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"Self-management" AND "pain"

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https://www.readbyqxmd.com/read/29437074/letting-the-patient-decide-a-case-report-of-self-administered-sedation-during-mechanical-ventilation
#1
Breanna Hetland, Sarah Maryon Hayes, Debra Skaar, Mary Fran Tracy, Craig R Weinert, Linda Chlan
It is common for critical care nurses to administer sedative medications to patients receiving mechanical ventilation. Although patient-controlled analgesia is frequently used in practice to promote effective self-management of pain by patients, it is not known if patient-controlled sedation can be used to promote effective self-management of distressing symptoms associated with mechanical ventilation. A randomized pilot trial was conducted to evaluate whether patient self-administered sedation with dexmedetomidine is safe and acceptable for self-management of anxiety during ventilator support...
February 2018: Critical Care Nurse
https://www.readbyqxmd.com/read/29433488/prevalence-of-dysmenorrhea-among-university-students-in-northern-ghana-its-impact-and-management-strategies
#2
Evans Paul Kwame Ameade, Anthony Amalba, Baba Sulemana Mohammed
BACKGROUND: The period of menstruation is an eventful one for a significant number of post-pubescent females as they experience lower abdominal pains referred to as dysmenorrhea. This study conducted among female students of the Tamale campus of the University for Development Studies assessed the prevalence of dysmenorrhea, its impact on the students and treatment methods applied. METHODS: A cross-sectional study using a self-administered questionnaire was used to obtain data from 293 randomly selected female students...
February 13, 2018: BMC Women's Health
https://www.readbyqxmd.com/read/29426653/postoperative-symptom-distress-of-laparoscopic-cholecystectomy-ambulatory-surgery-patients
#3
Jan Odom-Forren, Deborah B Reed, Carrell Rush
PURPOSE: The purposes of this study were to (1) identify symptoms that cause postoperative distress in ambulatory surgery patients; (2) identify symptom management techniques that effectively reduce distress of laparoscopic cholecystectomy (LC) postoperative symptoms at home after ambulatory surgery; and (3) identify facilitators and barriers to self-management of postoperative symptoms. DESIGN: A qualitative descriptive study. METHODS: Two focus groups of ambulatory surgery patients who had experienced a laparoscopic cholecystectomy procedure and their caregivers were queried to elicit understanding of postoperative symptoms and symptom management techniques...
February 6, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/29419362/effectiveness-of-self-management-program-on-arthritis-symptoms-among-older-women-a-randomized-controlled-trial-study
#4
Naiyer Anvar, Hossein Matlabi, Abdolrasoul Safaiyan, Hamid Allahverdipour, Sousan Kolahi
We aimed to determine the effectiveness of a self-management program amongst older women with rheumatoid arthritis. The intervention group (n = 40) received a six-week arthritis self-management program. Assessments were recorded prior to and after the program using a demographic questionnaire, Visual Analogue Scale, Arthritis Self-Efficacy Scale, and self- reported questions regarding mobility. Significant improvements in self-efficacy for functional ability and pain management were found in the intervention group compared to those before the intervention and the control group...
February 8, 2018: Health Care for Women International
https://www.readbyqxmd.com/read/29417856/gastrointestinal-safety-and-tolerability-of-oral-non-aspirin-over-the-counter-analgesics
#5
Nicholas Moore, James M Scheiman
Over-the-counter (OTC) analgesics are routinely used worldwide for self-management of various painful conditions. Despite this, there has been little in-depth review of the safety of non-aspirin analgesics at OTC doses. This paper reviews the available literature on the gastrointestinal (GI) and hepatic safety of non-aspirin OTC analgesics, including nonsteroidal anti-inflammatory drugs (NSAIDs; ibuprofen, ketoprofen, diclofenac, and naproxen) and acetaminophen; safety in overdose is also reviewed. Each non-aspirin OTC analgesic has a distinct adverse event (AE) profile, with GI AE rates for OTC dosing in one study ranging from 37% for diclofenac to 7...
February 8, 2018: Postgraduate Medicine
https://www.readbyqxmd.com/read/29409721/the-chronic-knee-pain-program-a-self-management-model
#6
Jessica Ventura, Janet Sobczak, Joohyun Chung
BACKGROUND: It is vital that patients take an active role in self-management of their chronic knee pain condition. The Chronic Knee Pain Program was developed to assist patients in managing their chronic condition and to improve their overall well-being. PURPOSE: The purpose of this pilot study was to determine the feasibility of a six-week self-management program and to explore whether it may assist in decreasing body mass index (BMI) and depression symptom severity and increase physical activity levels in obese adults with chronic knee pain...
February 3, 2018: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/29409110/a-mixed-methods-study-identifying-key-intervention-targets-to-improve-participation-in-daily-living-activities-in-primary-sj%C3%A3-gren-s-syndrome-patients
#7
Katie L Hackett, Katherine H O Deane, Julia L Newton, Vincent Deary, Simon Bowman, Tim Rapley, Wan-Fai Ng
OBJECTIVE: Functional ability and participation in life situations are compromised in many primary Sjögren's syndrome (PSS) patients. This study aims to identify the key barriers and priorities to participation in daily living activities, in order to develop potential future interventions. METHODS: Group concept mapping (GCM), a semi-quantitative, mixed-methods, approach was used to identify and structure ideas from UK PSS patients, adults living with a PSS patient (AHMs) and health care professionals (HCPs)...
February 6, 2018: Arthritis Care & Research
https://www.readbyqxmd.com/read/29395779/moving-forward-with-physical-activity-self-management-of-chronic-pain-among-women
#8
Danielle R Brittain, Nancy C Gyurcsik, Susan M Tupper, Pamela J Downe
No abstract text is available yet for this article.
January 23, 2018: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/29391827/development-and-implementation-of-an-inpatient-multidisciplinary-pain-management-program-for-patients-with-intractable-chronic-musculoskeletal-pain-in-japan-preliminary-report
#9
Naoto Takahashi, Satoshi Kasahara, Shoji Yabuki
Introduction: Multidisciplinary pain management is a useful method to treat chronic musculoskeletal pain. Few facilities in Japan administer a multidisciplinary pain management program, especially an inpatient program. Therefore, we implemented a multidisciplinary pain management program in our hospital based on biopsychosocial factors guided by the recommendations of the International Association for the Study of Pain. The purpose of this study is to describe our inpatient pain management program for Japanese patients, which uses the biopsychosocial method of pain self-management...
2018: Journal of Pain Research
https://www.readbyqxmd.com/read/29388879/an-interpretative-phenomenological-analysis-of-the-experiences-of-older-people-self-managing-cancer-pain-at-home
#10
Sara E Appleyard, Chris Clarke
Cancer is predominantly an illness affecting older people, yet there is a higher risk of under-treated pain in this age group. Many older people are required to self-manage their cancer pain at home but this is currently an under-researched and poorly understood area. We explored the experiences of older adults who self-manage cancer pain at home using an Interpretative Phenomenological Analytic approach. Eight older adults (aged 72-85 years) were recruited from a hospital in the United Kingdom and interviewed using a semi-structured questionnaire...
February 1, 2018: Journal of Psychosocial Oncology
https://www.readbyqxmd.com/read/29388674/pain-self-management-plus-nurse-led-support-in-young-adults-with-irritable-bowel-syndrome-study-protocol-for-a-pilot-randomized-control-trial
#11
Xiaomei Cong, Divya Ramesh, Mallory Perry, Wanli Xu, Katherine M Bernier, Erin E Young, Stephen Walsh, Angela Starkweather
Irritable bowel syndrome (IBS) is a functional gut disorder that typically manifests in early adult years. IBS patients report that pain is the most distressing symptom with the greatest impact on quality of life. Pain-sensitivity genes and the gut microbiome may influence severity of symptoms as well as response to self-management (SM) interventions. Based on current understanding of the science of SM, pain neurophysiology, and the gut-brain axis, our team developed a pain SM intervention to be added to evidence-based self-management instruction to increase the individual's SM knowledge and skills (self-efficacy, self-regulation, and goal-setting)...
February 1, 2018: Research in Nursing & Health
https://www.readbyqxmd.com/read/29385967/a-self-management-support-program-for-older-australians-with-multiple-chronic-conditions-a-randomised-controlled-trial
#12
Richard L Reed, Leigh Roeger, Sara Howard, Jodie M Oliver-Baxter, Malcolm W Battersby, Malcolm Bond, Richard H Osborne
OBJECTIVE: To determine whether a clinician-led chronic disease self-management support (CDSMS) program improves the overall self-rated health level of older Australians with multiple chronic health conditions. DESIGN: Randomised controlled trial: participants were allocated to a clinician-led CDSMS group (including client-centred goal setting and the development of individualised care plans) or to a control group in which they received positive attention only. SETTING AND PARTICIPANTS: Patients aged 60 years or more with at least two chronic conditions, recruited between September 2009 and June 2010 from five general practices in Adelaide...
February 5, 2018: Medical Journal of Australia
https://www.readbyqxmd.com/read/29370442/response-to-the-commentary-precision-health-using-omics-to-optimize-self-management-of-chronic-pain-in-aging-from-the-perspective-of-the-ninr-intramural-research-program
#13
Ann K Cashion, Patricia A Grady
No abstract text is available yet for this article.
January 1, 2018: Research in Gerontological Nursing
https://www.readbyqxmd.com/read/29370441/precision-health-use-of-omics-to-optimize-self-management-of-chronic-pain-in-aging
#14
Susan G Dorsey, Barbara M Resnick, Cynthia L Renn
Chronic pain has become a public health epidemic based on the number of Americans affected and its associated health care costs. Unfortunately, there are few efficacious treatments to manage chronic pain and as the population of older adults and centenarians who are at high risk for chronic pain continues to grow, the chronic pain epidemic will continue to worsen unless new therapeutic strategies are discovered. In the current era of precision medicine, there is a major emphasis being placed on the use of self-management and omics to discover new therapeutic targets and design treatment strategies that are tailored to the individual patient...
January 1, 2018: Research in Gerontological Nursing
https://www.readbyqxmd.com/read/29361197/structured-goal-planning-and-supportive-telephone-followup-in-rheumatology-care-results-from-a-pragmatic-stepped-wedge-cluster-randomized-trial
#15
Gunnhild Berdal, Ingvild Bø, Turid N Dager, Anne Dingsør, Siv G Eppeland, Jon Hagfors, Bente Hamnes, Petter Mowinckel, Merete Nielsen, Anne-Lene Sand-Svartrud, Bente Slungaard, Sigrid H Wigers, Kåre B Hagen, Hanne S Dagfinrud, Ingvild Kjeken
OBJECTIVE: To evaluate patient-reported health effects of an add-on structured goal planning and supportive telephone followup rehabilitation program compared with traditional rehabilitation programs in patients with rheumatic diseases. METHODS: In this pragmatic stepped-wedge cluster-randomized controlled trial 389 patients with rheumatic diseases recruited from six rehabilitation centres received either traditional rehabilitation or traditional rehabilitation extended with an add-on program tailored to individual needs...
January 23, 2018: Arthritis Care & Research
https://www.readbyqxmd.com/read/29356072/flash-forward-a-review-of-flash-glucose-monitoring
#16
REVIEW
L Leelarathna, E G Wilmot
The FreeStyle Libre flash glucose monitor became available on prescription (subject to local health authority approval) in all four nations of the UK from November 2017, a watershed moment in the history of diabetes care. Calibration free, the FreeStyle Libre is a disc worn on the arm for 14 days which is designed largely to replace the recommended 4-10 painful finger-stick blood glucose tests required each day for the self-management of diabetes. This review discusses clinical data from randomized and observational studies, considers device accuracy metrics and deliberates its popularity and the potential challenges that this new device brings to diabetes care in the UK...
January 22, 2018: Diabetic Medicine: a Journal of the British Diabetic Association
https://www.readbyqxmd.com/read/29346579/web-based-cognitive-behavior-therapy-for-chronic-pain-patients-with-aberrant-drug-related-behavior-outcomes-from-a-randomized-controlled-trial
#17
Honoria Guarino, Chunki Fong, Lisa A Marsch, Michelle C Acosta, Cassandra Syckes, Sarah K Moore, Ricardo A Cruciani, Russell K Portenoy, Dennis C Turk, Andrew Rosenblum
Objective: There is high unmet need for effective behavioral treatments for chronic pain patients at risk for or with demonstrated histories of opioid misuse. Despite growing evidence supporting technology-based delivery of self-management interventions for chronic pain, very few such programs target co-occurring chronic pain and aberrant drug-related behavior. This randomized controlled trial evaluated the effectiveness of a novel, web-based self-management intervention, grounded in cognitive behavior therapy, for chronic pain patients with aberrant drug-related behavior...
January 13, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29345522/goal-setting-practice-in-chronic-low-back-pain-what-is-current-practice-and-is-it-affected-by-beliefs-and-attitudes
#18
Tania Gardner, Kathryn Refshauge, James McAuley, Markus Hübscher, Stephen Goodall, Lorraine Smith
INTRODUCTION: Goal setting, led by the patient, is promising as an effective treatment for the management of chronic low back pain (CLBP); however, little is known about current practice. The aims of the study were to explore (1) current goal setting practice in CLBP among physiotherapists; (2) perceived barriers to goal setting in CLBP; and (3) relationship between clinician's attitudes and beliefs and goal setting practice. METHOD: A cross-sectional observational survey...
January 18, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29340913/a-randomized-pilot-trial-of-a-novel-behavioral-intervention-for-chronic-pain-tailored-to-individuals-with-hiv
#19
Jessica S Merlin, Andrew O Westfall, Dustin Long, Susan Davies, Michael Saag, William Demonte, Sarah Young, Robert D Kerns, Matthew J Bair, Stefan Kertesz, Janet M Turan, Meredith Kilgore, Olivio J Clay, Joanna Starrels, Dorothy Pekmezi, Mallory O Johnson
Chronic pain is an important and understudied comorbidity in people living with HIV (PLWH). We conducted a pilot trial of Skills TO Manage Pain (STOMP), an innovative social cognitive theory-based pain self-management intervention tailored to PLWH, to assess feasibility, acceptability, and preliminary efficacy. Eligibility criteria included being HIV+, ≥ moderate pain for ≥ 3 months and a score of ≥ 4 on the three-item PEG pain severity and interference scale. Participants were randomized in a 1:1 fashion to STOMP or a usual care comparison...
January 16, 2018: AIDS and Behavior
https://www.readbyqxmd.com/read/29337024/moderators-of-treatment-outcomes-following-telehealth-self-management-and-education-in-adults-with-multiple-sclerosis-a-secondary-analysis-of-a-randomized-controlled-trial
#20
Dawn M Ehde, Anne Arewasikporn, Kevin N Alschuler, Abbey J Hughes, Aaron P Turner
OBJECTIVE: To examine moderators of treatment effects in a randomized controlled trial comparing a telehealth self-management intervention to a telehealth MS education intervention for fatigue, pain, and mood in adults with multiple sclerosis (MS). DESIGN: Secondary analysis of a single-blind randomized controlled trial. SETTING: community. PARTICIPANTS: Adults with MS and chronic fatigue, chronic pain, and/or moderate depressive symptoms (N=163) recruited from across the United States...
January 11, 2018: Archives of Physical Medicine and Rehabilitation
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