Articles: pain-management.
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Pain associated with cancer is one of the most significant concerns for patients, families, and health care providers. Various barriers may hinder optimal pain management. ⋯ Significant differences were found in the perspectives of patients, physicians, and nurses toward pain management barriers in the overall barriers, communication, and harmful effect. It is recommended to develop awareness programs for patients about pain management, barriers, use of analgesia, and communication. Nurses and physicians are advised to discuss mutual concerns and pay more attention to overcoming patient concerns.
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Emerg Med Australas · Oct 2023
Use of ketamine wafer for pain management by volunteer emergency medical technicians in rural Western Australia.
To describe the use of sublingual ketamine wafers administered by volunteer emergency medical technicians (EMTs) for pain management to patients in rural Western Australia (WA). ⋯ Sublingual ketamine wafer was administered by volunteer EMTs without any evidence of major adverse events in rural WA and deemed useful as an additional pain management option when long transport to hospital was needed. No other symptoms that may be associated with the use of ketamine were recorded.
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Patients' pain beliefs are the main obstacle to effective pain management. Assessing and correcting negative perceptions is important for improving pain intensity and quality of life of patients with cancer pain. ⋯ Negative pain beliefs are common among oral cancer patients. This novel application of the self-regulatory model demonstrates that it can be used to capture the key pain beliefs (i.e., cognitions, emotions, and coping responses) of oral cancer patients within a single, unifying framework.
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Radiofrequency thermocoagulation of genicular nerves is an effective treatment for chronic pain due to knee osteoarthritis. The procedure can be performed under fluoroscopic or ultrasonographic guidance. ⋯ The final position of the needle tip in radiofrequency thermocoagulation of genicular nerves can exist at the one-third anterior of the bone shaft, without a need for further advancing the needle to the posterior portion. Although performed more distally compared to fluoroscopy guidance, ultrasound-guided genicular nerve radiofrequency thermocoagulation still provides effective analgesia.
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The American Society for Pain Management Nursing (ASPMN) began as a nursing-focused pain organization in 1990 and has experienced fluctuations in membership over time. According to the literature, membership to many professional organizations, including ASPMN, are waning. New member recruitment and retention is crucial for maintaining viability and financial strength of an organization. ⋯ Many professional organizations continue to struggle to recruit and retain members. While there were no material incentives, the focus group or individual interviews promoted collegiality, reinforced knowledge about ASPMN member benefits, and provided a platform to dialog about how the organization can grow while addressing member needs. Findings from this study may benefit ASPMN and other organizations by providing insight into what attracts and maintains new members, creating a platform to learn about members, and ideally, identifying new ways of engagement and initiatives.