Pain management nursing : official journal of the American Society of Pain Management Nurses
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Recovery following cardiac surgery via sternotomy involves weaning from invasive mechanical ventilation, maintaining hemodynamic stability, and preventing complications. In the early postoperative period, a key priority is adequate pain control to allow patients to actively participate in exercise. The purpose of this study was to (i) describe analgesic prescribing and administration practices following cardiac surgery via sternotomy and (ii) explore patients' pain experience and how this impacted participation in early postoperative care. ⋯ To promote optimal recovery following cardiac surgery, nurses need to assess pain at both rest and movement and administer effective doses of as needed analgesia to manage the occurrence of breakthrough pain. Additionally, patients need to be more informed to understand the link between well controlled pain and their ability to participate in their recovery.
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Review
Use of Transcutaneous Electrical Nerve Stimulation (TENS) in Labor Pain: An Integrative Review.
Transcutaneous electrical nerve stimulation (TENS) is a noninvasive, safe electrophysical pain relief method during childbirth. ⋯ In studies evaluating the effectiveness of TENS, it has been found to be an effective method in relieving labor pain.
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Disparities, inequities, and injustices in populations with pain are historically pervasive and lead to deleterious patient outcomes and perpetuate systemic barriers to achieving equitable pain management. The American Society for Pain Management Nursing (ASPMN) upholds the principle that all persons with pain have equal rights to evidence-based, high quality pain assessment, management, and treatment. Intervening at multilevels (i.e., individual, interpersonal, community, societal) is necessary to ascertain that just and equitable pain care is provided to all populations.
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Treatment of localized neuropathic pain continues to represent an unmet need. The primary objective of the present study was to evaluate the efficacy of cryotherapy to reduce the burning pain induced by capsaicin (8%) patches (QUTENZA) in a neuropathic pain cohort. We also investigated subsequent neuropathic pain during an 8-week follow-up. ⋯ The use of cooling during capsaicin patch application, by ameliorating the therapeutic alliance, improves the clinical management of neuropathic pain. © 20XX by the American Society for Pain Management Nursing.
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Subjective methods should be used to evaluate pain. It is important to know how pain affects vital signs and brain oxygenation. This study aimed to determine the effects of expressive touch and music applied after lumbar disc herniation surgery on pain, vital signs, and brain oxygenation. ⋯ It was found that expressive touch and music were effective in reducing pain level, keeping vital signs within physiological limits, and increasing brain oxygenation. Further studies are needed to examine the effects of other methods used in postoperative pain management on brain oxygenation.