What a PAIN! Easing the PIV Insertion Process
In the perioperative department, the pre-operative phase of care involves many tasks – one of which is to place the peripheral intravenous catheter (PIV). Research has shown that stress in the preoperative phase causes delays and a reduction in on time starts therefore negatively affecting patient outcomes and the patient experience. Practice has shown that preparing for insertion of the PIV can elicit enough stress and anxiety in the patient to cause a vasovagal reaction. How can the pre-operative nurse help the patient through what is often reported to be the most-remembered and negative experience while remaining efficient and supportive?
The American population is getting older and sicker. More Americans are facing life-threatening illness when approaching end of life. Palliative care has grown to meet the complex needs of this population. And yet, according to a 2017 article in the journal Palliative Care, many people living with a chronic life-threatening illness either do not receive any palliative care, or receive services only in the last phase of their illness. The National Consensus Project Clinical Practice Guidelines for Quality Palliative Care also addressed this issue, stating that a goal of their recently updated guidelines is “to improve...
ConclusionsA history of MST is common among older women veterans and associated with a range of medical and mental health diagnoses. These findings call attention to the need for additional research in this understudied population, and the importance of trauma-informed care approaches for women across the lifespan.
Publication date: 9 November 2019Source: New Scientist, Volume 244, Issue 3255Author(s): Helen ThomsonHypnosis is entering mainstream medicine and appears to be helping with everything from anxiety to chronic pain. Is it time to take it seriously, asks Helen Thomson
Hello: New to this forum. I am a board certified Pain Medicine MD. I have been seeing patients that are interested in stellate ganglion blocks (cervical sympathetic chain) for PTSD, depression, anxiety, etc. Most of these patients found my practice due to the specificity/complexity of this procedure. Apparently, a '60minutes' CBS piece and a Podcast has sparked interest in this procedure for the aforementioned conditions. I have done my due diligence and cannot find literature... PTSD and Stellate Ganglion Blocks
ConclusionsDill seed could be used as an effective treatment to reduce anxiety during labor. Dill seed can be effective in reducing the length of labor. Due to lack of maternal and fetal complications, the boiled dill seed could also be used to reduce cesarean section rates in women who are fearful and anxious of delivery. (RCT Code: IRCT201607177065N2)
The study will give subsidised medicinal cannabis to British patients to test its impact on seven conditions - chronic pain, MS, epilepsy, PTSD, Tourette's, anxiety and drug addiction.
The development and maintenance of pediatric chronic pain and anxiety are complex, underscoring the need to better understand the interactive forces contributing to their co-occurrence. The shared vulnerability model (SVM) was developed to explain the co-occurrence of chronic pain and posttraumatic stress disorder in adults. Although many core tenets have been well supported by pediatric research, the SVM has yet to be extended to pediatric pain populations. We propose a developmentally informed pediatric SVM for advancing our understanding of the co-occurrence of pediatric chronic pain and anxiety disorders. The proposed ...
Discussion: From the study emerged a model of onset and maintenance of acute pain in women with endometriosis. Findings have clinical implications for the medical team and psychologists.
DISCUSSION: The HiSQOL is a reliable and valid instrument to measure HS-specific HRQOL for clinical trials. PMID: 31705538 [PubMed - as supplied by publisher]
Publication date: Available online 6 November 2019Source: Diagnostic and Interventional ImagingAuthor(s): F.H. Cornelis, E. Monard, M.-A. Moulin, E. Vignaud, F. Laveissiere, M. Ben Ammar, M. Nouri-Neuville, M. Barral, B. LombartAbstractThe aims of this review were to describe the rationale and the techniques of sedation in interventional radiology, and to compile the safety and efficacy results available so far in the literature. A systematic MEDLINE/PubMed literature search was performed. Preliminary results from several studies demonstrated the feasibility, the efficacy and the safety of using sedative techniques in inte...