Pain management nursing : official journal of the American Society of Pain Management Nurses
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Review Meta Analysis
Effects of Nurse-Led Pain Management Interventions for Patients with Total Knee/Hip Replacement.
A literature review was conducted to assess nurse-led nonpharmacologic pain management interventions intended for total knee/hip replacement patients. ⋯ Nurse-led nonpharmacologic pain interventions should be considered to reduce patient pain with total knee/hip replacement.
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Randomized Controlled Trial
Pain Incidence, Treatment, and Associated Symptoms in Hospitalized Persons with Dementia.
Moderate to severe pain has been frequently reported in hospitalized older adults. Pain in hospitalized persons with dementia within the context of other common symptoms, functional decline, delirium, and behavioral and psychological symptoms of dementia (BPSD), has received little attention. ⋯ Results suggest that pain may be undertreated in hospitalized persons with dementia, and should be considered upon admission to optimize function, decrease delirium, and prevent or decrease BPSD.
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We determined the effect of cold application after coronary artery bypass graft surgery on chest incision pain due to deep breathing and coughing exercises. Thoracotomy performed for coronary artery bypass graft surgery is one of the most painful surgical procedures. This pain prevents deep breathing and effective coughing. These problems increase the risk of morbidity in the postoperative period. ⋯ The results provide evidence to support the use of cold gel pack.
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The opioid overdose crisis underscores the need for health services among people who use drugs (PWUD) with concurrent pain. ⋯ Pain may be a significant risk factor associated with increased barriers to accessing health services among PWUD. Attention to pain management may improve access to health services, and reducing barriers to health services may conversely improve pain management and its related risks and harms.
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Best approaches to delivering patient education related to pain management and opioid safety are understudied. ⋯ Implementing app-based pain management education is feasible across clinic settings and is well received by patients. Clinics should consider providing pain education across care setting, rather than just pain specialty clinics, to help foster discussions between clinicians and patients regarding pain management and opioid safety.