Analgesic Outcomes in a Danish Acute Care Hospital Following Electronic Prescribing and Analgesic Self-Administration
Despite the long-term consequences of poorly controlled postoperative pain, inadequate pain control remains a problem. (Source: Pain Management Nursing)
Source: Pain Management Nursing - February 13, 2020 Category: Nursing Authors: Mari A. Botti, Bodil Rasmussen, Damien A. Khaw, Ingrid V. Kristensen, Elsebeth B. Esmarch, Anastasia F. Hutchinson Tags: Original Article Source Type: research

The Role of Opioids in the Conundrum of Care for Persons in Pain
If we can say anything for certain about caring for persons in pain over the past decade is that it has prompted concern and confusion on how to provide the best care. Consider the following: Do we have an opioid epidemic or an opioid crisis in the United States? Does the difference in these words matter? What about the “other” less publicized public health crisis; chronic pain; where did that conversation go? Are opioid analgesics good or bad to treat people in pain? Should nurses be prepared in pain care, addiction care or both? What are the differences in state policies that govern and guide nursing practice...
Source: Pain Management Nursing - January 17, 2020 Category: Nursing Authors: Patricia Bruckenthal Tags: Editorial Source Type: research

Erratum to “Validating the Functional Pain Scale for Hospitalized Adults. Pain Management Nursing, 20/5 October 2019, Pages 418-424; https://doi.org/10.1016/j.pmn.2019.03.006” Paul Arnstein, Deborah Gentile, Marian Wilson. Massachusetts General Hospital
Table  1 in the article “Validating the Functional Pain Scale for Hospitalized Adults” (October 2019) contained an error. Here is the corrected table in its entirety. (Source: Pain Management Nursing)
Source: Pain Management Nursing - January 17, 2020 Category: Nursing Tags: Erratum Source Type: research

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Racial and Socioeconomic Factors Associated with the Use of Complementary and Alternative Modalities for Pain in Cancer Outpatients: An Integrative Review
Racial and ethnic disparities in pain management are widely documented in the United States. The 2016 Centers for Disease Control and Prevention (CDC) guidelines for opioid prescribing have generated new imperatives for using complementary and alternative medicine approaches (CAM) to manage chronic pain, including cancer pain. This review's purpose was to explore the prevalence of CAM use for cancer-related pain among racial and ethnic minorities and to organize these findings according to the CAM modalities proposed by the National Center for Complementary and Integrative Health (NCCIH). (Source: Pain Management Nursing)
Source: Pain Management Nursing - January 13, 2020 Category: Nursing Authors: Allison Ludwick, Kristin Corey, Salimah Meghani Tags: Review Article Source Type: research

Factors that Influence Coping with Chronic Noncancer Pain in European Countries: A Systematic Review of Measuring Instruments
Coping can be defined as the cognitive efforts and behavioral practices that people develop in situations which they consider to be stressful. In people with Chronic Non-Cancer Pain (CNCP), coping is influenced by the biological, psychological, and socio-cultural resources available to them. The aim of this systematic review is to evaluate the psychometric properties of European measuring instruments related to coping with CNCP in non-hospitalized adults. (Source: Pain Management Nursing)
Source: Pain Management Nursing - January 5, 2020 Category: Nursing Authors: Roc ío Cáceres-Matos, Eugenia Gil-García, Andrés Cabrera-León, Ana María Porcel-Gálvez, Sergio Barrientos-Trigo Tags: Review Source Type: research

Pain Assessment and Management in Swedish Neonatal Intensive Care Units
To investigate registered nurses' (RNs') and physicians ’ knowledge, attitudes, and experiences regarding assessing and managing pain in infants at seven level III neonatal intensive care units (NICUs) in Sweden. (Source: Pain Management Nursing)
Source: Pain Management Nursing - December 27, 2019 Category: Nursing Authors: Ylva Thernstr öm Blomqvist, Maria Gradin, Emma Olsson Tags: Original Article Source Type: research

Factors Related to the Consumption of Patient-Controlled Postoperative Analgesics in Korea: A Retrospective Study
Pain is the most common symptom among inpatients, and patient-controlled analgesia (PCA) is one of the effective pain management methods for postoperative patients. (Source: Pain Management Nursing)
Source: Pain Management Nursing - December 19, 2019 Category: Nursing Authors: Yoonyoung Lee, Kisook Kim Tags: Original Article Source Type: research

Validation of the Greek Version of Comfort-B, FLACC, and BPS Scales in Critically Ill Children and Their Association with Clinical Severity
A variety of valid pediatric pain assessment tools are used in clinical practice globally; however, none have been validated for use in the Pediatric Intensive Care Unit (PICU) in Greece. Furthermore, the association between pain behavioral responses and clinical status is unclear. (Source: Pain Management Nursing)
Source: Pain Management Nursing - December 19, 2019 Category: Nursing Authors: Eleni Tamvaki, Fragkoula Efstratiou, Charalampia Nteli, Vassiliki Matziou, Ioanna Pavlopoulou, Pavlos Myrianthefs, Elizabeth Papathanassoglou, Margarita Giannakopoulou Tags: Original Article Source Type: research

Musculoskeletal Pain Medication Use in Middle Age and Older Adults in 15 European Countries and Israel
The experience of musculoskeletal pain is widespread among adults and entails high costs to both individuals and society. Few studies look at disparities in pain management. (Source: Pain Management Nursing)
Source: Pain Management Nursing - December 16, 2019 Category: Nursing Authors: Jennifer Shuldiner, Aviad Tur-Sinai, Netta Bentur Tags: Original Article Source Type: research

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The Times They are a Changing!
As with many aspects of life today and as addressed at the recent American Society for Pain Management Nursing (ASPMN) conference in Portland, Oregon, the understanding and management of pain have dramatically evolved throughout the ages. Perhaps the most dramatic changes occurred since the founding of ASPMN thirty years ago. Improvements in recognizing, assessing and treating pain significantly increased during the last decade of the 20th century. Although some of the efforts from that time are perceived negatively, when introduced they were considered pioneering, important and very necessary. (Source: Pain Management Nursing)
Source: Pain Management Nursing - December 1, 2019 Category: Nursing Authors: Ann Quinlan-Colwell Tags: Editorial Source Type: research

The Electronic Pain Management Life History Calendar: Development and Usability
Changes over time to self-managed chronic pain treatments are not a routine part of pain management discussions and might provide insight into adjustments that improve pain outcomes. (Source: Pain Management Nursing)
Source: Pain Management Nursing - November 27, 2019 Category: Nursing Authors: Jennifer M. Hehl, Deborah Dillon McDonald Tags: Original Article Source Type: research

Procedural Pain in the Adult Neurological Intensive Care Unit: A  Retrospective Study Examining Arterial Line Insertion
This was a retrospective chart review of procedural pain assessments and interventions during arterial catheter insertion in an adult neurological intensive care unit where patients with impaired consciousness are common. Overall, pain assessment was well documented (100%) by Registered Nurses, but not specific to arterial line insertion. Nurse practitioners commonly placed arterial lines and used local analgesia in over 75% of the documented procedures. (Source: Pain Management Nursing)
Source: Pain Management Nursing - November 18, 2019 Category: Nursing Authors: Kaylee Bray, Chris Winkelman, Esther I. Bernhofer, Jane F. Marek Tags: Original Article Source Type: research

Efficacy of Precise Foot Massage Therapy on Pain and Anxiety Following Cardiac Surgery: Pilot Study
Pain is the most pervasive distressing symptom following cardiac surgery. Forty percent of postoperative cardiac patients report inadequate pain management. Undertreated acute pain results in increased anxiety, delayed wound healing, and increased chance of persistent chronic pain. Foot massage is a safe, visible complementary approach to manage acute pain following surgery. (Source: Pain Management Nursing)
Source: Pain Management Nursing - November 13, 2019 Category: Nursing Authors: Rana Alameri, Grace Dean, Jessica Castner, Ellen Volpe, Yasser Elghoneimy, Carla Jungquist Tags: Original Article Source Type: research

Predictors for Early Physical Recovery for General and Orthopedic Patients after Major Surgery: Structural Equational Model Analyses
Attention to factors that may affect patients ’ ability to experience enhanced recovery after surgery is essential in planning for postoperative care. (Source: Pain Management Nursing)
Source: Pain Management Nursing - November 8, 2019 Category: Nursing Authors: Kerstin Eriksson, Lotta Wikstr öm, Anders Broström, Amir H. Pakpour Tags: Original Article Source Type: research

Educating Perioperative Nurses About Local Anesthetic Systemic Toxicity Using High-Fidelity Simulation
The rarity of perianesthetic catastrophic events creates a challenge in training support staff in the treatment of emergencies such as local anesthetic systemic toxicity (LAST). Simulation learning offers a unique venue in which to safely encounter rare events. (Source: Pain Management Nursing)
Source: Pain Management Nursing - October 31, 2019 Category: Nursing Authors: Kristin M. Bevil, Lisa L. Klesius, Tamara Chambers, Shelly B. Borden Tags: Original Article Source Type: research

Ways of Reasoning Used by Nurses in Postoperative Pain Assessment
Postoperative pain is a major concern of patients undergoing surgery. Pain assessment for patients undergoing surgery is a common requirement for surgical nurses and is the most important nursing approach to ensuring patient comfort. (Source: Pain Management Nursing)
Source: Pain Management Nursing - October 28, 2019 Category: Nursing Authors: Jin Hee Jang, Won Hee Park, Hyo-In Kim, Sung Ok Chang Tags: Original Article Source Type: research

Patient Trade-Offs Related to Analgesic Use for Cancer Pain: A  MaxDiff Analysis Study
Many patients with cancer pain deviate from prescribed analgesic regimens. Our aim was to elicit the trade-offs patients make based on their beliefs about analgesic use and rank utilities (importance scores) using maximum difference (MaxDiff) scaling. We also investigated if there were unique clusters of patients based on their analgesic beliefs. (Source: Pain Management Nursing)
Source: Pain Management Nursing - October 21, 2019 Category: Nursing Authors: William E. Rosa, Jesse Chittams, Barbara Riegel, Connie M. Ulrich, Salimah H. Meghani Tags: Original Article Source Type: research

Managing Pain in the Setting of Opioid Use Disorder
Healthcare providers are challenged with managing pain and minimizing morbidity and mortality associated with opioid use disorder. (Source: Pain Management Nursing)
Source: Pain Management Nursing - October 21, 2019 Category: Nursing Authors: Barbara St. Marie, Kathleen Broglio Tags: Review Article Source Type: research

Three Steps Forward and Two Steps Back: Impacts of Government Action on People with Pain and Those Who Treat Them
Over the past two decades, the federal and state governments, industry, and professionals have taken significant actions to address opioid abuse, addiction, and overdose, including efforts to determine the appropriateness of prescribing opioid analgesics to patients with acute and chronic pain (Greene, et  al., 2018; Jones, et al., 2018). Without a doubt, many of these efforts have been necessary. Some measures, however, have focused sharply on reducing the supply of prescription opioids, which has contributed toward confusion and fear among prescribers and restricted access to controlled prescript ion medication...
Source: Pain Management Nursing - October 19, 2019 Category: Nursing Authors: Marsha Stanton, Daniel C. McClughen Tags: Editorial Source Type: research

The Effects of Two Methods on Venipuncture Pain in Children: Procedural Restraint and Cognitive-Behavioral Intervention Package
Invasive interventions can produce fear, anxiety, and pain in children. This may negatively affect the children's treatment and care. (Source: Pain Management Nursing)
Source: Pain Management Nursing - October 15, 2019 Category: Nursing Authors: Fatma Yilmaz Kurt, Aynur Aytekin Ozdemir, Selma Atay Tags: Original Article Source Type: research

Cancer Pain Social Processes and Pain Management in Home Hospice Care
The high incidence of pain associated with end-stage cancers indicates the need for a new approach to understanding how and why patients, caregivers, and clinicians make pain management choices. (Source: Pain Management Nursing)
Source: Pain Management Nursing - October 15, 2019 Category: Nursing Authors: Olga Ehrlich, Rachel K. Walker, Cynthia S. Jacelon Tags: Original Article Source Type: research

Pain Management in Patients with Heart Failure: A Survey of Nurses ’ Perception
Over 50% of patients with heart failure (HF) report suffering from pain and pain-related burdens; however, pain in HF patients has not been recognized or well treated. Few studies have comprehensively examined pain management in patients with HF from nurses ’ perception. (Source: Pain Management Nursing)
Source: Pain Management Nursing - October 14, 2019 Category: Nursing Authors: Jie Chen, Stephen Walsh, Colleen Delaney, Xiaomei Cong Tags: Original Article Source Type: research

Pain Assessment in the Patient Unable to Self-Report: Clinical Practice Recommendations in Support of the ASPMN 2019 Position Statement
Pain is a subjective experience, unfortunately, some patients cannot provide a self-report of pain verbally, in writing, or by other means. In patients who are unable to self-report pain, other strategies must be used to infer pain and evaluate interventions. In support of the ASPMN position statement “Pain Assessment in the Patient Unable to Self-Report”, this paper provides clinical practice recommendations for five populations in which difficulty communicating pain often exists: neonates, toddlers and young children, persons with intellectual disabilities, critically ill/unconscious patien ts, older adults w...
Source: Pain Management Nursing - October 12, 2019 Category: Nursing Authors: Keela Herr, Patrick J. Coyne, Elizabeth Ely, C éline Gélinas, Renee C.B. Manworren Tags: Original Article Source Type: research

The Science of Addiction Through the Lens of Opioid Treatment for Chronic Noncancer Pain
Addiction is a chronic, relapsing brain disease.  It is not the same as physical dependence (i.e., withdrawal) and tolerance, but is characterized by loss of control over the use of the substance, continued use despite consequences, compulsive use, and cravings. Addiction involves functional changes to brain pathways involved in reward, stress a nd learning, and these changes can last a long time after the addictive substance is no longer used. Repeated interruption of normal brain function from repetitive use of addictive substances can hijack normal reward mechanisms resulting in fundamental alterations in brai...
Source: Pain Management Nursing - October 9, 2019 Category: Nursing Authors: Wendy Umberger, Lynn Gaddis Tags: Original Article Source Type: research

Development and Testing of the Pain Assessment Tool in Cognitively Impaired Elders (PATCIE): Nonverbal Pain Behaviors in African American and Caucasian Nursing Home Residents with Dementia
People with dementia experience a decline in language skills required to self-report pain; researchers thus recommend the use of nonverbal behaviors to assess pain. Although multiple instruments exist for assessing nonverbal pain behaviors, psychometric data are lacking for African American nursing home residents with dementia. (Source: Pain Management Nursing)
Source: Pain Management Nursing - October 8, 2019 Category: Nursing Authors: Sheila A. Richey, Elizabeth Capezuti, Stanley G. Cron, David Reed, Isabel Torres-Vigil, Marcia C. de Oliveira Otto Tags: Original Article Source Type: research

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Revisiting Pain Assessments amid the Opioid Crisis
Margo McCaffery, MS, RN-BC, FAAN was a beloved nurse pioneer whose 1968 definition of pain was ground-breaking in its day: “Pain is whatever the experiencing person says it is, existing whenever he says it does” (McCaffery, 1968, p. 95). Her compassionate, sensible approach resonated with nurses who are often required to bear witness to pain. McCaffery was a tireless advocate dedicated to improving quality of life f or persons with pain and believed nurses held a critical role in successful pain management (Pirschel, 2018). (Source: Pain Management Nursing)
Source: Pain Management Nursing - October 1, 2019 Category: Nursing Authors: Marian Wilson Tags: Editorial Source Type: research

Pain Management Knowledge and Attitudes of Healthcare Professionals in Primary Medical Centers
To investigate the level of knowledge and attitudes related to pain management among nurses and physicians working in primary medical centres in Jordan. (Source: Pain Management Nursing)
Source: Pain Management Nursing - September 25, 2019 Category: Nursing Authors: Ghada S. Alkhatib, Mohammad Al Qadire, Jafar Alasad Alshraideh Tags: Original Article Source Type: research

A Retrospective Review of School Nurse Approaches to Assessing Pain
When students with intellectual disability (ID) experience pain, the pain may limit the extent to which they may engage in school activities. Although school nurses are primarily responsible for addressing students ’ pain, there are many barriers to identifying pain in students with ID. (Source: Pain Management Nursing)
Source: Pain Management Nursing - September 24, 2019 Category: Nursing Authors: Brenna L. Quinn, Seung Eun Lee, Janki Bhagat, David W. Holman, Emily A. Keeler, Micaela Rogal Tags: Original Article Source Type: research

Barriers to Cancer Pain Management Among Nurses in Kenya: A  Focused Ethnography
Up to 80% of cancer patients in Kenya suffer from untreated moderate to severe pain. (Source: Pain Management Nursing)
Source: Pain Management Nursing - September 24, 2019 Category: Nursing Authors: Lister Nyareso Onsongo Tags: Original Article Source Type: research

Do Warmed Blankets Change Pain, Agitation, Mood or Analgesic Use Among Nursing Home Residents?
Pain, agitation, and thermal discomfort are common symptoms of older adults residing in nursing homes. Nonpharmacologic interventions are recognized as a best practice strategy for people living in nursing homes because of their low adverse effect profile and increased evidence of effectiveness. Warmed blankets have not been empirically tested for use in long-term care. (Source: Pain Management Nursing)
Source: Pain Management Nursing - September 13, 2019 Category: Nursing Authors: Christine R. Kovach, Michelle Putz, Barbara Guslek, Robert McInnes Tags: Original Article Source Type: research

How Patient Education Influences Utilization of Nonpharmacological Modalities for Persistent Pain Management: An Integrative Review
Opioid analgesic misuse and abuse has given rise to an epidemic that has added to an increase in opioid-related overdoses and deaths. Adults with persistent noncancer pain (PNCP) are primarily treated with opioid analgesics. Many remain on these medications long term. Most of these patients are unaware of other effective measures for managing PNCP, such as nonpharmacologic modalities (NPMs). This lack of familiarity with NPMs presents a key contributor to the problem of NPM underuse among adult PNCP patients. (Source: Pain Management Nursing)
Source: Pain Management Nursing - September 11, 2019 Category: Nursing Authors: Iquo N. Andrews-Cooper, Sharon L. Kozachik Tags: Review Article Source Type: research

P-CPOT: An Adaptation of the Critical-Care Pain Observation Tool for Pediatric Intensive Care Unit Patients
The Pediatric Critical-Care Observation Tool (P-CPOT) is an adaption of the Critical-Care Pain Observation Tool (CPOT) originally designed to assess pain in nonverbal critically-ill adults. (Source: Pain Management Nursing)
Source: Pain Management Nursing - September 7, 2019 Category: Nursing Authors: Hong Tao, Sherise R. Galagarza Tags: Original Article Source Type: research

ASPMN 2019 Position Statement: Pain Assessment in the Patient Unable to Self-Report
Managing pain in those vulnerable populations who are unable to self-report or communicate is challenging due to difficulty recognizing pain presence and severity. As no valid and reliable objective measure of pain exists, the ASPMN supports assessment practice recommendations that gather relevant information to infer presence of pain and evaluate response to intervention. Nurses and other healthcare professionals must be advocates for those who are unable to speak for themselves regarding their pain experience. (Source: Pain Management Nursing)
Source: Pain Management Nursing - September 7, 2019 Category: Nursing Authors: Keela Herr, Patrick J. Coyne, Elizabeth Ely, C éline Gélinas, Renee C.B. Manworren Source Type: research

Heart Rate Variability Biofeedback to Treat Fibromyalgia: An Integrative Literature Review
Fibromyalgia (FM) is associated with debilitating pain and a reduced heart rate variability (HRV), reflecting decreased emotional adaptability and resistance to stress. Common pharmacological treatments are ineffective, and opioids are highly addictive and cause an estimated 15,000 overdose deaths per year. Effective recommendations include patient-centered interventions like physical activity, cognitive behavioral therapy, and biofeedback. Heart rate variability biofeedback (HRVB) may be effective in improving HRV, thus increasing stress resistance and emotional adaptability and reducing pain. (Source: Pain Management Nursing)
Source: Pain Management Nursing - September 6, 2019 Category: Nursing Authors: Marcelaine Reneau Tags: Review Article Source Type: research

Supremacy of Auditory Versus Visual Input in Somatic Empathy and Perceived Pain Level
Previous studies support the role of both auditory and visual stimuli in the evocation of empathy, but no research to date has explored the relative effectiveness of each on any type of empathy. (Source: Pain Management Nursing)
Source: Pain Management Nursing - September 6, 2019 Category: Nursing Authors: Sepideh Agahi, Rebekah Wanic Tags: Original Article Source Type: research

Reducing Pain and Fear in Children During Venipuncture: A Randomized Controlled Study
Venous blood sampling is a common procedure in the hospital setting and cause significant pain and stress for children. (Source: Pain Management Nursing)
Source: Pain Management Nursing - September 6, 2019 Category: Nursing Authors: Burcu Aykanat Girgin, İlknur Göl Tags: Original Article Source Type: research

Both Race and Insurance Type Independently Predict the Selection of Oral Opioids Prescribed to Cancer Outpatients
Previous research suggests that racial disparities in patients ’ reported analgesic adverse effects are partially mediated by the type of opioid prescribed to African Americans despite the presence of certain comorbidities, such as renal disease. (Source: Pain Management Nursing)
Source: Pain Management Nursing - September 6, 2019 Category: Nursing Authors: Salimah H. Meghani, William E. Rosa, Jesse Chittams, April Hazard Vallerand, Ting Bao, Jun J. Mao Tags: Original Article Source Type: research

Group Singing Has Multiple Benefits in the Context of Chronic Pain: An Exploratory Pilot Study
This paper reports findings of a pilot singing intervention to assist people living with chronic pain. (Source: Pain Management Nursing)
Source: Pain Management Nursing - September 5, 2019 Category: Nursing Authors: J. Yoon Irons, Pim Kuipers, Aston Wan, Donald E. Stewart Tags: Original Article Source Type: research

Barriers to Effective Pain Management in Cancer Patients From the Perspective of Patients and Family Caregivers: A Qualitative Study
Pain is one of the most common and undesired symptoms in cancer patients, affecting patients ’ physical and psychological well-being. Barriers to effective pain management in cancer patients need to be identified and addressed by clinicians. (Source: Pain Management Nursing)
Source: Pain Management Nursing - September 4, 2019 Category: Nursing Authors: Suhair Hussni Al-Ghabeesh, Ibraheem Hassan Bashayreh, Ahmad Rajeh Saifan, Ahmad Rayan, Ali Ahmad Alshraifeen Tags: Original Article Source Type: research

A Pilot Randomized Controlled Trial of Outcomes Associated with Parent-Nurse Controlled Analgesia vs. Continuous Opioid Infusion in the Neonatal Intensive Care Unit
Prospectively compare parent/nurse controlled analgesia (PNCA) to continuous opioid infusion (COI) in the post-operative neonatal intensive care unit (NICU) population. (Source: Pain Management Nursing)
Source: Pain Management Nursing - September 4, 2019 Category: Nursing Authors: Michelle L. Czarnecki, Keri Hainsworth, Pippa M. Simpson, Marjorie J. Arca, Michael R. Uhing, Liyun Zhang, Ann Grippe, Jaya Varadarajan, Lynn M. Rusy, Mary Firary, Steven J. Weisman Tags: Original Article Source Type: research

Faculty Perspectives of Teaching Pain Management to Nursing Students
Pain  management education is threaded through prelicensure nursing education. However, the perspectives of faculty teaching pain assessment and management within the context of the opioid crisis are not addressed in the literature. Pain assessment and management is a complex process requiring critical thinking and clinical reasoning. The current opioid crisis has brought new challenges to health care professionals who provide pain management, and this is a concern for nurses. (Source: Pain Management Nursing)
Source: Pain Management Nursing - September 3, 2019 Category: Nursing Authors: Eileen Campbell Tags: Original Article Source Type: research