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Analgesia and Pain Management01:25

Analgesia and Pain Management

Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
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Assessment:
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Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care​.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of fluid...
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Related Experiment Video

Updated: Jun 10, 2026

A Randomized, Sham-Controlled Trial of Cranial Electrical Stimulation for Fibromyalgia Pain and Physical Function, Using Brain Imaging Biomarkers
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Evaluation guideline for managing chronic pain.

Lillian Alexus1, Lawrence Talusan, Kevin Chen

  • 1Langara College, Vancouver, BC.

Perspectives (Gerontological Nursing Association (Canada))
|July 21, 2010
PubMed
Summary

This study evaluated a pain management guideline, finding few residents experienced chronic pain, contrary to expectations. Recommendations include improving tools and staff education for better pain management.

Area of Science:

  • Gerontology
  • Pain Management
  • Healthcare Quality Improvement

Background:

  • Effective pain management is crucial for resident well-being in long-term care settings.
  • Existing literature suggests chronic pain is prevalent among older adults.
  • A specific pain management guideline was implemented to address this issue.

Purpose of the Study:

  • To evaluate the effectiveness of an implemented pain management guideline.
  • To assess the prevalence of persistent, chronic pain in residents.
  • To identify areas for improvement in pain management protocols and tools.

Main Methods:

  • Literature review to establish background and context.
  • Identification and application of evaluation methods for the guideline.

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Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery
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Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery
09:38

Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery

Published on: April 14, 2016

  • Analysis of resident pain data and guideline utilization.
  • Main Results:

    • The pain management guideline showed inconsistent use among staff.
    • Contrary to existing literature, a low prevalence of persistent, chronic pain was observed.
    • Limitations in the guideline and tools were identified.

    Conclusions:

    • Despite inconsistent application, the guideline appeared to contribute to low chronic pain rates.
    • Recommendations focus on enhancing guideline adherence through improved tools and staff training.
    • Ongoing monitoring of resident pain is essential for sustained quality improvement.