Pain management nursing : official journal of the American Society of Pain Management Nurses
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The purpose of the pilot study was to determine if an educational program on opioid safety and disposal during a preoperative joint replacement class would increase the frequency of disposal of unused opioids with a disposal pouch at the end of the episode of care in patients undergoing joint replacement. A secondary aim was to quantify the milligrams of morphine equivalents prescribed, used, disposed, and remaining in joint replacement patients. ⋯ Provision of a disposal pouch in combination with a live educational program on opioid safety and disposal increased the rate of disposal of unused opioids in a postoperative population.
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Observational Study
Observational, Retrospective Evaluation of a New Nurse-Initiated Emergency Department Pain Management Protocol.
Triage nurses are important in pain management and in early relief of pain among patients admitted to the emergency department (ED). ⋯ We observed an increase in analgesic administration after the implementation of a new nurse-initiated pain treatment protocol, especially an increase in oral opioid analgesics, for patients with moderate to severe pain.
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The use and impact of guided imagery in the acute care setting is limited. ⋯ The use of guided imagery as an adjunctive intervention for pain control may engage and empower the patient in self-care activities, which may have an impact on how care is perceived. Guided imagery is a low-cost, easily implemented approach that can be incorporated into patient care to reduce anxiety and, potentially, opioid analgesia use.
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The aim of the study was to evaluate the effect of the application of a heating pad on the sacral region on pain and anxiety during a transrectal prostate biopsy. ⋯ Applying a heating pad to the sacral region during a transrectal prostate biopsy is an effective non-pharmacologic method to increase patient comfort and reduce pain and anxiety.
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The self-care of type 1 diabetes (T1D) includes undergoing procedures with needles several times daily, which may cause pain and fear. ⋯ Children and adolescents who perceive greater pain during needle-related procedures have poorer coping ability. Pediatric diabetes teams need to identify those in need of extra support to develop pain coping strategies.