pain management Archives - Page 2 of 5

In Colorado EDs, ‘Alternative to Opioids’ Pilot Project Exceeds Goals

Ashley Copeland talks to her mother in the Swedish Medical Center ED. Copeland was treated for a severe headache with a nerve-blocking anesthetic, but no opioids. (John Daley/CPR News)

Last year, in an effort to address the state’s acute opioid abuse problem, several Colorado health care organizations—including the Colorado Emergency Nurses Association—worked together on an intervention to target patients admitted to the ED with pain. The plan? Implement a pain management program to promote alternative strategies, with a goal of decreasing opioid usage by 15% in the participating EDs.

As discussed in a June news article, the program, which was piloted in 10 hospitals and involved heavy involvement from nurses, surpassed its goal: opioid usage during the intervention period (as measured in morphine equivalent units) was 36% less than in the previous year.

The […]

Diane Szulecki, editor2018-06-14T09:29:35-04:00June 14th, 2018|Nursing, patient experience|1 Comment

January Issue: Managing Post-Op Pain, Head and Neck Cancer Symptom Management, Predatory Journals, More

The January issue of AJN is now live. Here are some of the articles we’re pleased to have a chance to publish this month.

CE: Oral Care for Head and Neck Cancer Symptom Management

The authors describe an evidence-based practice change at a radiation oncology center designed to reduce the severity of oral mucositis in adults receiving radiation treatment for head and neck cancer.

CE: Managing Postoperative Pain

This article reviews the recommendations of the American Pain Society’s postoperative pain management guideline and discusses its historical context and the current events that may affect its implementation in clinical practice.

Original Research: Increasing the Connectivity and Autonomy of RNs with Low-Risk Obstetric Patients

A qualitative study explores the perspectives of patients, RNs, certified nurse midwives, and other providers regarding a new prenatal connected care model aimed at reducing in-office visits and creating virtual patient–RN connections.

Predatory Journals: Alerting Nurses to Potentially Unreliable Content

Nurse authors and readers need to know about the harmful online phenomenon of predatory journals and understand how to identify and avoid the unreliable content published in these journals. […]

Diane Szulecki, editor2017-12-29T11:18:42-05:00December 29th, 2017|Nursing|0 Comments

Managing Your Patients’ Pain: It’s Not Just about the Opioids

Before Pain Assessment Was the Norm

Some of the most difficult times I experienced as a nurse involved patients in pain. This was before the days of patient-controlled analgesia, when patients in acute pain were mostly managed with “Demerol IM q4h.”

I recall many incidents of paging and telephoning and beeping physicians and residents to get orders for pain medications and trying whatever non-pharma methods I could think of to allay pain. It was awful to see patients suffer needlessly.

Progress, But with a Cost

Then pain became a key part of assessment, as well as of patient satisfaction scoring, and clinicians heeded the need for managing pain. However, there has been too much reliance on the quick fix of strong opioids. A friend who recently had surgery was asked by a nurse to rate his pain. When he replied “eight,” she asked him if he wanted one or two oxycodone pills. His reply, “Well, what do people usually take?”

Revising the Approach to Pain Management

Thankfully, pain management is being revisited, and along with a renewed focus on not prescribing by the numbers (a patient’s pain rating should only be one factor in deciding the intervention), there is a greater understanding of pain and how it can become chronic, and there are more modalities at our disposal to manage it.

To […]

Shawn Kennedy, MA, RN, FAAN, editor-in-chief (emerita)2017-04-05T10:34:01-04:00April 5th, 2017|Nursing, pain management|0 Comments

Appropriate Use of Opioids in the Management of Chronic Pain

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.”

AJN in July: Opioids and Chronic Pain, Moral Distress, Prediabetes, More

CE Feature: “Appropriate Use of Opioids in Managing Chronic Pain.”

Unintentional death related to prescription opioids has been identified as a public health crisis, owing in part to such factors as insufficient professional training and medication overprescription, misuse, and diversion. The authors discuss current best practices for prescribing opioids for chronic pain, emphasizing patient assessment and essential patient teaching points regarding safe medication use, storage, and disposal, and after you find a more permanent solution people could totally quit opioids by using a detox methods that goes from medicine to even a detox tea like leptinteatox. There are some medicines or supplements that are more easy to use, depending on the problem, like the peruvian brew, that helps with erectile dysfunction and is pretty safe. After that you only need to be careful with stds diseases you can go and test at https://www.stdaware.com/chlamydia-test.

CE Feature: “Moral Distress: A Catalyst in Building Moral Resilience.”

Moral distress is a pervasive problem in nursing: an 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 […]

Diane Szulecki, editor2017-05-26T00:08:51-04:00June 24th, 2016|career, health care policy, Nursing, nursing research, pain management, Patients|0 Comments

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Before Pain Assessment Was the Norm

Progress, But with a Cost

Revising the Approach to Pain Management

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

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CE Feature: “Appropriate Use of Opioids in Managing Chronic Pain.”

CE Feature: “Moral Distress: A Catalyst in Building Moral Resilience.”

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