What are the effects of non-pharmacological interventions for pain management during labor?

2016 ◽  
Keyword(s):  
Pain Management ◽  
Pharmacological Interventions

Pain Assessment and Management in Critically Ill Intubated Patients: a Retrospective Study

2004 ◽  
Vol 13 (2) ◽  
pp. 126-136 ◽  
Author(s):  
Céline Gélinas ◽  
Martine Fortier ◽  
Chantal Viens ◽  
Lise Fillion ◽  
Kathleen Puntillo
Keyword(s):  
Pain Management ◽  
Critically Ill ◽  
Pain Assessment ◽  
Assessment Tool ◽  
Quebec City ◽  
Pharmacological Interventions ◽  
Relieve Pain ◽  
Self Reports ◽  
Data Collection Instrument ◽  
Pain Documentation

• Background Little research has been done on pain assessment in critical care, especially in patients who cannot communicate verbally.• Objectives To describe (1) pain indicators used by nurses and physicians for pain assessment, (2) pain management (pharmacological and nonpharmacological interventions) undertaken by nurses to relieve pain, and (3) pain indicators used for pain reassessment by nurses to verify the effectiveness of pain management in patients who are intubated.• Methods Medical files from 2 specialized healthcare centers in Quebec City, Quebec, were reviewed. A data collection instrument based on Melzack’s theory was developed from existing tools. Pain-related indicators were clustered into nonobservable/subjective (patients’ self-reports of pain) and observable/objective (physiological and behavioral) categories.• Results A total of 183 pain episodes in 52 patients who received mechanical ventilation were analyzed. Observable indicators were recorded 97% of the time. Patients’ self-reports of pain were recorded only 29% of the time, a practice contradictory to recommendations for pain assessment. Pharmacological interventions were used more often (89% of the time) than nonpharmacological interventions (<25%) for managing pain. Almost 40% of the time, pain was not reassessed after an intervention. For reassessments, observable indicators were recorded 66% of the time; patients self-reports were recorded only 8% of the time.• Conclusions Pain documentation in medical files is incomplete or inadequate. The lack of a pain assessment tool may contribute to this situation. Research is still needed in the development of tools to enhance pain assessment in critically ill intubated patients.

scholarly journals Non-pharmacological interventions for pain management used by nursing students in Turkey

Kontakt ◽  
2016 ◽  
Vol 18 (1) ◽  
pp. e22-e29 ◽  
Author(s):  
Neziha Karabulut ◽  
Dilek Gürçayir ◽  
Yeşim Yaman Aktaş
Keyword(s):  
Pain Management ◽  
Nursing Students ◽  
Pharmacological Interventions

Procedural Pain Management with Non-Pharmacological Interventions

Neonatology ◽  
2012 ◽  
pp. 206-209 ◽  
Author(s):  
Celeste Johnston ◽  
Ananda M. Fernandes ◽  
Marsha Campbell-Yeo
Keyword(s):  
Pain Management ◽  
Procedural Pain ◽  
Pharmacological Interventions

scholarly journals Non-pharmacological interventions for pain management in adult victims of trauma

2019 ◽  
Vol 17 (12) ◽  
pp. 2483-2490
Author(s):  
Mauro Mota ◽  
Madalena Cunha ◽  
Margarida Reis Santos ◽  
Dulce Silva ◽  
Eduardo Santos
Keyword(s):  
Pain Management ◽  
Pharmacological Interventions

scholarly journals The Examination of non-pharmacologic treatment of pain after spinal cord injury

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
J. A. Piatt ◽  
L. Eldridge ◽  
J. M. Baker
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Chronic Pain ◽  
Pain Management ◽  
Psychological Health ◽  
Management Strategies ◽  
Pharmacological Intervention ◽  
Pharmacological Interventions ◽  
Convenience Sample ◽  
Cord Injury

Background: One of the primary debilitating secondary health conditions experienced by individuals living with a spinal cord injury (SCI) is chronic pain. Approximately, over 30% of SCI patients endure chronic pain after sustaining the injury, and engage in opioid pharmacotherapy as the first form of treatment. The increase in use and misuse of prescribed opioids for chronic pain can lead to both physical and psychological health risks. This danger is exacerbated by the notion that a large percentage of the SCI population have a pre-existing condition of drug and alcohol abuse and addiction. This study will examine how pain is actually being addressed through non-pharmaceutical methods among the SCI adult population.  Experimental Design: Employing a cross-sectional web survey design with a convenience sample of adults with a SCI. A Qualtrics survey is currently being administered to known individuals with SCIs via email. The survey questions will illuminate what pain management strategies are being implemented in the SCI population within the US.   Anticipated Results: The results from the data will provide insight on what non-pharmacological interventions can be employed in place of or in combination with the pharmacological management. This will allow community-based rehabilitation therapies to incorporate appropriate pain management strategies.   Potential Impact: Non-pharmacological interventions may hold the answer in treating chronic pain in the SCI population by limiting or eliminating the use of opioids. This study will help develop the most appropriate non-pharmacological intervention to test in quasi-experimental clinical trials, and ultimately minimize the use of opioids for chronic pain.

Educational program for medical residents in cancer pain management.

2017 ◽  
Vol 35 (8_suppl) ◽  
pp. 198-198
Author(s):  
Shyam Ravisankar ◽  
Ela Eris ◽  
Alice Joy Cohen
Keyword(s):  
Pain Management ◽  
Cancer Pain ◽  
Educational Program ◽  
Medical Residents ◽  
Cancer Pain Management ◽  
Pharmacological Interventions ◽  
Online Questionnaire ◽  
Baseline Knowledge ◽  
Education Resource

198 Background: Studies have shown significant deficits in the knowledge of physicians in Cancer Pain Management (CPM). We implemented an educational program on CPM for medical residents with pre and post-testing to assess baseline knowledge and the improvement after education. Methods: The content of the lecture was derived from the Cancer Pain Education Resource (CAPER). It included assessment, non-pharmacological interventions, equi-analgesic conversions , titration, side effects, withdrawal, dependence and addiction. An online questionnaire was created to assess the baseline knowledge and the residents accessed it using their mobile phones. After the lecture the same was used to assess the improvement in knowledge. 22 residents from Newark Beth Israel Internal Medicine Residency Program participated in the lecture and the pre/post-tests. After the lecture, they were given a pocket card with opioid equi-analgesic dosing calculations.Two months later, the same questionnaire was used to assess the retained knowledge. Results: The pretest score was 71% and after the lecture it improved to 81%. After 2 months the score was 72%. Notably, the knowledge of equi-analgesic conversions had increased. 95 % of the residents were very satisfied with the lecture and wanted more education on CPM. Improvement in knowledge on specifics of CPM are shown in Table. Conclusions: One of the ways to improve CPM is to focus on education of residents. After a single lecture, there was improvement in all areas of deficiency.The use of simple tools like pocket cards can help to improve knowledge. Our plan is to expand this program to medical students and have additional lectures. We believe that these lectures will improve the quality of CPM in patients. [Table: see text]

Characteristics of Nonpharmacological Interventions for Pain Management in the ICU: A Scoping Review

2019 ◽  
Vol 30 (4) ◽  
pp. 388-397 ◽  
Author(s):  
Geraldine Martorella
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Pain Management ◽  
Pain Relief ◽  
Scoping Review ◽  
Elderly Women ◽  
The Elderly ◽  
Self Report ◽  
Pharmacological Interventions

Pain relief in the intensive care unit (ICU) is of particular concern since patients are exposed to multiple painful stimuli associated with care procedures. Considering the adverse effects of pharmacological approaches, particularly in vulnerable populations such as the elderly, the use of non-pharmacological interventions has recently been recommended in the context of critical care. The main goal of this scoping review was to systematically map the research done on non-pharmacological interventions for pain management in ICU adults and describe the characteristics of these interventions. A wide variety of non-pharmacological interventions have been tested, with music and massage therapies being the most frequently used. An interesting new trend is the use of combined or bundle interventions. Lastly, it was observed that these interventions have not been studied in specific subgroups, such as the elderly, women, and patients unable to self-report.

Non-pharmacological interventions for acute pain management in adult victims of trauma

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Mauro Mota ◽  
Eduardo Santos ◽  
Madalena Cunha ◽  
Tito Abrantes ◽  
Pedro Caldes ◽  
...  
Keyword(s):  
Pain Management ◽  
Acute Pain ◽  
Pharmacological Interventions ◽  
Acute Pain Management

Pain management in major paediatric trauma and burns

2013 ◽  
pp. 171-174
Author(s):  
Greta M. Palmer ◽  
Franz E. Babl
Keyword(s):  
Pain Management ◽  
Evidence Based ◽  
Post Traumatic Stress ◽  
Pharmacological Interventions ◽  
Post Discharge ◽  
Emergency Department Care ◽  
Paediatric Trauma ◽  
Post Traumatic ◽  
Care Ward

Pain management in major paediatric trauma and burns is challenging. It involves many phases including pre-hospital and emergency department care, ward management frequently including intensive care, and multiple operative and procedural interventions (as inpatients and later outpatients). Distress, anxiety, post-traumatic stress disorder (from the primary event and the ensuing in-hospital and post-discharge course), itch, neuropathic pain (in addition to pain of nociceptive origin), and sleep disorders frequently affect major trauma and burns victims and can persist long term. An evidence-based discussion follows of the pharmacological and non-pharmacological interventions employed during these various phases to address pain and the associated issues in these patients.

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