Effective Pain Management and Improvements in Patients’ Outcomes and Satisfaction

2015 ◽  
Vol 35 (3) ◽  
pp. 33-41 ◽  
Author(s):  
Diane Glowacki
Keyword(s):  
Pain Management ◽  
Best Practices ◽  
Patient Outcomes ◽  
Pain Therapy ◽  
Marked Decrease ◽  
Effective Management ◽  
Pain Education ◽  
Education Outcomes ◽  
Adequate Pain Management

Adequate pain management is a compelling and universal requirement in health care. Despite considerable advancements, the adverse physiological and psychological implications of unmanaged pain remain substantially unresolved. Ineffective pain management can lead to a marked decrease in desirable clinical and psychological outcomes and patients’ overall quality of life. Effective management of acute pain results in improved patient outcomes and increased patient satisfaction. Although research and advanced treatments in improved practice protocols have documented progressive improvements in management of acute and postoperative pain, little awareness of the effectiveness of best practices persists. Improved interventions can enhance patients’ attitudes to and perceptions of pain. What a patient believes and understands about pain is critical in influencing the patient’s reaction to the pain therapy provided. Use of interdisciplinary pain teams can lead to improvements in patients’ pain management, pain education, outcomes, and satisfaction.

scholarly journals Tailored Strategies and Shared Decision-Making for Caregivers Managing Patients’ Pain: A Web App

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 153-153
Author(s):  
Nai-Ching Chi ◽  
Lynn Nakad ◽  
Ying-Kai Fu ◽  
Ibrahim Demir ◽  
Stephanie Gilbertson-White ◽  
...  
Keyword(s):  
Pain Management ◽  
Best Practices ◽  
Hospice Care ◽  
Assessment Tool ◽  
Secondary Data ◽  
Evidence Based ◽  
Educational Materials ◽  
Pain Education ◽  
Literature Reviews ◽  
Web App

Abstract Family caregivers (FCs) are essential in helping manage pain for patients who receive hospice care at home, but an accessible resource to prepare FCs in pain management is lacking. This study aims to develop an accessible resource that aids FCs in pain management. First, we conducted two literature reviews and two secondary data analyses to investigate the challenges that FCs face when managing pain for patients. Based on the results, we identified 20 common challenges that prevent FCs from providing effective pain management. Second, we developed evidence-based content to address each identified challenge, and a library to provide FCs with pain education. Third, experts and clinicians (n=10) in hospice care validated the content, and FCs (n=10) gave feedback on how to improve the understandability of the content. Currently, we are converting the content to a web app prototype. The web app will consist of: (1) an assessment tool with questions to assess the FCs’ challenges when managing patients’ pain, (2) computer-generated strategies tailored to address the identified challenges, (3) discussion questions for FCs to use with their care team to prioritize goals of pain management, and (4) a library to enhance access to educational materials. This study presented the process of developing an evidence-based and user-centered web app. This study will advance the field of pain management in hospice care by providing accessible and evidence-based tools to support and engage FCs in pain management. Also, this web app will allow best practices to be quickly translated from research into practice.

Pain Education for Underserved Minority Cancer Patients: A Randomized Controlled Trial

2004 ◽  
Vol 22 (24) ◽  
pp. 4918-4925 ◽  
Author(s):  
Karen O. Anderson ◽  
Tito R. Mendoza ◽  
Richard Payne ◽  
Vicente Valero ◽  
Guadalupe R. Palos ◽  
...  
Keyword(s):  
Quality Of Life ◽  
African American ◽  
Pain Management ◽  
Pain Intensity ◽  
Cancer Patients ◽  
Pain Control ◽  
Control Group ◽  
Pain Education ◽  
Perceived Pain

Purpose Previous studies found that African American and Hispanic cancer patients are at risk for undertreatment of pain. We evaluated the efficacy of a pain education intervention for underserved minority patients. Patients and Methods Ninety-seven underserved African American and Hispanic outpatients with cancer-related pain were enrolled onto a randomized clinical trial of pain management education. The patients in the education group received a culture-specific video and booklet on pain management. The control group received a video and booklet on nutrition. A research nurse met with each patient to review the materials. We measured changes in pain intensity and pain-related interference 2 to 10 weeks after the intervention, as well as changes in quality of life, perceived pain control, functional status, analgesics, and physician pain assessments. Results Physicians underestimated baseline pain intensity and provided inadequate analgesics for more than 50% of the sample. Although the ratings for pain intensity and pain interference decreased over time for both groups, there was no statistically significant difference between groups. Pain education did not affect quality of life, perceived pain control, or functional status. African American patients in the education but not the control group reported a significant decrease in pain worst ratings from baseline to first follow-up (P < .01), although this decrease was not maintained at subsequent assessments. Conclusion Brief education had limited impact on pain outcomes for underserved minority patients, suggesting that more intensive education for patients and interventions for physicians are needed.

scholarly journals Whole Health Options and Pain Education (wHOPE): A Pragmatic Trial Comparing Whole Health Team vs Primary Care Group Education to Promote Nonpharmacological Strategies to Improve Pain, Functioning, and Quality of Life in Veterans—Rationale, Methods, and Implementation

Pain Medicine ◽  
2020 ◽  
Vol 21 (Supplement_2) ◽  
pp. S91-S99
Author(s):  
Karen H Seal ◽  
William C Becker ◽  
Jennifer L Murphy ◽  
Natalie Purcell ◽  
Lauren M Denneson ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Chronic Pain ◽  
Pain Management ◽  
Pragmatic Trial ◽  
Care Group ◽  
Pain Education ◽  
Primary Care Group ◽  
Health Model

Abstract Background The Whole Health model of the U.S. Department of Veterans Affairs (VA) emphasizes holistic self-care and multimodal approaches to improve pain, functioning, and quality of life. wHOPE (Whole Health Options and Pain Education) seeks to be the first multisite pragmatic trial to establish evidence for the VA Whole Health model for chronic pain care. Design wHOPE is a pragmatic randomized controlled trial comparing a Whole Health Team (WHT) approach to Primary Care Group Education (PC-GE); both will be compared to Usual VA Primary Care (UPC). The WHT consists of a medical provider, a complementary and integrative health (CIH) provider, and a Whole Health coach, who collaborate with VA patients to create a Personalized Health Plan emphasizing CIH approaches to chronic pain management. The active comparator, PC-GE, is adapted group cognitive behavioral therapy for chronic pain. The first aim is to test whether the WHT approach is superior to PC-GE and whether both are superior to UPC in decreasing pain interference in functioning in 750 veterans with moderate to severe chronic pain (primary outcome). Secondary outcomes include changes in pain severity, quality of life, mental health symptoms, and use of nonpharmacological and pharmacological therapies for pain. Outcomes will be collected from the VA electronic health record and patient-reported data over 12 months of follow-up. Aim 2 consists of an implementation-focused process evaluation and budget impact analysis. Summary This trial is part of the Pain Management Collaboratory, which seeks to create national-level infrastructure to support evidence-based nonpharmacological pain management approaches for veterans and military service personnel.

scholarly journals Knowledge of Pain Neurophysiology Among Physiotherapists Practising in Saudi Arabia

2020 ◽  
Author(s):  
AHMED alhowimel ◽  
Faris Alodaibi ◽  
Mazyad Alotaibi ◽  
Dalyah alamam ◽  
Julie Fritz
Keyword(s):  
Saudi Arabia ◽  
Standard Deviation ◽  
Pain Management ◽  
Effective Management ◽  
Major Barrier ◽  
Educational Backgrounds ◽  
Patient Pain ◽  
Level Of Knowledge ◽  
The Mean ◽  
Adequate Pain Management

Abstract Objectives Healthcare practitioners’ understanding of pain neuroscience is important in effective management of patient pain. A major barrier to adequate pain management is patients’ limited access to clinicians who are knowledgeable about pain. The study aims to examine the level of knowledge of pain neurophysiology among currently practising physiotherapists in Saudi Arabia using the 12-item Revised Neurophysiology of Pain Questionnaire.Results One hundred eleven physiotherapists (58.6% male) from different regions and educational backgrounds participated in the study. Out of a maximum Revised Neurophysiology of Pain Questionnaire score of 12, the mean ± standard deviation (SD) was 6.7 ± 2.2; 90% of physiotherapists scored 9 (75%) or less. None of the examined characteristics of participants had an impact on knowledge.

scholarly journals Academic-Service Partnerships in Nursing: An Integrative Review

2012 ◽  
Vol 2012 ◽  
pp. 1-9 ◽  
Author(s):  
Judy A. Beal
Keyword(s):  
Best Practices ◽  
Patient Outcomes ◽  
Workforce Development ◽  
Integrative Review ◽  
Building Capacity ◽  
Academic Practice ◽  
Nursing Leaders ◽  
Formal Evaluation ◽  
Academic Service Partnerships

This integrative review summarizes currently available evidence on academic-service partnerships in the profession of nursing. More than 300 articles, published primarily in refereed journals, were accessed. Articles (110) were included in this review as they presented detailed and substantive information about any aspect of a nursing academic-service partnership. The majority were anecdotal in nature. Topics clustered around the following categories:pre-requisites for successful partnerships, benefits of partnerships, types of partnerships, andworkforce developmentwith its themes ofacademic-practice progressionandeducational re-design.Many examples of partnerships between academic and service settings were thoroughly described and best practices suggested, most often, however, without formal evaluation of outcomes. Nursing leaders in both settings have a long tradition of partnering with very little replicable evidence to support their efforts. It is critical that future initiatives evaluate the effectiveness of these partnerships, not only to ensure quality of patient outcomes but also to maximize efforts at building capacity for tomorrow's workforce.

scholarly journals Pain management in hemophilia: expert recommendations

2021 ◽  
Author(s):  
Waltraud Stromer ◽  
Ingrid Pabinger ◽  
Cihan Ay ◽  
Richard Crevenna ◽  
Josef Donnerer ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Patient Group ◽  
Pain Therapy ◽  
Psychological Intervention ◽  
Underlying Disease ◽  
Effective Manner ◽  
High Prevalence ◽  
Expert Meeting

Summary Introduction As a typical consequence of bleeding into muscles and joints, patients with severe hemophilia suffer from acute and chronic pain. In spite of its high prevalence, pain in this patient group is not always sufficiently considered or treated in an effective manner. Aim The recommendations presented in this paper address possible improvements in pain management in hemophilia patients and particularities that have to be taken into account in this patient group. Method The manifold aspects of pain management in hemophilia patients were discussed within the framework of an expert meeting. Based on the available literature and the experts’ clinical experience, the participants developed a set of recommendations presented in this paper. Results Pain management in patients with hemophilia is often insufficient, a fact that not only influences the patients’ quality of life but also implies the risk of difficult to manage chronic pain. Both the prevalent polypharmacy (due to comorbidities) as well as the underlying disease itself present special challenges to pain therapy in this patient group. The present review and recommendations are intended to support medical professionals in recognising the risks of pain chronicity, applying basic principles of multimodal pain therapy, including the options of psychological intervention and modalities of physical medicine in therapy concepts, and reaching a comprehensive understanding of the range of analgesic options available.

Public Procurement and Innovative Economy Forming

2010 ◽  
pp. 108-117 ◽  
Author(s):  
I. Smotritskaya ◽  
S. Chernykh
Keyword(s):  
Conceptual Framework ◽  
Public Procurement ◽  
Innovative Activity ◽  
Institutional Framework ◽  
Effective Management ◽  
Russian Economy ◽  
Public Resources ◽  
Innovative Economy ◽  
Procurement System

The article analyzes the conceptual framework of public procurement system as an integral part of public regulation to ensure effective management of public resources. The authors consider the problems of transition to a new "quality" of the procurement system, increasing its innovative activity. They put forward proposals for institutional framework and mechanisms of regulating procurement, meeting the needs in innovative upgrading and modernization of the Russian economy.

Cancer pain management

2014 ◽  
Vol 155 (3) ◽  
pp. 93-99
Author(s):  
Péter Heigl
Keyword(s):  
Quality Of Life ◽  
Pain Management ◽  
Pain Relief ◽  
Life Expectancy ◽  
Cancer Pain ◽  
Cancer Pain Management ◽  
Medical Activity ◽  
Short Summary ◽  
Adequate Quality

Pain is a significant and alarming symptom of cancer seriously affecting the activity and quality of life of patients. Recent research proved that inadequate analgesia shortens life expectancy. Therefore, pain relief is not only a possibility but a professional, ethical and moral commitment to relieve patients from suffering, as well as ensure their adequate quality of life and human dignity. Proper pain relief can be achieved with medical therapy in most of the cases and the pharmacological alternatives are available in Hungary. Yet medical activity regarding pain relief is far from the desired. This paper gives a short summary of the guidelines on medical pain management focusing particularly on the use of opioids. Orv. Hetil., 2014, 155(3), 93–99.

Sign in / Sign up

Export Citation Format

Share Document