Articles: pain-management.
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The current study aimed to investigate the patterns of postoperative pain trajectories over time and their associated risk factors in patients receiving video-assisted thoracoscopic surgery (VATS) and epidural analgesia (EA) for non-small cell lung cancer (NSCLC). ⋯ Surgical time, sex, and pain intensity after surgery were major determinants of rebound pain trajectory, and more aggressive pain control strategies should be considered in high-risk patients.
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J Pain Symptom Manage · Feb 2022
Incorporating the patient and caregiver voice in palliative care quality measure development.
Despite rapid growth in outpatient palliative care, we lack an understanding of patient and caregiver experiences of care received in this context. ⋯ In general, question wording and response options did not present challenges to understanding content. Respondents ascribed a variety of meanings to the concepts, validating that the measures capture a range of experiences. However, the referenced timeframe of three months was more difficult to answer for some questions than others. Implications for research, policy or practice: Based on the findings from the cognitive testing, the survey items are being tested as part of a national study to understand the quality of care for patients. These measures may be used in the future by Medicare to help outpatient palliative care programs improve their care.
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The foundation of safe and effective pain management is an individualized, comprehensive pain assessment that includes, but is not limited to, the intensity of pain if the patient is able to report it. An unforeseen consequence of the widespread use of pain intensity rating scales is the practice of prescribing specific doses of opioid analgesics based solely on specific pain intensity ratings. ⋯ To date there is no research demonstrating that a specific opioid dose will relieve pain of a specific intensity in all patients or even in the same patient at different times. The official position of the American Society for Pain Management Nursing (ASPMN) maintains that the practice of prescribing doses of opioid analgesics based solely on pain intensity should be prohibited because it disregards the relevance of other essential elements of assessment and may contribute to untoward patient outcomes.
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This research was conducted to determine the pain experience of individuals who experience pain during COVID-19 infection. ⋯ Participants generally defined pain as a feeling that hurts and causes people to suffer. The participants used many methods to relieve the intense pain they experienced. However, nearly half of the participants stated that their pain did not completely disappear despite the many methods they used. The approximately two-thirds of the participants were afraid of re-experiencing this pain. For effective pain management, it is important to define the pain behaviors of the patients correctly, to determine the opinions of the patients about the pain, and to evaluate the effects of the pain experienced.