Showing papers in "Pain Management Nursing in 2011"

TL;DR: The magnitude of this issue is described, populations at risk are defined, and clinical practice recommendations for appropriate pain assessment using a hierarchical framework for assessing pain in those unable to self-report are offered.

TL;DR: There is an urgent need to educate all members of the health care team about the dangers and potential attributes of administration of sedating medications concomitant with opioid analgesia and the importance of initiating rational multimodal analgesic plans to help avoid adverse events.

TL;DR: The ethical considerations regarding procedural comfort management are reviewed and recommendations for nonpharmacologic and pharmacologic management during all phases of the procedure are provided.

TL;DR: Scientists and clinicians could most effectively forward the understanding and treatment of fibromyalgia and other common chronic pain disorders through an appreciation of their shared pathophysiology.

TL;DR: Health care providers need to understand the multidimensional pain experience that occurs in the daily life of the community-dwelling older adult and the most effective management strategies that can be used to provide pain relief.

TL;DR: This study describes strategies used by the Joint Clinical Practice Council of Children's Hospital of Wisconsin to identify barriers perceived as interfering with nurses' (RNs) ability to provide optimal pain management.

TL;DR: High levels of stoicism were reported, indicating that participants were more likely to believe they had superior pain control and courage in the face of pain and were not willing to disclose their pain to others, which were significantly associated with lower levels of expressed need for treatment.

TL;DR: A survey conducted by the American Society for Pain Management Nursing (ASPMN) Research Committee to explore ASPMN members' beliefs, knowledge, and skills regarding pain management advocacy activities was conducted as mentioned in this paper.

TL;DR: Limits of agreement indicated that there was no difference in PAINAD and CPOT scores for assessing pain in nonverbal patients in critical care, and further research in the area of pain assessment for non verbal patients incritical care is needed.

TL;DR: There was a significant increase in self-efficacy after participation in the intensive pain rehabilitation program including CBT-focused groups and this evidence-based practice is well supported in the literature and can be implemented with knowledgeable staff and engaged stakeholders.

TL;DR: The pharmacodynamics of opioids, the risk factors for excessive respiratory depression, recommendations for identifying patients at high risk, and interventions to prevent adverse effects are presented.

TL;DR: The hybrid model of concept development was used in the development of a conceptual structure of pain in demented patients by nurses and an active daily process of integrating patient expressional cues during periods of pain and pain relief was constituted.

TL;DR: There was a significant increase in the use of all nondrug treatments and a decrease in pain-related distress and current pain scores in the experimental group compared with the control group, and the value of education for use of nondrug therapies in conjunction with pharmacologic pain management among rural older adults is informed.

TL;DR: The work of assessing and treating pain in patients receiving postoperative care is an important and frequent task for critical care nurses, and knowledge in the field is essential if the patients are to receive optimal nursing care and treatment.

TL;DR: The American Society for Pain Management Nursing (ASPMN) holds the position that a placebo should not be used by any method to assess and/or manage an individual's pain regardless of their age or diagnosis.

TL;DR: Management of pain after limb-sparing surgery has evolved over the 26 years of experience in a pediatric institution and relies on multiple "layers" of pharmacologic and nonpharmacologic strategies to address the complex mixed nociceptive and neuropathic mechanisms of pain in this patient population.

TL;DR: The use and perceived effectiveness of pain relief strategies adopted by the elderly are investigated; gender differences between frequently used relief strategies were also explored; and nurses should pay more attention to the issue of chronic pain relief and provide the elderly with more effectivePain relief strategies.

TL;DR: A randomized posttest-only double blind design was used to pilot test the effect of a virtual practitioner pain communication coach on older adults' communication of their osteoarthritis pain and a clinically significant group difference supports the need to test the intervention in a randomized clinical trial.

TL;DR: Comparisons were conducted between published qualitative studies examining the lived experiences of individuals with CNP and the theory of integration, and the significance of integration as a concept to be explored in the field of CNP was affirmed.

TL;DR: The findings of this study indicate the need for better programmatic efforts to improve relief of cancer pain in Taiwanese outpatients.

TL;DR: There was no place for the labeling and resultant stigma of malingering in chronic pain sufferers, and patients reported serious impairment in physical, occupational, and social function an average of 5 years after the onset of chronic pain.

TL;DR: Hispanic older adults with osteoarthritis pain concisely describe clinically important pain information when given the opportunity to do so.

TL;DR: Despite suboptimal guideline adherence, potential signs of respiratory depression were detected that might otherwise have gone unnoticed and suggests that some incidents may have remained undetected with morphine, suggesting front-line staff must be involved to optimize change, champion the initiative, and promote patient safety.

TL;DR: The goal of this paper is to review strategies to diagnose and manage chronic pelvic pain conditions and acknowledge the complex interactions between physiological, neurological, and psychological mechanisms.

TL;DR: The goal of this report was to impress upon health care professionals the effectiveness of nerve blocks in improving and sometimes eliminating a patient's pain, as well as the importance of exhausting all options to alleviate/improve pain in the authors' patients.

TL;DR: Recommendations include patient education, self-help skills, exercise, and changes in lifestyle, and a multimodal approach to managing osteoarthitis is encouraged, and new evidence-based guidelines for the management of hip and knee OA are reviewed.

TL;DR: In my March 2006 editorial (Willens, 2006), I reported the headline in USA Today that the public advocacy group Public Citizen petitioned the Food and Drug Administration to remove propoxyphene (Darvon) from the market.