Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses
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J. Perianesth. Nurs. · Apr 2001
Clinical Trial Controlled Clinical TrialMusic and the PACU environment.
Pain is a common problem in the PACU, resulting in negative respiratory, cardiovascular, gastrointestinal, renal, neuroendocrine, and autonomic nervous system consequences for patients. Pain relief contributes to improved patient outcomes and is also an important component of patient satisfaction, particularly in light of today's environment of high competition among hospitals for patients. Music and quiet conversation by staff, contributing to low noise levels in the PACU environment, have the potential to provide pain relief and improve patient satisfaction with the PACU experience. ⋯ A total of 99% of the participants remembered their PACU stay. When asked to remember aspects of comfort during the PACU stay, the experimental group reported (1) significantly less noise caused by staff voices and equipment, (2) greater perception of availability of nurses, and (3) significantly more positive perception of their PACU stay. The study findings support the potential for music played throughout the PACU stay to positively affect the pain experience and improve comfort among patients having surgery.
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J. Perianesth. Nurs. · Apr 2001
Evidence-based practice part 3: acute pain management of the perianesthesia patient.
Evidence exists that pain is inadequately controlled in most patients. This is caused, in part, by the fact that doctors and nurses have based clinical practice on myths and misconceptions about pain medications, rather than by using evidence-based research. Evidence also exists that when pain is adequately controlled, there is greater patient satisfaction with care. The purpose of Part 3 in this series on pain is to review the literature on inadequate pain management, to review Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) guidelines for correcting the inadequacy of pain control, and to review evidence-based medications used for pain management.