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Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery
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Pharmacologic Interventions for Pain Management.

Francisca Cisneros Farrar1, Danielle White1, Linda Darnell1

  • 1Austin Peay State University, School of Nursing, PO Box 4658, Clarksville, TN 37043, USA.

Critical Care Nursing Clinics of North America
|November 7, 2017
PubMed
Summary
This summary is machine-generated.

Nurses must develop confidence in managing pain pharmacologically in critically ill patients to prevent respiratory depression. This toolkit aids safe, effective pain management through guidelines, assessment, and monitoring.

Keywords:
Acute painBenzodiazepinesCase reportsIntravenous opioid analgesicsNonopioid analgesicsPain assessment toolsPain management guidelinesSedative analgesics

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Area of Science:

  • Nursing
  • Pharmacology
  • Critical Care Medicine

Background:

  • Pharmacologic pain management in critically ill patients carries risks, including life-threatening respiratory depression.
  • Nurses have an ethical and legal obligation to ensure safe and effective pain management.
  • Developing nurse self-efficacy is crucial for preventing adverse events during pain medication administration.

Purpose of the Study:

  • To provide a clinical toolkit for acute pain pharmacologic management.
  • To enhance nurse self-efficacy in administering pain medications to critically ill patients.
  • To prevent serious side effects and adverse reactions associated with pain interventions.

Main Methods:

  • Presentation of professional guidelines for pain management.
  • Inclusion of evidence-based pain assessment tools.
  • Detailed review of common pain medication therapies and drug-specific monitoring.
  • Discussion of medical adjustments for special populations.
  • Inclusion of case reports to illustrate clinical reasoning.

Main Results:

  • The toolkit offers a comprehensive approach to acute pain pharmacologic management.
  • It emphasizes the importance of professional guidelines and evidence-based assessment.
  • Focused monitoring and consideration of special populations are highlighted.
  • Case reports demonstrate practical application of clinical reasoning.

Conclusions:

  • The presented clinical toolkit supports nurses in providing safe, quality, and accountable pain management.
  • Enhanced nurse self-efficacy in pharmacologic pain management is essential for critically ill patients.
  • Effective pain management strategies, including monitoring and adjustments for special populations, are vital for patient safety.