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Condition: Pain

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Total 670 results found since Jan 2013.

3E.1. A Multimodal Approach to Postoperative Pain Management after Spine Surgery: The Back-Up Plan
Life is not without pain. In fact, 100 million Americans suffer from chronic pain (National Institute of Health, 2011). Back pain ranks high among the offenders. According to the National Institute of Neurological Disorders and Stroke (2014), approximately 80 percent of adults will have some form of back pain. Although many may recover, others must undergo various medical treatments before surgical intervention becomes a viable solution for relief. Surgical interventions however, are not without risk.
Source: Pain Management Nursing - March 31, 2019 Category: Nursing Authors: Donna M. Mangruen Source Type: research

Correlates of cognitive impairment in chronic kidney failure patients on hemodialysis: Systematic review and meta ‐analysis
ConclusionsNurses should be aware that the risk of cognitive impairment in chronic kidney failure patients on hemodialysis can be significantly higher for the elderly, women and in patients with a stroke, greater difficulties in activities of daily living, lower hemoglobin concentrations, higher pain levels, sleep difficulties, or depression.This article is protected by copyright. All rights reserved.
Source: Journal of Advanced Nursing - November 8, 2018 Category: Nursing Authors: HyunSoo Oh, JinA Mo, Whasook Seo Tags: Review Source Type: research

Mitigating the damaging effects of tissue distortions by using a low-friction heel protector.
This article reports the finding of a small non-controlled evaluation over a 2-week period in three different care settings: a residential care home, an acute stroke unit and a community intermediate care hospital. At initial recruitment 30 patients were identified by clinical assessment as being at high risk of developing a heel pressure ulcer. Further inclusion criteria were identifying heels that had signs of pressure damage occurring, blanching and non-blanching erythema, blistering and category 2 ulceration. In all, 15 patients fully completed the evaluation over a 14-day period. The mean age was 86 years. The low-fri...
Source: British Journal of Nursing - June 27, 2018 Category: Nursing Authors: Schofield A Tags: Br J Nurs Source Type: research

Self ‐care agency, lifestyle, and physical condition predict future frailty in community‐dwelling older people
Abstract The purpose of this 2 year longitudinal study was to identify the relationship between self‐care agency, lifestyle, physical condition, and frailty among community‐dwelling older people in a rural area of Japan. The participants were 133 older individuals aged 65 years or above. Data collection was conducted via face‐to‐face interviews using self‐administered questionnaires. Background information, such as age, sex, current employment status, family structure, medication use, comorbidities, and knee and lower back pain, were assessed. The definition of frailty was based on the Frailty Checklist. Self...
Source: Nursing and Health Sciences - September 1, 2017 Category: Nursing Authors: Chika Tanimura, Hiromi Matsumoto, Yasuko Tokushima, Junko Yoshimura, Shinji Tanishima, Hiroshi Hagino Tags: RESEARCH ARTICLE Source Type: research

Picking up the Cause of the Stroke
A 62-year-old man with poorly controlled diabetes was transferred to a tertiary care center from a community hospital for persistent abdominal pain and the inability to tolerate oral feedings. Before transfer, the patient underwent peripherally inserted central catheter (PICC) placement for IV pain medications, IV fluids, and parenteral nutrition. An entry chest radiograph showed the PICC was located in a persistent left-sided superior vena cava. The tertiary physicians assumed the PICC was safe to use, and the patient began receiving nutrition and fluids through the line.
Source: AORN Journal - August 31, 2017 Category: Nursing Tags: Column Source Type: research

Fresh focus on stroke care.
Abstract When 36-year-old company director Nathan Ridgard went to the emergency department with an excruciating headache and neck pain he was told he had a severe migraine and was admitted for tests. PMID: 28745187 [PubMed - in process]
Source: Nursing Standard - July 26, 2017 Category: Nursing Authors: Sadler C Tags: Nurs Stand Source Type: research

When It ’s More Than Positional Vertigo: Cerebellar Stroke
A 50-year-old woman with a medical history of controlled hypertension and tobacco abuse presented to the emergency department with sudden-onset vertigo. The patient described feeling like the room was spinning. The symptoms began while she was sitting at the table eating. In addition to feeling dizzy and lightheaded, she also experienced heart palpitations. The patient denied having chest pain, dyspnea, nausea, vomiting, diarrhea, visual changes, hearing changes, paresthesia, or focal neurologic deficit.
Source: Journal of Emergency Nursing: JEN - May 1, 2017 Category: Nursing Authors: David Warren Tags: Advanced Practice Spotlight Source Type: research

Effects of Slow-Stroke Back Massage on Symptom Cluster in Adult Patients With Acute Leukemia: Supportive Care in Cancer Nursing
Conclusions: Slow-stroke back massage, as a simple, noninvasive, and cost-effective approach, along with routine nursing care, can be used to improve the symptom cluster of pain, fatigue, and sleep disorders in leukemia patients. Implications for Practice: Oncology nurses can increase their knowledge regarding this symptom cluster and work to diminish the cluster components by using SSBM in adult leukemia patients.
Source: Cancer Nursing - December 6, 2016 Category: Nursing Tags: Articles Source Type: research

Pain: a content review of undergraduate pre-registration nurse education in the United Kingdom
Pain is a global health issue with poor assessment and management of pain associated with serious disability and detrimental socio economic consequences. Pain is also a closely associated symptom of the three major causes of death in the developed world; Coronary Heart Disease, Stroke and Cancer. There is a significant body of work which indicates that current nursing practice has failed to address pain as a priority, resulting in poor practice and unnecessary patient suffering.Additionally nurse education appears to lack focus or emphasis on the importance of pain assessment and its management.
Source: Nurse Education Today - September 5, 2016 Category: Nursing Authors: Carolyn Mackintosh-Franklin Tags: Review Source Type: research

Anchoring Bias With Critical Implications
A 61-year-old man with a history of stroke went to his primary care physician (PCP) for burning pain and numbness in his left foot that he had experienced for one month. He showed loss of sensation in his left knee and a foot drop secondary to his prior stroke. His pulses were intact with no other abnormalities noted. The PCP diagnosed the patient’s pain and numbness as peripheral neuropathy and referred him to podiatry. The patient went to his PCP four more times and twice to urgent care with left foot pain.
Source: AORN Journal - May 25, 2016 Category: Nursing Tags: Column Source Type: research

Optimizing Acute Pain Management in the Obese Patient: Treatment and Monitoring Considerations
THE CHALLENGES OF PROVIDING SAFE AND EFFECTIVE pain management for patients with obesity are present throughout the perioperative setting. Obesity is associated with chronic medical comorbidities, such as coronary artery disease, stroke, chronic kidney disease, nonalcoholic fatty liver disease, and type 2 diabetes.1 Other obesity-associated comorbidities include breast, endometrial, ovarian, colorectal, esophageal, kidney, pancreatic, and prostate cancers, chronic back pain, and osteoarthritis.1 The demand for bariatric surgery has risen markedly in recent years with the total number of surgeries performed in the United St...
Source: Journal of PeriAnesthesia Nursing - February 27, 2016 Category: Nursing Authors: Maureen F. Cooney Tags: Pain Care Source Type: research

Optimising palliative and end-of-life care within care home settings
Background The World Health Organization (WHO) has defined palliative care as an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual.1 Globally, it is estimated that every year over 20 million people will require palliative care at the end of life. Of these 69% are adults over 60 years. These older population, who make up the vast majority of residents w...
Source: Evidence-Based Nursing - December 15, 2015 Category: Nursing Authors: Mitchell, G., Twycross, A. Tags: End of life decisions (geriatric medicine), Drugs: cardiovascular system, Dementia, Pain (neurology), EBN Opinion, Stroke, End of life decisions (palliative care), Hospice, Memory disorders (psychiatry), End of life decisions (ethics) Source Type: research

In people with atrial fibrillation receiving antithrombotics, short-term non-steroidal anti-inflammatory drug exposure increases risk of serious bleeding
Commentary on: Lamberts M, Lip GYH, Hansen ML, et al. Relation of non-steroidal anti-inflammatory drugs to serious bleeding and thromboembolism risk in patients with atrial fibrillation receiving antithrombotic therapy Ann Intern Med 2014;161:690–8. Implications for practice and research Short courses of non-steroidal anti-inflammatory drugs (NSAIDs) should be used with caution in patients with atrial fibrillation (AF) already taking antithrombotic therapy for stroke prevention since there is an increased risk of serious bleeding and clot formation. Research needs to be carried out on whether combined NSAID and non-v...
Source: Evidence-Based Nursing - December 15, 2015 Category: Nursing Authors: Myat, A. Tags: GI bleeding, Adult nursing, Drugs: cardiovascular system, Pain (neurology), Stroke, Ischaemic heart disease, Pain (palliative care), Pain (anaesthesia), Drugs: musculoskeletal and joint diseases, Arrhythmias Source Type: research

Community palliative care use by dementia sufferers may reduce emergency department use at end of life
Commentary on: Rosenwax L, Spilsbury K, Arendts G, et al. Community-based palliative care is associated with reduced emergency department use by people with dementia in their last year of life: a retrospective cohort study. Palliat Med 2015;29:727–36. Implications for practice and research We need to better understand how community palliative care should be organised and delivered to optimise well-being for the dementia population. Research is needed to explore and explain the nature of the relationship between community palliative care and emergency department (ED) use. More work is needed to examine which palliativ...
Source: Evidence-Based Nursing - December 15, 2015 Category: Nursing Authors: Wright, D. K., Vandyk, A. D. Tags: End of life decisions (geriatric medicine), Care of the older person, Dementia, Pain (neurology), Stroke, End of life decisions (palliative care), Hospice, Memory disorders (psychiatry), End of life decisions (ethics) Source Type: research

The efficacy and safety of a chest pain protocol for short stay unit patients: A one year follow-up
Conclusion: Patients had a low risk of adverse events 12 months after discharge but substantial continuing health care utilization was observed. Complete assessment by health care professionals prior to discharge may help mitigate representations.
Source: European Journal of Cardiovascular Nursing - September 17, 2015 Category: Nursing Authors: Lee, G., Dix, S., Mitra, B., Coleridge, J., Cameron, P. Tags: Original Articles Source Type: research