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Nursing Pain

John Paul G Kolcun, Michael Y Wang
BACKGROUND: Emerging technologies in minimally-invasive spinal surgery include surgical robots for navigation and spinal endoscopy. We applied these technologies in concert to treat a critically ill patient with thoracic discitis. CASE DESCRIPTION: The patient is an 83-year old woman with extensive medical comorbidities. In 2016, she was admitted from her skilled nursing facility with chest pain radiating to her left arm. Following a negative cardiac workup, CT-imaging revealed a right paramediastinal thoracic collection with endplate erosion at the T4 and T5 levels...
March 11, 2019: World Neurosurgery
Million Tesfaye Eshete, Petra I Baeumler, Matthias Siebeck, Markos Tesfaye, Dereje Wonde, Abraham Haileamlak, Girma G Michael, Yemane Ayele, Dominik Irnich
BACKGROUND: Postoperative pain remains a challenge in the developed world, but the consequences of inadequately treated postoperative pain are particularly severe in low- and middle-income countries. Since 2011, reports have drawn attention to the poor quality of postoperative pain management in Ethiopia; however, our multicenter qualitative study was the first to attempt to understand the factors that are barriers to and facilitators of quality pain managment in the country. To this aim, the study explored the perspectives of patients, healthcare professionals, and hospital officials...
2019: PloS One
Chang Liu, Rui Liu, Meiling Tang, Xinxin Yang, Xiuping Gong
The aim of the present study was to investigate the effect of nursing cooperation on the post-operative complication of pain following total knee arthroplasty (TKA) and to explore the effects of tetramethylpyrazine (TMP) application on post-TKA pain. A total of 26 patients who received TKA between June 2014 and March 2016 were enrolled in this study. Nursing cooperation was provided to the patients during the TKA surgery, and pain was evaluated based on the visual analog scale (VAS). In addition, 40 male Sprague Dawley rats were used for the TKA model construction...
March 2019: Experimental and Therapeutic Medicine
Julie Worley
Opioids are commonly prescribed in orthopaedics for acute or chronic pain for a variety of conditions, including injury, trauma, degenerative processes, and postsurgical. Patients who are taking opioids because of a substance use disorder (SUD) are also seen in orthopaedics. Patients who are prescribed opioids are at risk of developing an opioid use disorder (OUD). Ten percent of Americans will develop an SUD, which is considered a chronic medical condition that develops due to an imbalance in brain chemistry...
March 8, 2019: Orthopaedic Nursing
Francis Lovecchio, Ajay Premkumar, Jeffrey G Stepan, Todd J Albert
Background: Current research on opioid use within orthopedic surgery has focused on efforts to identify patients at risk for chronic opioid use. Studies addressing prevention of opioid misuse related to orthopedic care are lacking. Evidence-based interventions to reduce the reliance on opioids for post-operative pain relief will be a key component of any comprehensive institutional opioid policy. Questions/Purposes: The purpose of this systematic review was to evaluate institutional strategies that reduce opioid administration or consumption after orthopedic surgery...
February 2019: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
Wieslawa Piotrowska, Wojciech Leppert, Mikolaj Majkowicz
Aim: Comparison of analgesia, adverse effects, and quality of life (QoL) of cancer patients in the treatment of procedural pain induced by nursing procedures with the use of intravenous morphine, fentanyl nasal spray, and fentanyl buccal tablets. Methods: In adults with cancer with opioid tolerance and suffering procedural pain, intravenous morphine was used at an inpatient palliative medicine unit (20 patients) and fentanyl by intranasal (15 patients) and buccal routes (nine patients) at home...
2019: Cancer Management and Research
Stuart Hartshorn, Patrick Dissmann, Frank Coffey, Mark Lomax
Introduction: The undertreatment of acute pain presents a significant challenge in the Emergency Department. This post hoc subgroup analysis of a previously reported randomized controlled UK study reports the efficacy and safety of low-dose methoxyflurane analgesia in treating adolescent patients with moderate-to-severe trauma pain. Patients and methods: Three hundred patients (96 in the adolescent subgroup) aged ≥12 years requiring analgesia for acute trauma pain (pain score of 4-7 on the Numerical Rating Scale) at triage were randomized 1:1 to methoxyflurane (up to 6 mL) or placebo (normal saline), both administered using a Penthrox® inhaler...
2019: Journal of Pain Research
David L Gandell, E Jay Bienen, Jennifer Gudeman
Purpose: A market research study was conducted to characterize perceptions of intramuscular (IM) and subcutaneous (SC) routes of injection, including use of autoinjectors, and how these perceptions affect adherence to injection regimens. The perspectives were from women of childbearing age (18-45 years old; consumers) and health care providers (HCPs) involved in women's health care. Methods: Two telephone surveys, one of HCPs and the other of consumers, were conducted by KRC Research (New York, NY, USA) between May and July 2017...
2019: Patient Preference and Adherence
Lars Bendtsen, Joanna Maria Zakrzewska, Jillie Abbott, Mark Braschinsky, Giulia Di Stefano, Anne Donnet, Per Kristian Eide, Paulo Roberto Lacerda Leal, Stine Maarbjerg, Arne May, Turo Nurmikko, Mark Obermann, Troels Staehlin Jensen, Giorgio Cruccu
BACKGROUND: Trigeminal neuralgia (TN) is an extremely painful condition, which can be difficult to diagnose and treat. In Europe, TN-patients are managed by many different specialities. Therefore, there is a great need for comprehensive European guidelines for management of TN. The European Academy of Neurology asked an expert panel to develop recommendations for a series of questions that are essential for daily clinical management of patients with TN. METHODS: We performed a systematic review of the literature and developed recommendations based on GRADE, where feasible, if not a good practice statement was given...
March 12, 2019: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
Muhammad Siddique Pir, Jumana Jaloudi, Mariam Mir, Najam Saqib, Douglas Klamp
Metastatic prostate cancer and multiple myeloma (MM) usually present with bone lesions, posing a diagnostic challenge in males presenting in late stages. In this case report, an 86-year-old male who had not seen a physician in over 30 years presented with complaints of hip pain and progressive difficulty in walking for three weeks. Outpatient X-ray of the right hip showed multiple lytic bone lesions, raising suspicion of MM. Other laboratory tests revealed elevated serum calcium and elevated prostate-specific antigen (PSA), supporting a diagnosis of prostate cancer...
December 27, 2018: Curēus
Anne Heaven, Lesley Brown, John Young, Elizabeth Teale, Rebecca Hawkins, Karen Spilsbury, Gail Mountain, Tracey Young, Victoria Goodwin, Barbara Hanratty, Carolyn Chew-Graham, Caroline Brundle, Farhat Mahmood, Ikhlaq Jacob, Amrit Daffu-O'Reilly, Andrew Clegg
INTRODUCTION: The Community Ageing Research 75+ Study (CARE75+) is a longitudinal cohort study collecting an extensive range of health, social and economic data, with a focus on frailty, independence and quality of life in older age. CARE75+ is the first international experimental frailty research cohort designed using Trial within Cohorts (TwiCs) methodology, to align applied epidemiological research with clinical trial evaluation of interventions to improve the health and well-being of older people living with frailty...
March 7, 2019: BMJ Open
Anais Delgove, Luke Harper, Sylvie Berciaud, Abdelfetah Lalioui, Audrey Angelliaume, Yan Lefevre
INTRODUCTION: Immediate closed reduction and cast immobilization performed under sedation in the emergency room is the mainstay management for most isolated displaced or angulated upper limb fractures in children. We aimed to determine if this approach is safe, effective and if patients, parents and staff are satisfied with this approach.Our working hypothesis was this management provides a high satisfaction rate. PATIENTS AND METHODS: Between January 2017 and October 2017 we included 118 children presenting with upper arm fractures amenable to closed reduction under our institutional analgesia protocol...
March 5, 2019: Orthopaedics & Traumatology, Surgery & Research: OTSR
Francis Fatoye, Tadesse Gebrye, Isaac Odeyemi
Low back pain (LBP) is a common health problem among adults of working age population, and its prevalence or incidence increases with increasing in age. The purpose of this review was to examine the real-world prevalence or incidence of LBP. A systematic review of the literature was conducted in accordance to the PRISMA guideline. Allied and Complementary Medicine Database, Cumulative Index of Nursing and Allied Health Literature, MEDLINE, SportDiscuss and Scopus electronic databases were searched using specifically developed search strategies to identify studies using patients' electronic medical records published in English up to February 2019...
March 8, 2019: Rheumatology International
Besey Ören, Neriman Zengin
Background: This study determined the occupational exposure and health problems experienced by nursing and midwifery students during their clinical internships. Methods: The study population consisted of 1719 nursing and midwifery students studying at the health sciences faculties of six Turkish universities in 2016. Data were collected using a questionnaire prepared by researchers, namely Occupational Exposure and Health Problems in Clinical Environment Questionnaire, and the State-Trait Anxiety Scale...
January 2019: Iranian Journal of Public Health
Jessica G Shantha, Brent R Hayek, Ian Crozier, Catherine Gargu, Robert Dolo, Jerry Brown, John Fankhauser, Steven Yeh
BACKGROUND: In the wake of the West African Ebola virus disease (EVD) outbreak of 2014-2016, thousands of EVD survivors began to manifest a constellation of systemic and ophthalmic sequelae. Besides systemic arthralgias, myalgias, and abdominal pain, patients were developing uveitis, a spectrum of inflammatory eye disease leading to eye pain, redness, and vision loss. To investigate this emerging eye disease, resources and equipment were needed to promptly evaluate this sight-threatening condition, particularly given our identification of Ebola virus in the ocular fluid of an EVD survivor during disease convalescence...
March 7, 2019: PLoS Neglected Tropical Diseases
Ahmad E Aboshaiqah
The aims of this study were to assess the palliative care knowledge among nurses in Saudi Arabia and to identify the demographic factors influencing such knowledge. A convenience sample of 365 nurses working in 2 hospitals in Saudi Arabia was surveyed using the Palliative Care Quiz for Nursing in this cross-sectional study. The mean score of the respondents in the Palliative Care Quiz for Nursing was 8.88 (SD, 1.75), which is interpreted as low knowledge. In terms of the theoretical categories of the scale, 9 of the 13 items in the category pain and symptom management were answered correctly by the majority of the respondents, whereas all the items in the psychosocial and spiritual care category were answered incorrectly by the majority of the respondents...
March 5, 2019: Journal of Hospice and Palliative Nursing: JHPN
Limin Liang, Yinghua Pan, Danchun Wu, Yongli Pang, Yuanyuan Xie, Hengying Fang
PURPOSE: To investigate the impact of transitional care by a nurse-led multidisciplinary team on clinical outcomes and quality of life of patients with ankylosing spondylitis. METHODS: A randomized control study design was used. Subjects were allocated randomly to an experimental group and a control group. The experimental group received intensive transitional care by a nurse-led multidisciplinary team, while the control group received routine nursing care. Disease activity, spinal mobility, comprehensive function, health service utilization and quality of life were assessed at baseline and at six months with the Bath Ankylosing Spondylitis Metrology Index, the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), the Bath Ankylosing Spondylitis Functional Index (BASFI), health service utilization questionaire and version 2 of the Short Form-36 health survey (SF-36v2)...
March 4, 2019: Asian Nursing Research
Jennifer K Hansen, Jordan Voss, Hammad Ganatra, Travis Langner, Prabhakar Chalise, Shaun Stokes, Dhaval Bhavsar, Anthony L Kovac
Sedation practices for pediatric burn patients during dressing changes vary between institutions and providers. To better understand current trends in pediatric sedation practice, a survey was conducted among American Burn Association (ABA) members. Questions asked about non-operating room sedation and analgesia practices for burn patients (ages 0-17) having dressing changes in the intensive care unit, inpatient unit, and outpatient clinics. ABA members providing sedation for pediatric patients undergoing burn dressing changes are diverse...
March 7, 2019: Journal of Burn Care & Research: Official Publication of the American Burn Association
Eileen Gilder, Rachael L Parke, Shay McGuinness, Andrew Jull
AIM: This study aims to assess the safety and efficacy of avoiding endotracheal suction in post-operative cardiac surgical patients mechanically ventilated for ≤12 hours. DESIGN: A prospective, single centre, single blind, non-inferiority, randomised controlled trial evaluating the safety and efficacy of avoiding suction in uncomplicated, post-operative, adult cardiac surgical patients mechanically ventilated for ≤12 hours. METHODS: Randomisation will be performed on return to intensive care (ICU) with allocation to either usual post-operative care including suction or to usual care with no suction (intervention arm)...
March 6, 2019: Journal of Advanced Nursing
Michèle-Léa Sigal, Azeddine Addala, Hervé Maillard, Maxime Chahim, Florent Sala, Sophie Blaise, Sophie Dalac, Sylvie Meaume, Serge Bohbot, Clémence Tumba, Olivier Tacca
OBJECTIVE: To assess the efficacy, safety and acceptability of a new TLC-NOSF dressing with poly-absorbent fibres in the management of exuding leg ulcers, at the different stages of healing. METHOD: This work presents the results of two prospective, multicentric clinical studies: NEREIDES and CASSIOPEE. Patients with a non-infected, moderate-to-strongly exudating leg ulcer of venous or mixed origin, were treated with the dressing and an appropriate compression system for 12 weeks...
March 3, 2019: Journal of Wound Care
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