Pain management nursing : official journal of the American Society of Pain Management Nurses
-
Comparative Study
Intervention focused on the patient and family for better postoperative pain relief.
Hip arthroplasty results in high-intensity postoperative pain. To counter this, a multimodal approach (combining pharmacologic and nonpharmacologic strategies) is recommended. The involvement of the patient and family is also suggested, but there are few examples. ⋯ EG members used significantly fewer negative pain-coping strategies, such as ignorance and dramatization. The results suggest that a patient and family-centered educational intervention (accompanying family member), promoting nonpharmacologic strategies, should be routinely used in combination with the multimodal approach. This combination improves pain management, lowers anxiety, and facilitates the use of positive postoperative coping strategies.
-
Comparative Study
Comparison of pain scale preferences and pain intensity according to pain scales among Turkish Patients: a descriptive study.
Pain scale preferences may vary among patients. Providing a choice of which pain scale to use might be helpful for patients. The aim of this study was to determine patient pain scale preferences and compare the level of agreement among pain scales commonly used during postoperative pain assessment. ⋯ There was no difference among the levels of pain for the NRS, TPS, FPS and VDS (p > .05), but there was for the VAS (p < .05). The pain scales chosen should be reliable, valid, and able to evaluate the effects of treatment. The results suggest that the NRS, TPS, FPS, and VDS were appropriate pain rating scales for the participants in this study, and that the VAS should be used in combination with one of these scales.
-
The aim of the study was to examine the effectiveness of a pain management program (PMP) in enhancing the knowledge and attitudes of health care workers in pain management. Many nursing home residents suffer from pain, and treatment of pain is often inadequate. Failure of health care workers to assess pain and their insufficient knowledge of pain management are barriers to adequate treatment. ⋯ A deficit in knowledge and attitudes related to pain management was prominent before the PMP, and there was a significant increase in pain knowledge and attitudes from 7.9 ± SD 3.52 to 19.2 ± SD4.4 (p < .05) after the 8-week PMP. A PMP can improve the knowledge and attitudes of nursing staff and enable them to provide adequate and appropriate care to older persons in pain. PMPs for nurses and all health care professionals are important in enhancing care for older adults and to inform policy on the provision of pain management.
-
This study aimed to develop a grounded theory to describe and explain the experience of pain and its impact, as reported by the individuals who had pain associated with chronic leg ulceration. The Strauss and Corbin grounded theory approach was used. In-depth interviews were undertaken with 11 people aged ≥ 65 years from Leeds in the north of England. ⋯ If phase 2 pain is not managed effectively, patients may then develop refractory long-term pain (phase 3). Those who progress to phase 3 tend to experience negative consequences such as insomnia, depression, and suicidal ideation. Only when health care professionals understand and acknowledge the persistent and long-term nature of the pain in this patient group can the pain be managed effectively.