Home healthcare nurse
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Home healthcare nurse · Jun 2005
Review Practice Guideline GuidelineThe use of 'as-needed' range orders for opioid analgesics in the management of acute pain: a consensus statement of the American Society for Pain Management Nursing and the American Pain Society.
The use of "as-needed" or "PRN" range orders for opioid analgesics in the management of acute pain is a common clinical practice. This approach provides flexibility in dosing to meet individual patients' unique analgesic requirements. Range orders enable necessary and safe dose adjustments based on an individual's response to treatment. This paper presents the consensus statement of the American Society for Pain Management Nursing and the American Pain Society on the use of "as-needed" range orders for opioid analgesics in the management of acute pain.
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There is a lack of condition-specific evidence-based guidelines in the home care field. A recent article by Peterson (2004) suggests that the home care industry must now address this on several fronts, including: 1. adopting guidelines for specific conditions from other settings, 2. implementing selected "best practices" developed by within home care agencies (that are usually consensus-based), and 3. collecting outcomes data with the purpose of creating a home care specific evidence base. This column summarizes Peterson's (2004) recent work on the importance of creating an evidence base for the home care field.
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Home healthcare nurse · Jan 2005
ReviewCompliance, health outcomes, and partnering in PPS: acknowledging the patient's agenda.
All patients have values, beliefs, and priorities about how they want to manage their health conditions. When clinicians shift thinking from compliance to being patient partners by including patients in care planning, adherence to the plan and health outcomes improve.