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Angina, a symptom of myocardial ischemia, requires a structured nursing management approach to ensure effective care and prevent complications like myocardial infarction. Comprehensive nursing care involves assessing, diagnosing, planning, implementing interventions, and evaluating outcomes, all tailored to the individual patient's needs.Patient AssessmentNursing assessment begins with a detailed subjective evaluation of symptoms, which typically include chest pain or pressure radiating to the...
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Individualization in dosing regimens is the customization of medication doses for individual patients. Its necessity arises from the goal of maximizing therapeutic benefits while minimizing risks. This approach is pivotal because human responses to drugs can vary widely; what is effective for one person may be inadequate or excessive for another. Interpatient (intersubject) variability refers to differences in drug responses between individuals, while intrapatient (intrasubject) variability...
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Related Experiment Video

Updated: Mar 14, 2026

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

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Standardising analgesic administration for nurses: a prospective intervention study.

Susanne Schiek1,2, Katharina Moritz2, Stefanie J Seichter2

  • 1Drug Safety Center, University Hospital of Leipzig and Leipzig University, Leipzig, Germany.

International Journal of Clinical Pharmacy
|September 23, 2016
PubMed
Summary
This summary is machine-generated.

Implementing an algorithm-based guidance significantly improved nurses

Keywords:
AlgorithmsAnalgesicsClinical pharmacistsDecision makingGermanyGuideline adherenceHospitalNursing StaffPain management

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Area of Science:

  • Nursing
  • Pain Management
  • Clinical Pharmacy

Background:

  • Uncontrolled pain negatively impacts quality of life, surgical recovery, and chronic pain development.
  • Current pain management strategies are often medically focused, overlooking nurses' crucial roles in pain assessment and analgesic administration.

Purpose of the Study:

  • To develop and implement an algorithm-based guidance for nurses on pain assessment and analgesic administration.
  • To investigate the impact of this guidance on the quality of pain management.

Main Methods:

  • An interdisciplinary expert panel (physicians, nurses, pharmacists) developed the algorithm-based guidance.
  • A prospective intervention study in two orthopaedic units monitored nurses' pain assessment and analgesic administration before and after guidance implementation.
  • Guideline adherence was defined as fulfilling criteria for pain intensity assessment, assessment of analgesic need, and administration based on individual pain intensity.

Main Results:

  • Guideline adherence increased from 6% during usual care to 54% after implementing the algorithm-based guidance (p < 0.001).
  • Guideline adherence decreased with increasing pain intensity (slope coefficient -0.763, p < 0.001).
  • The algorithm-based guidance resulted in an eightfold improvement in guideline adherence.

Conclusions:

  • Nurses did not consistently follow current guidelines for analgesic administration, particularly in patients with severe pain.
  • The algorithm-based guidance significantly improved adherence to pain management guidelines.