Cancer Pain Treatment Differences in a Matched Sample of Older African-American and European-American Hospice Patients at the End-of-Life

Practice:  Although only one EBP showed statistically significant difference by race, the slightly lower proportion of AAs receiving EBPs has clinical significance and identifies disparities where improved pain management practices and quality are needed. While analgesics were ordered similarly, the data available could not be examined for type of medications, dosage, or appropriateness for management of pain.  Hospices should ensure ALL patients receive, per Medicare benefits, their allowable one-time visit with a healthcare provider to discuss options for pain management.  Nurses should equip and empower ALL older adults and their families/caregivers by providing adequate education on pain management.