Pain management nursing : official journal of the American Society of Pain Management Nurses
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Randomized Controlled Trial
Hyperbaric Oxygen Therapy for Pain, Opioid Withdrawal, and Related Symptoms: A Pilot Randomized Controlled Trial.
Pain, drug cravings, and opioid withdrawal symptoms can interfere with substance use disorder or opioid tapering treatment goals. ⋯ These pilot results provide evidence to support a fully powered study of HBOT as a potential treatment adjunct for adults receiving methadone for opioid use disorder. Trends towards symptom improvements were detected from pre- to post-HBOT in the full treatment arm versus sham condition. More research into novel non-pharmacologic options to relieve distressing symptoms related to pain and opioid use disorder is essential to improve clinical outcomes.
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High rates of pain impede quality of life for persons with advanced cancer. Research has identified barriers to cancer pain control. Little has been written, however, about the unique motivating goals and individual pain management behaviors of persons with cancer-related pain. ⋯ Current cancer pain assessment tools do not capture the unique complexities of cancer pain motivating behaviors, or personal functional goals, and thus hinder nurses' capacity to provide tailored care across patient encounters. Until a measure with specificity to capture unique patient goals is developed, nurses must rely on their own skills to comprehend if and how motivating factors could benefit individual cancer pain management plans.
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Limited research is available on tools for assessing pain and its effect on function in the acute care setting. ⋯ Although many nurses believed CAPA was effective, variation existed in how it was used to assess and document pain, increasing potential for inconsistent assessments and interpretations of pain and pain management.
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Chronic pain patients tend to have comorbid depressive symptoms, and empirical data investigating differences related to depressive symptoms classes and opioid misuse are scant. ⋯ These findings may help improve depressive symptoms and chronic pain management by identifying high-risk elderly individuals for early intervention and personalizing treatment according to the depressive symptoms subgroup and severity of opioid misuse.
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Multicenter Study
Pain, Anxiety, and Depression in Patients Undergoing Chronic Hemodialysis Treatment: A Multicentre Cohort Study.
Pain is a considerable health concern that interferes with hemodialysis treatment outcomes and can lead to a patient developing anxiety and depression. ⋯ The level of pain perceived by patients undergoing chronic hemodialysis therapy was generally low, especially in women. The study also demonstrated a positive association between levels of pain and anxiety and depression.