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Pain questioner patients

James J Burston, Ana M Valdes, Stephen G Woodhams, Paul I Mapp, Joanne Stocks, David J G Watson, Peter R W Gowler, Luting Xu, Devi R Sagar, Gwen Fernandes, Nadia Frowd, Laura Marshall, Weiya Zhang, Michael Doherty, David A Walsh, Victoria Chapman
Anxiety and depression are associated with increased pain responses in chronic pain states. The extent to which anxiety drives chronic pain, or vice versa, remains an important question that has implications for analgesic treatment strategies. Here, the effect of existing anxiety on future osteoarthritis (OA) pain was investigated, and potential mechanisms were studied in an animal model. Pressure pain detection thresholds, anxiety, and depression were assessed in people with (n = 130) or without (n = 100) painful knee OA...
March 2019: Pain
Kay Lankreijer, Thomas M D'Hooghe, Silke Apers, Walter Sermeus, Sjoerd Repping, Eline Af Dancet
Several hormonal fertility medications have comparable effectiveness. A literature review was conducted into patients' assessments regarding seven medication characteristics including 'side effects' and 'ease of use'. Medline, CINAHL and PsycINFO were searched for female fertility patients' written assessments of a hormonal medication. The tools used were appraised and common (i.e. ≥10%) unpleasant consequences were distinguished from rare ones. The 35 eligible studies did not rely on valid and reliable tools and did not provide patient assessments regarding all seven medication characteristics for any of the globally used medications...
January 19, 2019: Reproductive Biomedicine Online
James Richard Alexander Smith, John Abraham Mathews, Lindsay Osborne, Zoe Bakewell, James Leigh Williams
AIMS: Despite kneeling being an important and valued function of the knee, a proportion of patients are unable to kneel following arthroplasty. We explore the reasons for this, and assess whether neuropathic pain is a contributing factor. METHODS: In this observational study, data was collected prospectively for 134 knees. At one year follow-up, patients completed a semi-structured questionnaire, the Oxford Knee Score (OKS), and the painDETECT score. Ability to kneel was assessed by question 7 of the OKS...
February 13, 2019: Knee
Suzanne M Cowperthwaite, Sharon L Kozachik
PURPOSE: To determine the effect of an evidence-based Pain Stoppers bundled intervention on pain management satisfaction scores and actual pain intensity scores of hospitalized patients with cancer, as well as nurses' knowledge and attitudes on pain. PARTICIPANTS & SETTING: Participants and nurses took part in a preintervention group (n = 173 and 11, respectively) and a postintervention group (n = 157 and 9, respectively) at a National Cancer Institute-designated comprehensive cancer center...
March 1, 2019: Oncology Nursing Forum
Anna Zychowicz, Magdalena Pisarska, Anna Łaskawska, Monika Czyż, Jan Witowski, Michał Kisielewski, Jan Kulawik, Andrzej Budzyński, Michał Pędziwiatr
Introduction: The enhanced recovery after surgery (ERAS) protocol relies on patients' compliance and their awareness of its principles. Patients' views on ERAS implementation have never been evaluated in Poland before. Aim: To analyse patients' opinions about this protocol. Material and methods: One hundred forty consecutive patients undergoing elective laparoscopic procedures in which ERAS was implemented were asked to join the study. Out of them, 120 fulfilled the trial criteria and were surveyed once before and twice after surgery...
January 2019: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
Liesbeth Vanderveken, Birgitte Schoenmakers, Jan De Lepeleire
OBJECTIVE: The goal of palliative care is to improve quality of life when recovery is no longer possible. The study's objective was to widen our vision of potential (unspoken) needs at the end of life with patients, close relatives, nurses, and general practitioners to aim at more versatile but personal care. The question asked was how important patients, close relatives, and healthcare providers considered the 11 core themes in defining a good death, as described in the 2016 article "Defining a good death" by Meier et al...
December 18, 2018: American Journal of Geriatric Psychiatry
Jacques T YaDeau, David M Dines, Spencer S Liu, Michael A Gordon, Enrique A Goytizolo, Yi Lin, Aaron A Schweitzer, Kara G Fields, Lawrence V Gulotta
BACKGROUND: The pain experience for total shoulder arthroplasty (TSA) patients in the first 2 weeks after surgery has not been well described. Many approaches to pain management have been used, with none emerging as clearly superior; it is important that any approach minimizes postoperative opioid use. QUESTIONS/PURPOSES: (1) With a long-acting nerve block and comprehensive multimodal analgesia, what are the pain levels after TSA from day of surgery until postoperative day (POD) 14? (2) How many opioids do TSA patients take from the day of surgery until POD 14? (3) What are the PainOUT responses at POD 1 and POD 14, focusing on side effects from opioids usage? METHODS: From January 27, 2017 to December 6, 2017, 154 TSA patients were identified as potentially eligible for this prospective, institutional review board-approved observational study...
March 2019: Clinical Orthopaedics and related Research
Vahid Kazemi, Marlena C Fernandez, Kenneth Zide
Varicella-zoster virus (VZV) can produce painful, cutaneous lesions in human beings. Reactivation of this neurotropic virus leads to herpes zoster or shingles: a painful, unilateral, vesicular eruption in a restricted dermatomal distribution. Rarely, reactivation of this virus can lead to cardiac complications, such as myocarditis and even conduction abnormalities. In this case report, we present a patient with a cardiac complication post VZV reactivation and address an unusual question and concern resulting from latent VZV presentation in adults...
December 3, 2018: Curēus
Kevin Madden, Maira Magno Charone, Sarah Mills, Seyedeh Dibaj, Janet L Williams, Diane Liu, Eduardo Bruera
BACKGROUND: Systematic symptom assessment is not a standard of care in children with cancer. Many well-known symptom assessment tools are lengthy or difficult to integrate into a daily pediatric palliative care practice. We created a series of brief and simple questions to be systematically given to children and their caregivers. OBJECTIVE: The primary objective was to determine the percentage of eligible children and caregivers exposed to the questions that were able to complete the assessment...
February 13, 2019: Journal of Palliative Medicine
Melanie Bienas, Irmela Gnass, Benjamin Mayer, Lukas Radbruch, Albert Lukas
BACKGROUND: People with dementia are receiving treatment in acute care hospitals at increasing rates. Most prominently, patients exhibiting behavioral and psychological symptoms of dementia (BPSD) are perceived as significant burdens for staff members. Non-detected pain is seen as one substantial reason for behavior that is seemingly unexplainable. In order to gather information about dealing with BPSD a survey was performed. The objective of this study was to enable a more cause-oriented treatment...
February 13, 2019: Der Schmerz
James D Harrison, Sanjay Reddy, Rhianon Liu, Shelley R Adler, Maria T Chao
OBJECTIVE: To explore an interprofessional group of health care providers' perspectives on the facilitators and barriers to implementation of an inpatient acupuncture service for pain and symptom management. DESIGN: Qualitative. SETTING: An urban, academic, tertiary care health system. SUBJECTS: Key interprofessional health care providers, including physicians, nurses, and administrators. Methods/interventions: We used interviews and focus group with questions guided by the Promoting Action on Research Implementation in Health Services framework to explore three domains of implementation-evidence, context, and facilitation...
February 13, 2019: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
Joyce Pijpers, Margriet L den Boer, Dirk R Essink, Koert Ritmeijer
BACKGROUND: Miltefosine (MF) is the only oral drug available for treatment of visceral leishmaniasis (VL) and post-kala-azar dermal leishmaniasis (PKDL). Although the drug is effective and well tolerated in treatment of VL, the efficacy and safety of MF for longer treatment durations (>28 days) in PKDL remains unclear. This study provides an overview of the current knowledge about safety and efficacy of long treatment courses with MF in PKDL, as a strategy in the VL elimination in South Asia...
February 11, 2019: PLoS Neglected Tropical Diseases
Mark J W van der Oest, Jarry T Porsius, Joy C MacDermid, Harm P Slijper, Ruud W Selles
BACKGROUND: The aim of this study is to assess the viability of a decision tree version of an often used questionnaire to measure wrist pain and disability, the Patient Rated Wrist Evaluation. METHODS: Patient Rated Wrist Evaluation scores were collected from a cohort of 10394 patients who are part of a routine outcome measurement system. A decision tree version of the Patient Rated Wrist Evaluation (PRWE) was created. The intraclass correlation was used to evaluate the inter-version reliability between the original PRWE and the decision tree version...
February 10, 2019: Disability and Rehabilitation
Yan-Jie Xu, Wen Xu, Jing Chen, Chen Tian, Hong-Liang Yang, Hai-Feng Zhao, Xiao-Fang Wang, Ya-Fei Wang, Yong Yu, Yi-Zhuo Zhang
OBJECTIVE: To evaluate the quality of life (QOL) on patients with multiple myeloma(MM) during maintenance therapy and to explore the related factors important for QOL. METHODS: The demography, clinical and laboratorial data of 66 MM patients during maintenance therapy were collected and explored by using a cross-sectional question naire(EORTC QLQ C30 V 3.0). The statistical analysis was performed using Nowegram normal mode(NM) and reference values(RV) of MM patients which were used as control...
February 2019: Zhongguo Shi Yan Xue Ye Xue za Zhi
George Neelankavil Davis, Maithreyi Swaminathan
OBJECTIVE: To compare the accuracy of Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA) and modified Alvarado scores with that of non-contrast computed tomography scan and ultrasound of abdomen and pelvis. Methods: The observational correlational study was conducted at Manipal Hospital, Bengaluru, India, from April 1, 2014, to April 30, 2016, and comprised patients aged 18-60 years presenting with right lower quadrant pain to the emergency department. Modified Alvarado, RIPASA scores and ultrasound of abdomen and pelvis with optional non-contrast computed tomography scan reports were collected...
February 2019: JPMA. the Journal of the Pakistan Medical Association
Sakine Güzel Esen, Berkan Armagan, Nuh Atas, Murat Ucar, Özkan Varan, Abdulsamet Erden, Hakan Babaoglu, Alper Sarı, Omer Karadag, Haznedaoglu S, M A Öztürk, Ali Akdoğan, A Tufan
OBJECTIVES: Takayasu arteritis and Spondyloarthritis are two distinct inflammatory diseases that affect the same age periods. Increasing number of reports on co-incident Takayasu arteritis-Spondyloarthritis cases in literature raised the hypotheses about their association. The purpose of this study is to evaluate the incidence of Spondyloarthropathy spectrum diseases in Takayasu arteritis patients. METHODS: Detailed clinical and demographic features of Takayasu arteritis patients were recorded and all were screened meticulously for the presence of spondyloarthropathy features following recommendations of Assessment of SpondyloArthritis international Society...
February 5, 2019: Joint, Bone, Spine: Revue du Rhumatisme
Nina Galipeau, Brittany Klooster, Meaghan Krohe, Derek H Tang, Dennis A Revicki, David Cella
BACKGROUND: Patients with breast cancer experience a variety of disease symptoms and treatment-related side effects that can adversely affect functioning. The breast cancer experience may differ across disease stages and biomarker subtypes. This study identified relevant disease symptoms, treatment-related side effects, and physical functioning impacts in women with hormone receptor-positive (HR+)/human epidermal growth factor receptor 2-negative (HER2-) advanced breast cancer. METHODS: One-on-one concept elicitation interviews were conducted with 15 patients with HR+/HER2- advanced breast cancer...
February 7, 2019: Journal of patient-reported outcomes
Vincent A Lizzio, Jacob Blanchett, Peter Borowsky, Jason E Meldau, Nikhil N Verma, Stephanie Muh, Vasilios Moutzouros, Eric C Makhni
Background: Pay-for-performance reimbursement models are becoming increasingly popular, but the implementation of a routine patient-reported outcome (PRO) collection system places additional burden on both the patient and the provider. The Patient-Reported Outcomes Measurement Information System (PROMIS) was developed in an effort to make PRO collection more practical and efficient, but providers may be reluctant to embrace a transition to a PROMIS-based clinical outcome registry. Hypothesis: PROMIS can be successfully incorporated into daily clinical practice, with an overall patient compliance rate of 80%...
January 2019: Orthopaedic Journal of Sports Medicine
Jeremy Goverman, Waverley He, Geoffrey Martello, Ann Whalen, Edward Bittner, John Schulz, Nicole Gibran, David Herndon, Oscar Suman, Karen Kowalske, Walter J Meyer, Colleen Ryan, Jeffrey Schneider
INTRODUCTION: Postburn scarring is common, but the risk factors, natural history, and consequences of such scars are still poorly understood. This study aims to describe the frequency of scar-related morbidity for up to 2 years after injury and to analyze the impact of burn scars on long-term functional, psychosocial, and reintegration outcomes. METHODS: Analysis was conducted on data collected between January 2006 and May 2014 from 960 patients (2440 anatomic burn sites) using the Burn Model System (BMS) database...
March 2019: Annals of Plastic Surgery
Frederick Wolfe, Juan Schmukler, Shakeel Jamal, Isabel Castrejon, Kathryn A Gibson, Sachin Srinivasan, Winfried Häuser, Theodore Pincus
OBJECTIVE: Recent studies have suggested that fibromyalgia is inaccurately diagnosed in the community, and that ~75% of persons reporting a physician diagnosis of fibromyalgia would not satisfy published criteria. To investigate possible diagnostic misclassification, we compared expert physician diagnosis with published criteria. METHODS: In a university rheumatology clinic, 497 patients completed the Multidimensional Health Assessment Questionnaire (MD-HAQ) and the 2010 American College of Rheumatology preliminary diagnostic criteria modified for self-administration during their ordinary medical visits...
February 6, 2019: Arthritis Care & Research
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