Pain management nursing : official journal of the American Society of Pain Management Nurses
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Effective cancer pain management mandates precise attitude, assessment, skills, and knowledge. Health professionals' knowledge and attitudes concerning cancer pain management have often been referred to as insufficient. ⋯ The study highlights the need for new initiatives targeting nurses working with cancer patients who are likely to experience significant pain. An ongoing need exists for more effective evidence-based educational programs in cancer pain management. Interactive teaching strategies such as on the job training, improvisational learning, and case studies should be tested for their influence on pain knowledge and attitudes and patient outcomes.
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Unrelieved postoperative pain contributes to soaring medical costs and poor quality of life. Whilst much has been written about postoperative pain prevalence in the literature, few empirical studies have explored pain care in Middle Eastern countries. ⋯ The study revealed high pain prevalence among surgical patients that remains undertreated. If patients' postoperative environment is to be a "Pain Free Zone", nurses' training programs and the application of various screening tools in the postoperative context taking into account the role of gender and culture are urgently needed.
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Chronic pain after lower extremity amputation surgery has been reported in up to 80% of patients. Amputations are among the most debilitating chronic complication of diabetes with a variety of consequences including depression, inability to perform daily activities, and change in quality of life. ⋯ Phantom pain was identified as something the participants had to tolerate when it occurred. They did not feel that family or providers understood their pain. Further, they wanted a means of controlling their pain using nonpharmacologic therapies.
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The purpose of this study was to describe the incidence, pharmacologic management, and impact of pain on function, agitation, and resistiveness to care among assisted living residents. ⋯ The incidence of pain was low among participants based on the PAINAD or the VDS. Pain measured by the PAINAD was significantly associated with function, agitation, and resistiveness to care.
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Pain management practice differs among hospitals in China; however, no studies have examined the association between hospital level and nursing practice of pain management. ⋯ Nurses from level 2 hospitals received less education on pain management and also paid less attention to and faced more restrictions for pain management than nurses from level 3 hospitals.