Articles: pain-measurement.
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Bol Med Hosp Infant Mex · Jan 2019
Knowledge of nursing staff at a pediatric referral hospital regarding the assessment and management of pain in children.
Pain is a frequent reason for consultation. Poor vocational training is referred to as a critical component for proper treatment. The objective of this study was to describe the knowledge and practices of the nursing staff of the Pediatric Hospital, Pereira Rossell Hospital Center, regarding the assessment and approach of pain in children. ⋯ The surveys demonstrated acceptable knowledge about pain assessment and management. However, aspects to improve in the knowledge of scales of evaluation in special populations, lack of familiarity with the use of opioids and conceptions of subjective evaluation of pain were objectified.
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Review Meta Analysis
Recommendations for selection of self-report pain intensity measures in children and adolescents: a systematic review and quality assessment of measurement properties.
In 2006, PAIN published a systematic review of the measurement properties of self-report pain intensity measures in children and adolescents (Stinson JN, Kavanagh T, Yamada J, Gill N, Stevens B. Systematic review of the psychometric properties, interpretability and feasibility of self-report pain intensity measures for use in clinical trials in children and adolescents. PAIN 2006;125:143-57). ⋯ Only weak recommendations could be made for self-report measures for postoperative and chronic pain. No measures were recommended for children younger than 6 years, identifying a need for further measurement refinement in this age range. Clinical practice and future research implications are discussed.
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Clinical Trial
Psychosocial factors associated with poor outcomes after amputation for complex regional pain syndrome type-I.
Amputation for longstanding therapy resistant complex regional pain syndrome type-I (CRPS-I) is controversial. Reported results are inconsistent. It is assumed that psychological factors play a role in CRPS-I. ⋯ Poor outcomes of amputation in longstanding therapy resistant CPRS-1 are associated with psychological factors. Outstanding life events are not associated with poor outcome although half of the participants had experienced outstanding life events.
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Chronic low back pain (CLBP) is usually quantified using the visual analog scale (VAS). However, the VAS is a subjective measure and prone to reporting bias, therefore making it difficult to differentiate patients with true pain from those seeking to obtain secondary gain. This study aimed to evaluate the feasibility of using plasma β-endorphin as an objective biomarker for CLBP. ⋯ A change in plasma β-endorphin level may be a surrogate marker of the treatment response for patients with CLBP. Advancements in β-endorphin measurements may help us better quantify pain intensity.
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Curr Clin Pharmacol · Jan 2019
Randomized Controlled TrialImpact of Ondansetron on Withdrawal Signs, Fentanyl Requirement and Pain Relief in Opioid-addicted Patients under General Anesthesia.
Serotonin 5-HT3 receptor antagonists such as ondansetron have been investigated to attenuate opioid withdrawal signs in studies. ⋯ This study demonstrated supporting evidence for the beneficial treatment of ondansetron for the control of withdrawal symptoms and pain in addicted patients, and more clinical studies are suggested in this regard.