Pain management nursing : official journal of the American Society of Pain Management Nurses
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This paper reports findings of a pilot singing intervention to assist people living with chronic pain. ⋯ Results indicate that group singing in chronic pain settings has multiple benefits and may positively complement clinical outcomes, serving as an effective adjunct to conventional pain management care and nursing.
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To investigate the level of knowledge and attitudes related to pain management among nurses and physicians working in primary medical centres in Jordan. ⋯ The result of this study indicated that Jordanian healthcare professionals have a low level of knowledge and negative attitudes toward pain management, so educational programmes related to the topic are strongly recommended. The findings also revealed a discrepancy between knowledge and practice. Therefore, guidelines and protocols related to pain assessment and management should be designed and implemented to bridge the gap between knowledge and practice.
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A key to successful symptom management in patients with cancer is to adapt the treatment to patient needs and complexities in an individual and dynamic manner. Rapid access to a clinician via telephone consultation supports treatment compliance, safety, and effectiveness and reduces the number of patients unnecessarily consulting emergency departments. ⋯ A telephone call service available for patients and other clinicians is an efficient way to enhance continuity of care for ambulatory patients. Continued efforts to make such a service cost effective must be implemented.
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Up to 80% of cancer patients in Kenya suffer from untreated moderate to severe pain. ⋯ Interventions should streamline palliative care training and implementation of pain management guidelines in both units. Interventions should consider the influence of different subcultures while implementing pain management policies and training.
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Fibromyalgia (FM) is associated with debilitating pain and a reduced heart rate variability (HRV), reflecting decreased emotional adaptability and resistance to stress. Common pharmacological treatments are ineffective, and opioids are highly addictive and cause an estimated 15,000 overdose deaths per year. Effective recommendations include patient-centered interventions like physical activity, cognitive behavioral therapy, and biofeedback. Heart rate variability biofeedback (HRVB) may be effective in improving HRV, thus increasing stress resistance and emotional adaptability and reducing pain. ⋯ The reviewed studies had methodological flaws. However, HRVB is a promising treatment for chronic pain. Larger, randomized controlled studies are needed to thoroughly evaluate the relationship between HRVB and FM pain.