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Related Concept Videos

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...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Peripheral Artery Disease IV: Nursing Management01:26

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The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses, temperature changes,...
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...

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A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery
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Procedural pain management: a position statement with clinical practice recommendations.

Michelle L Czarnecki1, Helen N Turner, Patricia Manda Collins

  • 1Jane B. Pettit Pain and Palliative Care Center, Children's Hospital of Wisconsin, Milwaukee, Wisconsin 53201, USA. mczarnecki@chw.org

Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses
|May 31, 2011
PubMed
Summary
This summary is machine-generated.

The American Society for Pain Management Nursing (ASPMN) recommends prioritizing patient comfort during procedures. Nurses should assess and manage pain and anxiety before, during, and after all medical interventions.

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Area of Science:

  • Nursing
  • Pain Management
  • Patient Comfort

Background:

  • Procedures can cause significant pain and anxiety.
  • Current practices may not consistently address patient discomfort during interventions.

Purpose of the Study:

  • To present the American Society for Pain Management Nursing (ASPMN) position statement on procedural comfort management.
  • To provide clinical practice recommendations for optimizing patient comfort during procedures.

Main Methods:

  • Development of a position statement and clinical practice recommendations.
  • Review of supporting evidence, ethical considerations, and management strategies.

Main Results:

  • ASPMN advocates for proactive assessment and management of pain, anxiety, and discomfort.
  • Comfort management should be integrated into all phases of procedures (pre-, intra-, and post-).
  • Procedures should not be performed without planned comfort assessment and management.

Conclusions:

  • Nurses and healthcare professionals must advocate for and implement comprehensive comfort management strategies.
  • Recommendations include both nonpharmacologic and pharmacologic interventions tailored to patient needs.
  • Ethical considerations underscore the importance of prioritizing patient well-being and comfort.