Journal of post anesthesia nursing
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Pain assessment is a complex yet essential aspect of holistic care of the pediatric patient during the postoperative period. Because children cannot verbalize pain, the PACU nurse is faced with the challenge of assessing pain. This article attempts to provide guidelines in assessing postoperative pediatric pain and reviews common analgesic drugs.
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The case of the Mo cell line was the first to address the issue of ownership of human tissues removed during the course of surgery. It is also about the disclosure of sufficient information to enable "informed" consent for surgical or diagnostic procedures. Can patients have confidence when informed consent fails and conflict of interest may exist? In dealing with conflicting values, health care professionals must recognize that what may be immoral or unethical is not necessarily illegal.
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Communication is often a source of conflict and dissatisfaction. The Beginner's Attitude turns conflict into harmony. We have all learned poor communication habits through misdirected social programming. ⋯ The Beginner's Attitude offers specific technology in language that's easy to understand. Learning becomes the motivation for communication and tension dissolves into effortless rapport. The Beginner's Attitude results in sincere and effective communication.
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Randomized Controlled Trial Comparative Study Clinical Trial
The effects of two warming methods on core and surface temperatures, hemoglobin oxygen saturation, blood pressure, and perceived comfort of hypothermic postanesthesia patients.
An experimental study was conducted in two PACUs to test the effect of two warming methods on core and surface temperatures, oxygen hemoglobin saturation, blood pressure, and perceived comfort of hypothermic postanesthesia patients. The study was based by Selye's theory of stress, which states that when individuals are confronted with stressors, physiological adaptation occurs to maintain homeostasis. Subjects studied were 91 adult patients who were randomly assigned to two groups: group 1 patients were warmed with the Bair Hugger Warming System (Augustine Medical, Inc, Eden Prairie, MN), and group 2 patients were warmed with warmed bath blankets. ⋯ No significant differences were found between the two groups on core temperature and blood pressure. Implications for PACU nurses include an efficient, cost-saving method to promote patient adaptation to the stressors of inadvertent hypothermia. Further studies are needed to validate the findings from this study and to test nurses' responses to the Bair Hugger Warming System.