Pain management nursing : official journal of the American Society of Pain Management Nurses
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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.
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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.
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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.
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Neuromyelitis optica spectrum disorder (NMOSD) causes disabling and persistent central neuropathic pain (NP). Because the pain syndrome in NMOSD is severe and often intractable to analgesic treatment, it interferes with quality of life in patients. No interventional trials have been published looking at response to interventions for pain in NMOSD. This is a synthesis of the literature surveying the impact on quality of life of interventions in all mechanisms of central spinal NP. This review has important implications for management of pain in NMOSD. ⋯ This review provides researchers with a foundation from which to start a more thorough and thoughtful investigation into the management of NP in NMOSD and underscores the importance of including quality of life as a clinically meaningful outcome measure.