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Nursing Pain

Chelsea Hagmann, Arlene Cramer, Allison Kestenbaum, Carlota Durazo, Anna Downey, Michelle Russell, Jaydee Geluz, Joseph D Ma, Eric J Roeland
OBJECTIVE: To review effective approaches for non-pain symptom management for cancer patients focusing on treatment of nausea and vomiting, constipation, diarrhea, anorexia/cachexia, fatigue, and dyspnea. DATA SOURCES: Peer-reviewed articles, clinical practice guidelines, professional organization position statements. CONCLUSION: Oncology nurses are key advocates for optimal symptom management. Maximizing palliation of symptoms improves quality of life and prolongs survival...
August 14, 2018: Seminars in Oncology Nursing
Zhaoyi Chen, Victoria Y Bird, Rupam Ruchi, Mark S Segal, Jiang Bian, Saeed R Khan, Marie-Carmelle Elie, Mattia Prosperi
BACKGROUND: Kidney stone (KS) disease has high, increasing prevalence in the United States and poses a massive economic burden. Diagnostics algorithms of KS only use a few variables with a limited sensitivity and specificity. In this study, we tested a big data approach to infer and validate a 'multi-domain' personalized diagnostic acute care algorithm for KS (DACA-KS), merging demographic, vital signs, clinical, and laboratory information. METHODS: We utilized a large, single-center database of patients admitted to acute care units in a large tertiary care hospital...
August 17, 2018: BMC Medical Informatics and Decision Making
Heidi N Overton, Marie N Hanna, William E Bruhn, Susan Hutfless, Mark C Bicket, Martin A Makary
BACKGROUND: One in 16 surgical patients prescribed opioids become long-term users. Overprescribing opioids after surgery is common and the lack of multidisciplinary procedure-specific guidelines contributes to the wide variation in opioid prescribing practices. We hypothesize a single-institution, multidisciplinary expert panel can establish consensus on ideal opioid prescribing for select common surgical procedures. STUDY DESIGN: We used a 3-step modified Delphi method involving a multidisciplinary expert panel of 6 relevant stakeholder groups (surgeons, pain specialists, outpatient surgical nurse practitioners, surgical residents, patients, and pharmacists) to develop consensus ranges for outpatient opioid prescribing at the time of discharge after 20 common procedures in 8 surgical specialties...
August 2, 2018: Journal of the American College of Surgeons
Raniah N Aldekhyyel, Genevieve B Melton, Bruce Lindgren, Yan Wang, Michael B Pitt
OBJECTIVES: Implement a novel pain-management interface that is used to bring real-time, patient-reported pain assessments to the inpatient television and evaluate the impact of implementation on the pain-management clinical workflow, patient engagement, and nursing pain reassessments. METHODS: We developed a pain-management tool interfacing 4 stand-alone technologies: a television-based, interactive patient care system; electronic health record system; nursing call system; and pharmacy inventory-management system...
August 16, 2018: Hospital Pediatrics
Janessa M Graves, Tracy A Klein, Shannon G Panther, Megan Moore, Demetrius Abshire, Jasmine Graham
BACKGROUND AND PURPOSE: Nurse practitioners (NPs) frequently treat acute conditions presenting in children and adolescents in the outpatient setting. No evidence-based guidance exists pertaining to the treatment of concussion with medications. The purpose of this study was to examine recommendations by NPs for pharmacotherapy of acute symptoms for adolescent concussion. METHODS: This is a secondary analysis of data from a web-based census survey of all licensed NPs in Oregon and Washington State, where they practice as independent providers with prescriptive authority...
August 14, 2018: Journal of the American Association of Nurse Practitioners
Cara L English, Kathryn R Alden, Meg Zomorodi, Debbie Travers, Malcolm S Ross
PURPOSE: The Internet is a common source of information for women during pregnancy. A multitude of data about birth can be found on the Internet, yet there are few guidelines to direct women to credible Web sites. Providers are often unaware of the health sites their patients access. The purpose of this study was to evaluate the quality of the written content on Web sites about induction of labor and pain management during labor. STUDY DESIGN AND METHODS: Descriptive study of 11 Web sites on induction of labor and pain management during labor...
September 2018: MCN. the American Journal of Maternal Child Nursing
Deepa Jeevanantham, Venkadesan Rajendran, Line Tremblay, Céline Larivière, Andrew Knight
BACKGROUND: Patients with multiple myeloma (MM) are often treated with chemotherapy, radiation, and, if indicated, autologous stem cell transplant. In addition to side effects of the treatment, patients with MM often have bone pain, pathological fractures, spinal cord compressions, fatigue, and muscle weakness, which negatively impact functional performance and quality of life. Currently, there are no related guidelines for safe and effective physiotherapy (PT) management. Accordingly, the aim of the present study is to develop guidelines for effective physiotherapy management of patients with MM by systematically reviewing and evaluating the available evidence followed by a consensus process to specifically describe the research questions as detailed below...
August 16, 2018: Systematic Reviews
Thekla Brunkert, Wilhelm Ruppen, Michael Simon, Franziska Zúñiga
AIM: To present a protocol for evaluating an implementation intervention to improve pain management in nursing homes by addressing behavior change of the care workers. BACKGROUND: Pain management in nursing homes often is inadequate despite the availability of evidence-based pain management guidelines. Barriers to pain management in nursing homes occur on several levels including lack of knowledge and negative beliefs towards pain of care workers. A comprehensive approach incorporating contextual and behavioral factors is needed to sustainably improve pain management practice...
August 14, 2018: Journal of Advanced Nursing
Yi-Chien Chiang, Jing-Long Huang, Chao-Hui Wang, Hsiang-Chun Lee, Ming-Ying Lee, Ya-Chu Hsiao
AIMS: To: 1) explore the prevalence of the symptoms perceived by patients with childhood-onset systemic lupus erythematosus (SLEc); 2) identify the symptom clusters occurring in patients with SLEc; and 3) examine the association of the burden of each symptom cluster with sleep quality and depression. BACKGROUND: Systemic lupus erythematosus (SLE) is an inflammatory autoimmune disease that may result in patients' perception of various symptoms, with possible negative effects on their quality of life...
August 14, 2018: Journal of Advanced Nursing
Katherine Smiley, Love Ofori, Cindy Spangler, Rebecca Acquaah-Arhin, Deborah Deh, Juliana Enos, Stephen Manortey, Frank Baiden, Samuel Finlayson, Raymond Price, Marta McCrum
BACKGROUND: The Volta River Authority Hospital (VRAH) is a district hospital associated with a large public works project in Akosombo, Ghana, that has developed a reputation for high-quality care. We hypothesized that this stems from a culture of safety and standardized processes typical of high-risk engineering environments. To investigate this, we evaluated staff and patient perceptions of safety and quality, as well as perioperative process variability. MATERIALS AND METHODS: The Safety Attitudes Questionnaire (SAQ) and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys were used to evaluate staff and patient perceptions of safety...
August 14, 2018: World Journal of Surgery
Ruth M Tappen, David Newman, Peter Huckfeldt, Zhiyou Yang, Gabriella Engstrom, David G Wolf, Jill Shutes, Carolina Rojido, Joseph G Ouslander
BACKGROUND: Medicare incentivizes the reduction of hospitalizations of nursing facility (NF) residents. The effects of these incentives on resident safety have not been examined. OBJECTIVE: Examine safety indicators in NFs participating in a randomized, controlled trial of the INTERACT Quality Improvement Program. DESIGN: Secondary analysis of a randomized trial in which intervention NFs exhibited a statistically nonsignificant reduction in hospitalizations...
August 11, 2018: Journal of the American Medical Directors Association
Karolina Piotrowicz, Krzysztof Rewiuk, Stanisław Górski, Weronika Kałwak, Barbara Wizner, Agnieszka Pac, Michał Nowakowski, Tomasz Grodzicki
BACKGROUND: In hospital settings, delirium affects as many as 50% of older patients, aggravating their symptoms and worsening their condition, and therefore increasing the risk of in-hospital complications and death. The aim of this study is to assess the efficacy of structured, non-pharmacological care, delivered to older hospitalised patients by trained volunteers (students of medical fields), on the reduction of incidence of adverse health-related outcomes. METHODS/DESIGN: This trial will be a randomised, investigator-blind, controlled trial conducted in an internal medicine and geriatric ward in Poland...
August 14, 2018: Trials
Fadi Bouri, Walid El Ansari, Shady Mahmoud, Ahmed Elhessy, Abdulla Al-Ansari, Mohamed Al Ateeq Al-Dosari
Pain is a challenge for orthopedic healthcare professionals (OHCP). However, pain studies examined the competencies of a single OHCP category, did not consider various pain management domains or barriers to optimal pain service, and are deficient across the Arabic Eastern Mediterranean region. We surveyed OHCP's recognition and knowledge of pain and perceived barriers to optimal pain service (361 OHCP, five hospitals). Chi square compared doctors' ( n = 63) vs. nurses/physiotherapists' ( n = 187) views. In terms of pain recognition, more nurses had pain management training, confidently assessed pediatric/elderly pain, were aware of their departments' pain protocols, and felt that their patients receive proper pain management...
August 13, 2018: Healthcare (Basel, Switzerland)
Stefanie R Auer, Margit Höfler, Elisabeth Linsmayer, Anna Beránková, Doris Prieschl, Paulina Ratajczak, Michal Šteffl, Iva Holmerová
BACKGROUND: This paper provides a first comparative exploratory analysis of our findings from DEMDATA, a collaborative project between Austria and the Czech Republic. Analysed here are data from the residents and the environment assessment protocol. METHODS: In a cross sectional study design, residents from randomly drawn and stratified nursing homes were investigated using a common study protocol. RESULTS: From a total resident pool of 1666 persons, 1085 (571 in Austria, 514 in the Czech Republic) persons signed a consent form and participated in the data collection...
August 13, 2018: BMC Geriatrics
Jason A Webb, Thomas W LeBlanc
OBJECTIVE: To provide a brief review of common palliative care practices in the assessment and management of cancer pain for practicing oncology nurses. DATA SOURCES: Published literature as indexed in Medline, relevant guideline documents, textbooks, and clinical experience. CONCLUSION: All persons with cancer should undergo a comprehensive pain assessment, using validated instruments when possible, and receive expert-guided cancer pain therapy...
August 9, 2018: Seminars in Oncology Nursing
Renée Dagenais, Peter J Zed
Intranasal lidocaine has been studied and recommended as an alternative in the management of acute headache. The objective of this systematic review was to evaluate the efficacy and safety of intranasal lidocaine in the acute management of primary headaches. The MEDLINE (1946 to May 2018), EMBASE (1974 to May 2018), Cochrane Central Register of Controlled Trials (2008 to May 2018), Cumulative Index to Nursing and Allied Health Literature (CINAHL) (1982 to May 2018), and ClincialTrials. gov online databases were searched...
August 11, 2018: Pharmacotherapy
Elia Fernández-Martínez, María Dolores Onieva-Zafra, María Laura Parra-Fernández
The aim of this study was to determine the prevalence of primary dysmenorrhea in a sample of Spanish university students, and to describe their menstrual characteristics, lifestyle habits and associated risk factors. This cross-sectional study was conducted with a total of 258 young female university students recruited from the Ciudad Real Faculty of Nursing, with a mean age of 20.63± 3.32 years. An anonymous self-report questionnaire was used to collect data from students. This included sociodemographic characteristics, lifestyle habits, gynecological personal history and the severity of pain using the visual analogue scale...
2018: PloS One
Karen Sue Hoyt, Elda Ramirez, Robert Topp, Stephen Nichols, Donna Agan
BACKGROUND AND PURPOSE: This retrospective study compared nurse practitioners and physician assistants (NPs/PAs) with physicians on their assignment of Emergency Severity Index level 3 (ESI level 3) acute abdominal pain (AAP) in the emergency department (ED). METHODS: Data obtained from a large ED group staffing four hospitals yielded 12,440 de-identified, adult patients diagnosed on ED admission with AAP ESI level 3 for descriptive analysis with logistic regression...
August 6, 2018: Journal of the American Association of Nurse Practitioners
Magdalena Hoffmann, Anna K Holl, Harald Burgsteiner, Philipp Eller, Thomas R Pieber, Karin Amrein
A patient's admission to an intensive care unit (ICU) has a significant impact on family members and other relatives. In order for them to be able to cope with such a stressful situation, the availability of appropriate understandable and accessible information is crucial. The information asymmetry between relatives and medical professionals may adversely affect satisfaction of relatives and their risk of subsequent anxiety, depression and stress symptoms. The aim of this study was therefore to understand which topics are most important to the relatives of ICU patients and to quantify the perceptions of medical professionals regarding the information needs of relatives...
August 9, 2018: Wiener Klinische Wochenschrift
Ian R Slade, Ron E Samet
Regional anesthesia for the acute trauma patient is increasing due to the growing appreciation of its benefits, development of newer techniques and equipment, and more robust training. Block procedures are expanding beyond perioperative interventions performed exclusively by anesthesiologists to paramedics on scene, emergency medicine physicians, and nurse-led services using these techniques early in trauma pain management. Special considerations and indications apply to trauma victims compared with the elective patient and must be appreciated to optimize safety and clinical outcomes...
September 2018: Anesthesiology Clinics
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