Appropriate Use of Opioids in the Management of Chronic Pain

Painted by Martin Edwards as part of the Paint Your Pain program initiated by the Pain Management Center at Overlook Medical Center, Atlantic Health System, Summit, New Jersey. For artwork of other patients in the program, go to http://bit.ly/ 1Ns0PxL.The dangerous misuse of prescription opioids and drugs like heroin has been much in the news, but millions of patients continue to suffer both acute and chronic pain. For many, prescription opioids play a vital role in alleviating that pain. How can health care providers most effectively and safely use opioids in the treatment and management of chronic pain? Some answers can be found in a CE article in the July issue of AJN: “Appropriate Use of Opioids in Managing Chronic Pain.”

Related questions on opioids and chronic pain addressed in the article include:

2016-11-21T13:01:03-05:00July 22nd, 2016|Nursing, pain management, patient safety|0 Comments
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AJN’s Top Five Most-Emailed Articles

IMG_2151We are sometimes surprised by the articles our readers are most interested in. The articles shared most often among colleagues are not always the articles being read by the most people. Here are AJN‘s current top five most-emailed articles, many of which deal with essential practice topics such as pain management or nursing handoffs or with various workforce and educational issues:

We encourage readers to visit AJN and explore the wealth of collections, archives, podcasts, videos, and much more. Some articles, such as continuing education features and the monthly Reflections essays, are free access; some require a subscription. And of course, feel free to let us know about topics you’d like to learn more about.

Lastly, here’s a much longer list of AJN‘s most emailed articles.

2016-11-21T13:01:03-05:00July 20th, 2016|Nursing, nursing perspective|0 Comments
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Moral Distress: An Increasing Problem Among Nurses

moral distress

An ICU nurse struggles to reconcile repeated surgeries and transfusions for a comatose patient who has little chance of recovery. An oncology nurse knows a patient wants to refuse treatment but doesn’t do so because his physician and family want him to “fight on.” A nurse on a geriatric unit knows she’s not giving needed care to patients because of poor staffing.

Situations such as these are all too common and can give rise to moral distress. Moral distress occurs when nurses recognize their responsibility to respond to care situations but are unable to translate their moral choices into action.

As explained in “Moral Distress: A Catalyst in Building Moral Resilience,” one of the CE articles in our July issue, this “inability to act in alignment with one’s moral values is detrimental not only to the nurse’s well-being but also to patient care and clinical practice as a whole.” […]

2016-11-21T13:01:03-05:00July 18th, 2016|Ethics, Nursing, patient safety|0 Comments
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Sent Back: Imagining the Real Costs of a Family’s End-of-Life Decisions

Evelyn Simak/ via Wikimedia Commons Evelyn Simak/ via Wikimedia Commons

Editor’s note: This is a work of fiction. The characters are invented; the situation explored may be all too common.*

Beep. Beep. Beep. There’s a slow, rhythmic sound next to my head. I’ve never heard a sound like it before. I hear a whoosh on the other side of me, and at the same time I feel pressure in my chest, like a balloon that on the verge of popping.

It only lasts a few seconds and the pressure is gone. My chest returns to normal and I immediately feel better. Something squeezes my left arm tight—so tight that I want to yell. But I can’t make any words come out.

Then, just as quick as the pressure in my chest came and left, so does the pinch around my arm. I don’t know where I am, but I feel like I’m being tortured.

“I know that it’s cold in here, but I’ll use this warm blanket to keep you warm,” says the strange voice, belonging to a person I can’t see.

Who are you, I try to ask. But just as the darkness around me persists, so does my inability to speak. I have no idea where I am, and I’m scared.

The voice comes back, “Ok, it’s time to roll on […]

2017-07-28T10:06:11-04:00July 12th, 2016|Nursing|4 Comments
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Daniel

jen promesJennifer L. Promes is a gerontological clinical nurse specialist and Magnet Program director in Omaha, Nebraska. In this post, she describes an experience she had early in her career while working as a certified nursing assistant in a nursing home’s memory support unit.

Daniel had a kind, mild-mannered disposition, but because of his advanced dementia he would sometimes become agitated and belligerent, especially at night. Most of the staff didn’t want to help him prepare for bed. I knew Daniel was much more cooperative if you distracted him by talking about his past, so one night I volunteered to help him with his personal care.

All of the residents had just finished their evening meal and were waiting patiently at their tables to be assisted back to their rooms for the night. As I approached Daniel–a short, stocky bald man in his late 80’s with thick-rimmed glasses, always dressed in a button-up flannel shirt, polyester slacks, and square-toed, diabetic shoes—I could tell he was “working on something.” He had a table knife in his hand and was prying at the seam between the two leaves of the table. He was quietly muttering something under his breath as he worked, his head nodding as he grew more tired.

Daniel would “fix” anything he could get his hands […]

2016-11-21T13:01:06-05:00July 12th, 2016|narratives, Nursing, nursing perspective, patient engagement|1 Comment
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Views expressed on the blog are solely those of the authors or persons quoted. They do not necessarily reflect AJN’s views or those of Wolters Kluwer Health/Lippincott Williams and Wilkins.
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