sponsored by AMA & Robert Wood Johnson Foundation
American Nursing Association
American Society of Pain Management Nurses
Oncology Nursing Society
American Cancer Society
Patients are subjected to unnecessary pain
Patients are deceived
Reduced quality of health care
Reduced patient satisfaction
If a placebo is administered for pain management, the following represents potential threats:
Poor clinical outcome when pain is uncontrolled
Places nurses at risk when they refuse to administer
Litigation often impacts the nurse, not the prescriber
Potentially erodes trust between the nurse and patient
Potential for mistrust of the physician
Placebo control is often of shorter duration than an active modality
Placebo side effects may precipitate hyperalgesia or withdrawal
When placebos are administered for cancer pain, the following may occur.
Registered nurses have the strength in numbers to influence legislation prohibiting the use of placebos for pain management, except with patient informed consent in approved clinical research
Legislation that supports opposition to the use of placebos for pain has the opportunity to promote positive physician, nurse, & patient relationships which improve health outcomes
Nurses are viewed as trusted which affords influence on health care reform
Vivian Pearce
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