Pain management nursing : official journal of the American Society of Pain Management Nurses
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This study examined the frequency of information-seeking coping behaviors in 37 African-American children (ages 5-17 years) with sickle cell disease during venipuncture. The relationships between coping behaviors and child- and parent-reported pain and observational distress were also assessed. ⋯ This pattern of coping was only partially effective at reducing distress and had no relation to pain. This pattern of coping is discussed within the context of cultural factors that may be important in understanding responses to procedural pain in pediatric sickle cell disease.
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Comparative Study
A study on the correlation between the nurses' and patients' postoperative pain assessments.
In this research, the correlation of assessment of postoperative pain between nurses and their clients is investigated. The aim of the research was to investigate whether or not the nurses can evaluate the pain that clients have in the postoperative process in the same sense as clients do and to examine personal factors that affect this evaluation. The descriptive and comparative research was undertaken between January 2008 and April 2008 in the clinics of Çukurova University Balcalı Hospital. ⋯ At the end of the research, the correlation between the patient scores and the nurse scores that were gathered from first, second, third, and fourth parts of the pain evaluation documents were observed: part 1, Γ = 290, p = .063; part 3/1-2, Γ = 380, p = .008, 3/1; part 3, Γ = 357, p = .007; part 3/2, Γ = 209, p = .031; part 4, Γ = 346, p < .001. The congruity points obtained from the statistical data contrast with the literature, showing that the nurses and the patients evaluated the postoperative pain in the same sense. Pain evaluation investigations are recommended to be done with the attendance of more nurses and patients, and their results should be shared with all nurses.
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American Society for Pain Management Nursing position statement: pain management at the end of life.
Pain at the end of life continues to be of great concern as it may be unrecognized or untreated. While nurses have an ethical obligation to reduce suffering at the end of life, barriers remain regarding appropriate and adequate pain management at the end of life. This position statement from the American Society for Pain Management Nursing contains recommendations for nurses, prescribers, and institutions that would improve pain management for this vulnerable population.
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The purpose of this study was to evaluate adherence to prescribed opioids in Taiwanese oncology outpatients and to examine the associations between various demographic and medical characteristics and prescribed opioids adherence. Ninety-two outpatients who had taken prescribed opioid analgesics for cancer-related pain at least once in the past week participated in this study. Patients were asked to recall the dose of each opioid analgesic that they had taken in the past 24 hours. ⋯ Findings of this study suggest that to improve pain control, efforts to promote patients' opioid regimen adherence should be given high priority. Clinicians should be particularly aware that there may be some gender difference in adherence to prescribed opioid analgesics. There is a need for better programmatic efforts to improve analgesic adherence.
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Comparative Study Clinical Trial
The effects of self-pain management on the intensity of pain and pain management methods in arthritic patients.
The aims of this study were to investigate the effects of pain management education on the intensity of pain and frequency of utilization of pain management methods in two groups of patients with arthritis of different pathogenesis and clinical features, and to compare whether a significant difference existed between the two groups. The study was carried out between September 2007 and June 2008 on 30 female patients with gonarthrosis and 30 female patients with rheumatoid arthritis (RA) followed at the rheumatology outpatient clinic of a university hospital. Data on sociodemographic characteristics and those related with the illness were collected using a special survey. ⋯ After education, significant improvements in pain intensity scores compared with baseline scores were observed in both groups (p < .05), and there was no significant difference between the RA and gonarthrosis groups. Among the various pain management methods, the education program led to significantly more utilization of massaging the painful area, exercising, and using complementary methods to control stress in both groups of patients, and there was no significant difference between the groups. In conclusion, the pain management education given in this study alleviated the intensity of pain and significantly increased the use of some pain management methods in both gonarthrosis and RA cases.