Pain management nursing : official journal of the American Society of Pain Management Nurses
-
There is no consensus on the definition of coping with chronic pain in older adults. The lack of a definition affects communication in interdisciplinary care, limits assessments of coping in clinical practice, and influences the development of knowledge on the subject. The aim of this paper is to report on a concept analysis of coping with chronic pain in older adults and to construct a definition of the concept. ⋯ Coping with chronic pain involves more than the use of coping strategies. This analysis provides suggestions on clinical assessments and interventions. The concept of coping with chronic pain requires continual development.
-
Randomized Controlled Trial
Does Hand Massage Have Sustained Effects on Pain Intensity and Pain-Related Interference in the Cardiac Surgery Critically Ill? A Randomized Controlled Trial.
Despite the promising short-term pain relief effect of massage, little is known regarding its sustained effects on pain intensity and pain-related interference with functioning. ⋯ Hand massage could help patients experience longer periods without pain and lower levels of maximum pain intensity. When coupled with recovery activities, hand massage could reduce pain-related interference with functioning.
-
The Nociception Coma Scale-Revised (NCS-R) is a rating scale developed and validated for measurement of nociception and pain among patients with brain injuries in unresponsive wakefulness syndrome or minimally conscious state. However, little is known about its use in daily clinical practice. ⋯ The content and subscales of the NCS-R are relevant for pain assessment in patients with severe brain injury in subacute rehabilitation. However, with the present cutoff value at 4 points, challenges are associated with using NCS-R, especially in patients with unresponsive wakefulness syndrome because they are at risk of not being assessed with respect to pain.
-
Pain after thoracic injury has further profound impacts on patients resulting in increased length of hospital stay and hospital care cost, and decreased quality of life. Utilization of the cutting-edge evidence on pain management that fits with the individual care context is therefore important. ⋯ Use of a pain management program can be an effective, inexpensive, and low-risk intervention for the improvement of pain management and chest rehabilitation among chest trauma patients.
-
Nurses must be highly knowledgeable and skilled regarding pain and its management to ensure optimal pain relief. However, nurses worldwide were found to have knowledge deficits and poor attitudes toward pain. Thus identifying the major areas of knowledge deficit regarding pain and incorporating these areas in nursing undergraduate education and nursing continuing training could improve nurses' knowledge and attitude toward pain. ⋯ Insufficient knowledge and attitudes among nurses toward pain is a worldwide problem. However, recognizing the areas of knowledge deficit and establishing educational interventions based on these deficits could improve nurses' knowledge and attitudes regarding pain and their clinical practice.