A Randomized, Single-Blind Study Evaluating the Effect of a Bone Pain Education Video on Reported Bone Pain in Patients with Breast Cancer Receiving Chemotherapy and Pegfilgrastim
Background: Mild-to-moderate bone pain is the most commonly reported adverse event associated with pegfilgrastim. Aims: To investigate the effect of bone pain education on pegfilgrastim-related bone pain in patients with breast cancer receiving chemotherapy and pegfilgrastim. Design: Randomized, single-blind study. Settings: Forty-eight community oncology clinics throughout the United States. Participants: Three hundred women ≥18 years of age with newly diagnosed stage I -III breast cancer, who were planning ≥4 cycles of neoadjuvant or adjuvant chemotherapy with pegfilgrastim support starting in cycle 1. (Source: Pai...
Source: Pain Management Nursing - June 20, 2018 Category: Nursing Authors: Andrew S. Guinigundo, Cathy L. Maxwell, Linda Vanni, Phuong Khanh Morrow, Maureen Reiner, Alex Shih, Zandra Klippel, Elizabeth Blanchard Tags: Original Article Source Type: research

The Effect of Exaggerated Lithotomy Position on Shoulder Pain After Laparoscopic Cholecystectomy
This study aimed to determine the effect of applying an exaggerated lithotomy positions to patients who had laparoscopic cholecystectomy to relieve shoulder pain. The study was conducted on nonrandomized groups and made as a semiexperimental study with a pretest/post-test control group design. Design, Settings, and Subjects/Participants: The study was conducted on 102 patients who had elective laparoscopic cholecystectomy and agreed to participate in this study after they met the inclusion-exclusion criteria in the general surgery clinic of a training and research hospital in Istanbul between December 12, 2012, and June 30...
Source: Pain Management Nursing - June 19, 2018 Category: Nursing Authors: Özgül Aydemir, Fatma Eti Aslan, Ükke Karabacak, Özlem Akdaş Tags: Original Article Source Type: research

Exploring the Role of Cortical Reorganization in Postamputation Phantom Phenomena, Including Phantom Limb Pain in Lower Limb Amputees: A Cross-Sectional Study of the Patterns of Referral of Sensations into the Phantom
This study was undertaken to identify evidence of cortical reorganization in lower limb amputees and to find evidence for the pain memory theory. This was a qualitative interview study using structured questionnaires with lower limb amputees. Participants were asked to identify body areas and activities that stimulate postamputation phantom phenomena to confirm the cortical reorganization theory. (Source: Pain Management Nursing)
Source: Pain Management Nursing - June 18, 2018 Category: Nursing Authors: Cliff Richardson, Nicola Olleveant, Kath Crawford, Jai Kulkarni Tags: Original Article Source Type: research

Editorial board
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Source: Pain Management Nursing - June 1, 2018 Category: Nursing Source Type: research

Table of contents
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Source: Pain Management Nursing - June 1, 2018 Category: Nursing Source Type: research

Information for Readers
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Source: Pain Management Nursing - June 1, 2018 Category: Nursing Source Type: research

‘‘As-Needed’’ Range Orders for Opioid Analgesics in the Management of Pain: A Consensus Statement of the American Society for Pain Management Nursing and the American Pain Society
Effective pain management requires careful titration of analgesics and evaluation of individual patient's responses to treatment using valid and reliable pain and pain relief assessment tools, and evidence-based patient monitoring for adverse treatment effects. A registered nurse, competent in pain assessment and analgesic administration, can safely interpret and implement properly written ‘‘as-needed’’ or ‘‘PRN’’ range orders for analgesic medications. The American Society for Pain Management Nursing (ASPMN) and the American Pain Society (APS) support safe medication practic...
Source: Pain Management Nursing - May 23, 2018 Category: Nursing Authors: Debra J. Drew, Debra B. Gordon, Bonnie Morgan, Renee C.B. Manworren Tags: Position Statement Source Type: research

A Tragic Swing of the Pendulum in the Opioid Crisis
This month I am transitioning from being an associate editor to an editorial board member. As I write this, I reflect on the many motivations for being a pain management nurse and advocating for pain patients. Pain assessment needs to be more than a check off on an electronic medical record. We must never let a routine assessment of pain let us become complacent or astute to individualized assessment of pain. (Source: Pain Management Nursing)
Source: Pain Management Nursing - May 23, 2018 Category: Nursing Authors: Cecile B. Evans Tags: Editorial Source Type: research

2018 Award Nomination Deadline: June 30, 2018
The ASPMN ® Chapter Award, established in 2000 by the American Society for Pain Management Nursing®, is presented to an ASPMN® chapter in recognition of development and activity for support of pain management nursing. The chapter award is now linked with the submission of the chapter annual reports and wil l be considered only if this report is active on file. (Source: Pain Management Nursing)
Source: Pain Management Nursing - May 23, 2018 Category: Nursing Source Type: research

Editorial board,; PMS 315 (bleeds)
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Source: Pain Management Nursing - May 23, 2018 Category: Nursing Source Type: research

Table of contents; PMS 315 (bleeds)
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Source: Pain Management Nursing - May 23, 2018 Category: Nursing Source Type: research

Information for Readers, PMS 315 (bleed)
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Source: Pain Management Nursing - May 23, 2018 Category: Nursing Source Type: research

The Effect of Classical Turkish Music on Pain Severity and Anxiety Levels in Patients Undergoing Bone Marrow Aspiration and Biopsy
This study was conducted as a randomized controlled study to determine the effect of classical Turkish music on pain severity and anxiety levels in patients undergoing bone marrow aspiration and biopsy. The study was performed in an oncology hospital with a total of 30 patients, of whom 14 were in the intervention group and 16 were in the control group. (Source: Pain Management Nursing)
Source: Pain Management Nursing - May 18, 2018 Category: Nursing Authors: Ülkü Özdemir, Sultan Taşcı, Esra Yıldızhan, Süheyla Aslan, Bülent Eser Tags: Original Article Source Type: research

Using Yoga Nidra Recordings for Pain  Management in Patients Undergoing Colonoscopy
The objective of this study was to compare the effects produced by yoga nidra and relaxation music for pain management in patients undergoing colonoscopy. A quasiexperimental design was used. In total, 144 patients who were scheduled to undergo colonoscopy were assigned to three different treatment groups. Group 1 was a no treatment control group, group 2 was delivered relaxing music, and group 3 was delivered a yoga nidra recording. The primary outcome was pain score. Secondary treatment efficacy measures were an overall patient satisfaction score, a willingness to repeat the procedure score, and a perceived colonoscope i...
Source: Pain Management Nursing - May 17, 2018 Category: Nursing Authors: Lijun Li, Wen Shu, Zhen Li, Quanyan Liu, Haitao Wang, Bilong Feng, Yan-Qiong Ouyang Tags: Original Article Source Type: research

Older Adults' Response to Analgesic Adverse Drug Reactions: A Pilot Study
Older adults who take analgesics for chronic pain are at increased risk for adverse drug events (ADEs). The purpose of this descriptive pilot survey was to examine how older adults self-identify analgesic ADEs, and actions they take in response to analgesic ADEs. Twenty-two community dwelling older adults with chronic pain who reported an analgesic ADE associated with their chronic pain management were interviewed and asked to describe their analgesic related ADE. Written responses were content analyzed. (Source: Pain Management Nursing)
Source: Pain Management Nursing - May 17, 2018 Category: Nursing Authors: Deborah Dillon McDonald, Sarah Coughlin, Candy Jin Tags: Original Article Source Type: research

Understanding Pain and Pain Management in Elderly Nursing Home Patients Applying an Interprofessional Learning Activity in Health Care Students: A Norwegian Pilot Study
Pain is common among elderly patients in nursing homes. However, pain assessment and treatment are inadequate. Interprofessional treatment is recommended, and consequently interprofessional education in pain management is necessary. This pilot project aimed to describe how two interprofessional groups of students approached pain management in two nursing home patients. We formed two teams comprising one student from the nursing, physical therapy, pharmacy, and medical educations. Each team spent one day examining a patient with chronic pain at a nursing home and they developed pain management plans. (Source: Pain Management Nursing)
Source: Pain Management Nursing - May 17, 2018 Category: Nursing Authors: Elin Damsg ård, Hege Solgård, Karin Johannessen, Katrine Wennevold, Gunnvald Kvarstein, Gunn Pettersen, Beate Garcia Tags: Research Article Source Type: research

Effectiveness of a Mindfulness-Based Intervention in the Management of Musculoskeletal Pain in Nursing Workers
This study was a clinical, prospective, open, repeated measures trial, with data collection between January and July 2015. (Source: Pain Management Nursing)
Source: Pain Management Nursing - May 17, 2018 Category: Nursing Authors: Shirlene Aparecida Lopes, Bruna Pesce Vannucchi, Marcelo Demarzo, Ângelo Geraldo José Cunha, Maria do Patrocínio Tenório Nunes Source Type: research

Nurses ’ Knowledge, Attitudes and Clinical Practice in Pediatric Postoperative Pain Management
Despite readily available evidence to guide practice, children continue to experience moderate to severe pain in hospital postoperatively. Reasons for this may include attitudes of nurses toward pain management and their lack of knowledge in key areas. To identify nurses' knowledge and clinical practice of pediatric postoperative pain management and whether there is a link between knowledge and practice. A descriptive cross-sectional study including a questionnaire and observations was conducted in postanesthesia care (recovery) units in six university hospitals in Norway. (Source: Pain Management Nursing)
Source: Pain Management Nursing - May 17, 2018 Category: Nursing Authors: Anja Hetland Smeland, Alison Twycross, Stefan Lundeberg, Tone Rust øen Tags: Original Article Source Type: research

Development and Acceptability Assessment of a Self-Management Intervention to Prevent Acute to Chronic Pain Transition after Major Lower Extremity Trauma
Transition from acute to chronic pain often occurs after major lower extremity trauma. Chronic pain has been found to negatively affect daily functioning, including the capacity to work and quality of life. Empirical data and an acceptability assessment were used to develop a self-management intervention aimed at preventing acute to chronic pain transition after major lower extremity trauma (i.e., iPACT-E-Trauma). Evidence from previous studies on preventive self-management interventions, combined with a biopsychosocial conceptual framework and clinical knowledge, helped define the key features of the preliminary version. ...
Source: Pain Management Nursing - May 17, 2018 Category: Nursing Authors: M élanie Bérubé, Céline Gélinas, Géraldine Martorella, Nancy Feeley, José Côté, George-Yves Laflamme, Dominique M. Rouleau, Manon Choinière Tags: Original Article Source Type: research

Predictors of Weeks to  Opioid Cessation after Lumbar Fusion: A Prospective Cohort Study
Although the use of prescription opioid analgesics to treat acute, postoperative pain is a well-established practice, the role of opioids in the management of persistent, postoperative pain remains ill-defined. Nevertheless, high rates of long-term opioid use following lumbar fusion have been reported. The goal of this prospective, longitudinal study was to identify predictors of weeks to opioid cessation in a cohort of patients undergoing elective lumbar fusion. Prior to surgery, participants self-reported demographic and clinical data and completed a validated measure of pain catastrophizing. (Source: Pain Management Nursing)
Source: Pain Management Nursing - May 17, 2018 Category: Nursing Authors: Maureen P. Lall, Elizabeth Restrepo Tags: Original Article Source Type: research

Oral Glucose and Listening to Lullaby to  Decrease Pain in Preterm Infants Supported with NCPAP: A Randomized Controlled Trial
This study aimed to investigate whether oral glucose and listening to lullabies could bring pain relief during the removal and reinsertion of the tracheal tube and also oronasopharyngeal suctioning in premature infants to whom nasal continuous positive airway pressure was applied. (Source: Pain Management Nursing)
Source: Pain Management Nursing - May 15, 2018 Category: Nursing Authors: Kadir Şerafettin Tekgündüz, Sevinç Polat, Ayşe Gürol, Serap Ejder Apay Tags: Original Article Source Type: research

Patients' Experiences of Pain Have an Impact on Their Pain Management Attitudes and Strategies
This study consisted of two focus group in terviews with patients (n = 6/group, a total of 12 patients) who had undergone lumbar spine surgery 4 days to 5 weeks prior to the focus group interviews. (Source: Pain Management Nursing)
Source: Pain Management Nursing - May 15, 2018 Category: Nursing Authors: Eva Angelini, Helle Wijk, Helena Brisby, Adad Baranto Tags: Original Article Source Type: research

Examining Risk for Persistent Pain among Adults with Overweight Status
Obesity and persistent pain are public health concerns with associated high costs. Evidence supports an increased risk for reports of persistent pain among adults who are above the recommended body mass index level. However, data have not been clearly synthesized to report the risk for the two co-occurring conditions. Even less is known about how overweight status that does not reach the level of obesity is related to pain. Thus, the aim driving this review was to calculate the risk and odds ratios of chronic pain among adults with an overweight body mass index. (Source: Pain Management Nursing)
Source: Pain Management Nursing - May 15, 2018 Category: Nursing Authors: Teresa Bigand, Marian Wilson, Ruth Bindler, Kenn Daratha Tags: Review Article Source Type: research

Effects of Reflexology and Progressive Muscle Relaxation on Pain, Fatigue, and Quality of Life during Chemotherapy in Gynecologic Cancer Patients
Our aim was to investigate the effect of reflexology and progressive muscle relaxation (PMR) exercises on pain, fatigue, and quality of life (QoL) of gynecologic cancer patients during chemotherapy. Eighty participants were randomly assigned to one of four groups: reflexology, progressive muscle relaxation (PMR) exercises, both (reflexology  + PMR), or a control group. Data were collected with a general data collection form, Brief Pain and Fatigue inventories, and Multidimensional Quality-of-Life Scale—Cancer. (Source: Pain Management Nursing)
Source: Pain Management Nursing - May 15, 2018 Category: Nursing Authors: Hacer Alan Dikmen, Fusun Terzioglu Tags: Original Article Source Type: research

Nurses ’ Knowledge and Attitudes Regarding Pediatric Pain Management in Western Australia
Despite clinical guidelines, suboptimal pediatric pain management persists. A local audit found poor guideline compliance. Inadequate knowledge is a recognized barrier to the delivery of evidence-based care. The aim of the study was to investigate nurses' knowledge and attitudes regarding pain management at an Australian tertiary pediatric hospital. A cross-sectional, descriptive study using the Pediatric Pain Knowledge and Attitudes Questionnaire (Revised) was distributed to 590 nurses in an Australian pediatric hospital. (Source: Pain Management Nursing)
Source: Pain Management Nursing - May 14, 2018 Category: Nursing Authors: Deborah Peirce, Victoria Corkish, Margie Lane, Sally Wilson Tags: Original Article Source Type: research

Pain Assessment and Management by Nurses in a Geriatric Setting: Discrepancies between Guidelines and Documented Practice
Pain is a common subjective symptom among older adults in general and among older adult residents in long-term geriatric facilities in particular. Pain diminishes older adults ’ quality of life and may impair their ability to recover from various illnesses. Therefore, the Israeli Ministry of Health has issued guidelines on effectively assessing and treating pain in this population. To examine discrepancies between the Ministry of Health's pain assessment guidelines and documented practice by nursing staff at a long-term geriatric care facility and whether these discrepancies correlate to characteristics of the nurses...
Source: Pain Management Nursing - May 14, 2018 Category: Nursing Authors: Irit Shahar, Gad Mendelson, Shlomit Gerbi, Merav Ben Natan Tags: Original Article Source Type: research

The Relaxation Response Resiliency Program (3RP) in Patients with Headache and Musculoskeletal Pain: A Retrospective Analysis of Clinical Data
Headache and musculoskeletal pain are associated with both physical and mental health symptoms, which together are mutually reinforcing. Addressing mental and physical health symptoms (including pain) concomitantly may provide an effective and efficient way to improve outcomes in this population. We tested an evidence-based, eight-session multimodal group program, the Relaxation Response Resiliency Program (3RP), in patients with headache and musculoskeletal pain. A total of 109 adults (30 with headaches, 79 with musculoskeletal pain). (Source: Pain Management Nursing)
Source: Pain Management Nursing - May 14, 2018 Category: Nursing Authors: Adam Gonzalez, Minjung Shim, Brittain Mahaffey, Ana-Maria Vranceanu, Anthony Reffi, Elyse R. Park Tags: Original Article Source Type: research

Current Ketamine Practice: Results of the 2016 American Society of Pain Management Nursing Survey on Ketamine
Ketamine is increasingly utilized for a variety of pain management challenges. Audience comments from a ketamine presentation at the 2015 American Society of Pain Management Nursing (ASPMN) Conference reflected wide variation in ketamine practices as well as barriers to use. (Source: Pain Management Nursing)
Source: Pain Management Nursing - April 20, 2018 Category: Nursing Authors: Cynthia C. Klaess, Carla R. Jungquist Tags: Original Article Source Type: research

Impact of a Clinical Therapeutic Intervention on Pain Assessment, Management, and Nursing Practices in an Intensive Care Unit: A before-and-after Study
Accurate pain assessment and management constitute a major challenge for medical and nursing staff in intensive care units (ICUs). A distinct recollection of pain is reported by high proportions of ICU patients. A clinical therapeutic intervention directed at improving pain assessment and management in critically ill patients who are unable to communicate was implemented at an Italian ICU. In this before-and-after study, data were collected before (T0) and after (T1) the adoption of a protocol involving pain assessment with an ad hoc behavioral pain scale and the administration of analgesics, rather than sedatives, to pati...
Source: Pain Management Nursing - April 18, 2018 Category: Nursing Authors: Vincenzo Damico, Flavio Cazzaniga, Liana Murano, Rita Ciceri, Giuseppe Nattino, Alberto Dal Molin Tags: Original Article Source Type: research

Effect of Change in Position and Back Massage on Pain Perception during First Stage of Labor
Labor is one of the most painful events in a women's life. Frequent change in positions and back massage may be effective in reducing pain during the first stage of labor. The focus of this study was to identify the impact of either change in position or back massage on pain perception during first stage of labor. A quasi-experimental study. Teaching hospital, Kurdistan Region, Iraq, November 2014 to October 2015. Eighty women were interviewed as a study sample when admitted to the labor and delivery area and divided into three groups: 20 women received frequent changes in position (group A), 20 women received back massage...
Source: Pain Management Nursing - April 18, 2018 Category: Nursing Authors: Suad Abdul-Sattar Khudhur Ali, Hamdia Mirkhan Ahmed Tags: Original Article Source Type: research

Impact of a Clinical Therapeutic Intervention on Pain Assessment, Management, and Nursing Practices in an Intensive Care Unit: A before-and-after Study
Accurate pain assessment and management constitute a major challenge for medical and nursing staff in intensive care units (ICUs). A distinct recollection of pain is reported by high proportions of ICU patients. A clinical therapeutic intervention directed at improving pain assessment and management in critically ill patients who are unable to communicate was implemented at an Italian ICU. In this before-and-after study, data were collected before (T0) and after (T1) the adoption of a protocol involving pain assessment with an ad hoc behavioral pain scale and the administration of analgesics, rather than sedatives, to pati...
Source: Pain Management Nursing - April 18, 2018 Category: Nursing Authors: Vincenzo Damico, Flavio Cazzaniga, Liana Murano, Rita Ciceri, Giuseppe Nattino, Alberto Dal Molin Tags: Original Article Source Type: research

Effect of Change in Position and Back Massage on Pain Perception during First Stage of Labor
Labor is one of the most painful events in a women's life. Frequent change in positions and back massage may be effective in reducing pain during the first stage of labor. The focus of this study was to identify the impact of either change in position or back massage on pain perception during first stage of labor. A quasi-experimental study. Teaching hospital, Kurdistan Region, Iraq, November 2014 to October 2015. Eighty women were interviewed as a study sample when admitted to the labor and delivery area and divided into three groups: 20 women received frequent changes in position (group A), 20 women received back massage...
Source: Pain Management Nursing - April 18, 2018 Category: Nursing Authors: Suad Abdul-Sattar Khudhur Ali, Hamdia Mirkhan Ahmed Tags: Original Article Source Type: research

Margo McCaffery: Resolute and Visionary
Mary Margo McCaffery, a pioneer in the care of people with pain, died of pneumonia and myocardial infarction on January 8, 2018, at the age of 79 in Marina Del Rey, California. Margo (her preferred name) was born and raised in Corsicana, Texas. She received a bachelor of science degree in nursing from Baylor University and a master of science degree in nursing from Vanderbilt University and spent the first part of her nursing career as a professor in nursing at the University of California at Los Angeles (UCLA). (Source: Pain Management Nursing)
Source: Pain Management Nursing - April 1, 2018 Category: Nursing Authors: Chris Pasero Tags: Editorial Source Type: research

Have the Political Changes of 2017 Benefited People with Pain? Regardless, We Can
With the White House calling for public and private sector efforts to address prescription drug abuse and heroin use and the Centers for Disease Control and Prevention (CDC) issuing controversial guidelines on prescribing opioids for chronic pain, it is important now more than ever that policies addressing the prescription drug abuse epidemic account for suffering on both sides: people with substance use disorders and those with a legitimate need for controlled substances. Currently, extensive legislative, regulatory, law enforcement, and industry efforts are well underway to address abuse. (Source: Pain Management Nursing)
Source: Pain Management Nursing - April 1, 2018 Category: Nursing Authors: Michael Barnes, Wade Delk Source Type: research

Opioid-Sparing Modalities for Nursing: Update on ASPMN Task Force
The National Pain Strategy states, “Every effort should be made to prevent illnesses and injuries that lead to pain, the progression of acute pain to a chronic condition, and the development of high-impact chronic pain.” Studies have indicated ketamine, lidocaine infusions, epidurals and peripheral nerve blocks improve pain manag ement and potentially decrease the transition to chronic pain. As an organization devoted to art and science of pain management, there are substantial ethical implications to reviewing these modalities further. (Source: Pain Management Nursing)
Source: Pain Management Nursing - April 1, 2018 Category: Nursing Authors: Cynthia C. Klaess, Jason Sawyer Source Type: research

Developing Interventions to Improve Function in African Americans with Pain
This presentation describes a program of research focused on maintaining and improving functional status in patients with chronic pain and reducing pain-related disparities. From the identification that African Americans have been found to have higher levels of pain, more pain-related distress, and lower functional status than White, non-ethnic cohorts, and culminating in a longitudinal randomized control trial testing the Power Over Pain- Coaching (POP-C) intervention, several studies are presented. (Source: Pain Management Nursing)
Source: Pain Management Nursing - April 1, 2018 Category: Nursing Authors: April Hazard Vallerand Source Type: research

1A Multi-hospital Implementation of Pasero Opioid Sedation Scale Assessment Meets CMS Requirements for Safe Opioid Administration
In order to meet the 2014 CMS clinical standards for post-op care of patients receiving IV opioids, advanced practice nurses from 2 community hospitals united to develop a gap analysis to determine level of compliance to the newly proposed standards. The analysis revealed multiple gaps within the hospitals, spanning all disciplines, putting the hospitals and patients at risk for unsafe opioid administration practice. This presentation will highlight our multi-hospital journey toward CMS compliance, safe opioid practice and overall contribution to our culture of safety. (Source: Pain Management Nursing)
Source: Pain Management Nursing - April 1, 2018 Category: Nursing Authors: Mary Lyons, Pamela Bolyanatz Tags: Concurrent Sessions Source Type: research

1B Opioids in the Aging Population: How Do We Improve Quality Prescribing to Reduce Harm?
Review opioid use in a geriatric population; identify safer utilization opportunities in our hospital. (Source: Pain Management Nursing)
Source: Pain Management Nursing - April 1, 2018 Category: Nursing Authors: Nicole Murdock, Thomas Snyder, Joanne Ceimo Source Type: research

1C When Childhood Hurts: Epidermolysis Bullosa
Epidermolysis bullosa (EB), a painful genetic condition characterized by fragile tissues that easily blister and scar, is seen in approximately one to two out of every 100,000 live births in the United States. The blisters from EB are due to a separation of the skin from the mucosa and occur with minimal friction or trauma. Regardless of severity, there are many long-term consequences of this disease. These consequences include significant scarring, skin cancer, chronic pain, psychological issues, and a significant financial burden. (Source: Pain Management Nursing)
Source: Pain Management Nursing - April 1, 2018 Category: Nursing Authors: Jennifer Styers, Lynn Clark Source Type: research

1D Chronic Pain in Pregnant Women: Are They Under Treated?
Every patient has a right to be treated with dignity, respect and high quality pain management. Pain continues to be inadequately treated, and pregnancy complicates treatment. The purpose of this study was to determine if perinatal nurses' intent to medicate pregnant women with chronic pain was affected by knowledge of pain, attitude, or demographics. This quantitative, cross-sectional correlation study used a survey to measure knowledge about pain, attitudes, and intent to medicate pregnant women with chronic pain. (Source: Pain Management Nursing)
Source: Pain Management Nursing - April 1, 2018 Category: Nursing Authors: Pamela S. Mellin Source Type: research

1E Pain Management Nursing Journal: New Areas of Emphasis
The purpose of this presentation is to describe two recently introduced manuscript formats within the Pain Management Nursing Journal. In addition to the pre-existing publishing opportunities, the journal has now added the Clinical Consultation and Quality Improvement article submission formats. These two new manuscript formats provide greater opportunities to share nursing best practices and systems changes to improve pain care. During this presentation, a basic overview of each will be provide along with essential elements that need to be included to facilitate development of a publishable manuscript. (Source: Pain Management Nursing)
Source: Pain Management Nursing - April 1, 2018 Category: Nursing Authors: Elaine T. Miller Source Type: research

2A Implementation of a Primary Care-Based, Interdisciplinary Approach: Insights from the Interdisciplinary Team
Evidence demonstrates that optimal management of complex, chronic pain must be patient-centered, interdisciplinary, evidence-based, foster skill development that enhances confidence in core self-management skills, and embedded within primary care. The Pain Program for Active Coping and Training (PPACT), a multi-site pragmatic clinical trial, exemplifies this approach by placing nurses and behavioral health specialists at the center of an interdisciplinary team, who utilized the aforementioned approaches in collaboration with primary care providers. (Source: Pain Management Nursing)
Source: Pain Management Nursing - April 1, 2018 Category: Nursing Authors: Lindsay Lancaster Benes Source Type: research

2B Beyond the Opioids: What Matters Most to People Frequenting Emergency Departments for Pain-related Complaints
Current recommendations are that emergency department licensed practitioners not prescribe opioids to treat long-term painful conditions. Individuals seeking pain relief from emergency departments pose challenges to providers who feel pressured to meet patient satisfaction benchmarks while following opioid prescribing guidelines. An IRB-approved quantitative study was conducted to understand more about how patients with high utilization of the emergency department for pain relief rate their hospital experience. (Source: Pain Management Nursing)
Source: Pain Management Nursing - April 1, 2018 Category: Nursing Authors: Marian Wilson Source Type: research

2C Intranasal Anxiolytic and Pain Medication Use in a Pediatric Burn Unit
In response to improving pain and anxiety management in our pediatric patients, the multidisciplinary team (physician, nurse and pharmacist) reviewed options for administering these medications in patients that currently did not have IV access but yet still required medications with a quick onset of action. Intranasal (IN) administration offers the advantages of similar onset and duration of action and efficacy of an IV medication, but is less invasive. A protocol was developed by the multidisciplinary team to provide guidelines and instructions for use of IN administration in pediatric burn patients using the atomized del...
Source: Pain Management Nursing - April 1, 2018 Category: Nursing Authors: Paul D. Plowman, Kristin Pothier Source Type: research

2D Follow The Yellow Brick Road: Nitrous Oxide Use for Laboring Women
The goal of this process was to bridge the gap between all natural pain management and IV opioid or epidural anesthesia during labor. Inhaled nitrous oxide (N2O) is a popular method of pain management for labor in the United Kingdom, but has not been widely available in the United States for many years. Following a webinar offered by a professional nursing organization, these nurses embarked on a journey to implement this practice in their own labor and delivery unit. After a literature review and a research roundtable with the Nurse Researcher, the group established there was sufficient evidence to support the safety and ...
Source: Pain Management Nursing - April 1, 2018 Category: Nursing Authors: Karen M. Conley Source Type: research

2E The Opioid Epidemic: Improving Opioid Safety for Patients through Prescriber, Patient & Family Education
The United States is in the midst of a major public health epidemic. Within the past month, 4 million people have reported the non-medical use of prescription opioids and an estimated 400,000 persons have used heroin. When looking at the pediatric population, the non-medical use of prescribed opioids by adolescents has surpassed all illicit drug use except for marijuana, and this peaks at age 16. Adolescents with a history of non-prescription opioid misuse are at high risk for transitioning to heroin and needle use infectious diseases. (Source: Pain Management Nursing)
Source: Pain Management Nursing - April 1, 2018 Category: Nursing Authors: Sharon Wrona, Lindsay Whitlatch Source Type: research

3A Management of Patients with Intrathecal Pumps: A Clinical Practice Gap
To provide a comprehensive program for patients with intrathecal pumps in an acute care setting. In 2017, a southern California not-for-profit community hospital implemented a comprehensive program for patients with intrathecal pumps. This program included the following three components: A process that identifies and manages intrathecal pump patients; creation of nursing intrathecal pump documentation; and finally, a clinician order set to ensure pump medications are listed on the patient's medication list. (Source: Pain Management Nursing)
Source: Pain Management Nursing - April 1, 2018 Category: Nursing Authors: Kimberly A. Gonzalez Source Type: research

3B An Innovative Approach to Address Serious Consequences of Opioid Substance Use Disorder
To identify and develop a process to work with, help, support and control pain in patients who are hospitalized for extended periods of time with serious medical conditions which resulted from IV substance use disorder. As the city identified as having the highest prescription opioid abuse/misuse in the country, there is also significant population with IV substance use disorder. (Source: Pain Management Nursing)
Source: Pain Management Nursing - April 1, 2018 Category: Nursing Authors: Ann Quinlan-Colwell Source Type: research

3C A Tale of Two Cities: Development and Implementation of a Pain Protocol
Pain management practices vary from clinician to clinician and institution to institution. Historically, pain management focuses on the individual patient and typically emphasizes that one uniform approach does not always work. However, the utilization of a standardized pain clinical pathway for a specific population, such as patients with adolescent idiopathic scoliosis (AIS), can improve the quality of care. A standardized pathway can provide consistency in care, improve the patient/family experience, and enhance outcomes. (Source: Pain Management Nursing)
Source: Pain Management Nursing - April 1, 2018 Category: Nursing Authors: Lucinda Brown, Theresa DiMaggio Source Type: research