Pain management nursing : official journal of the American Society of Pain Management Nurses
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Chemotherapy-induced peripheral neuropathy (CIPN) can cause chemotherapy dose reductions and impact patients' quality of life. Few proven treatments exist, with generally modest analgesic effects and possible side effects. Small studies show the beneficial effects of topical capsaicin 8% on pain. ⋯ Capsaicin 8% can have a beneficial analgesic effect in patients with CIPN-related pain but with a marked "on-off" effect. Mood changes were marginal. Quantitative sensory testing findings do not support earlier findings on nerve degeneration after capsaicin treatment, although the study size was small for definitive conclusions.
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The main objective of this review is to demonstrate the use of Peripheral Percutaneous Electrical Nerve Stimulation (PENS), together with its most up-to-date protocols, for the treatment of neuropathies. ⋯ PENS requires nurse education on electrode/needle placement and patient instruction, with documentation of key parameters. This review emphasizes the need for further research to establish standardized protocols and optimal application parameters for different neuropathic pain conditions.
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Historically, postoperative pain management of children in hospitals has been inadequate, despite advancements in pain physiology and management. Postoperative pain correlates with increased complications, psychological harm, and parental stress, leading to inefficiencies in resource utilization and prolonged hospital stays. Effective pain management relies on organizational, collaborative, and individual efforts, with interprofessional communication and cooperation being crucial. ⋯ Establishing best practices and ensuring adherence is a leadership responsibility. Furthermore, a lack of adherence to established routines of pain management might be a consequence of professional inexperience and lack of competence, as well as a symptom of lack of trust between professions and professionals. It is important that leaders of both nurses and physicians facilitate arenas for discussing these topics. A culture of evidence-based PPPM needs to be interprofessional and inclusive of different perspectives and facilitate open discussions.
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The aim was to examine nurses' experiences and opinions regarding using their professional autonomy in nonpharmacologic pain management. ⋯ Nurse managers can support nurses in their units and use their expertise to develop care, practices, and processes. At the organizational level, they can create a working environment in which nurses can better participate in multiprofessional working groups. Supportive management can have a significant positive impact on nurses' professional autonomy. It creates a work culture in the organization where there is an opportunity for shared decision-making and development of daily work without hierarchy and where employees feel trusted and valued.
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Chronic pain affects 1.9 billion people worldwide and wait times for interprofessional pain management programs can be extensive. The existing wait times provide an opportunity to introduce internet-based interventions that enhance self-management ability. ⋯ The use of a self-directed web-based chronic pain and motivational empowerment program appears to be a promising option to support people waiting for specialist care and may influence readiness for interprofessional care.