Subject(s)
Analgesics, Opioid/therapeutic use , Nurse-Patient Relations , Pain/drug therapy , Ethics, Nursing , Humans , MoralsSubject(s)
Analgesics, Opioid/therapeutic use , Liability, Legal , Malpractice , Morphine/therapeutic use , Nurses/legislation & jurisprudence , Pain, Intractable/drug therapy , Aged , Aged, 80 and over , Female , Humans , Joint Commission on Accreditation of Healthcare Organizations , Male , Morphine Dependence , North Carolina , Pain Measurement , United StatesSubject(s)
Pain Measurement/instrumentation , Pain Measurement/methods , Attitude of Health Personnel , Attitude to Health , Bias , Facial Expression , Humans , Nursing Assessment/methods , Nursing Assessment/standards , Nursing Staff/education , Nursing Staff/psychology , Pain Measurement/psychology , Pain Measurement/standards , Patient Education as Topic/methods , Reproducibility of ResultsSubject(s)
Mental Disorders/nursing , Pain Measurement/standards , Pain/drug therapy , Quality Assurance, Health Care/methods , Humans , Joint Commission on Accreditation of Healthcare Organizations , Mental Disorders/complications , Pain/complications , Pain/diagnosis , Pain/psychology , United StatesSubject(s)
Attitude of Health Personnel , Nursing Staff, Hospital/psychology , Stereotyping , Substance-Related Disorders/nursing , Emergency Service, Hospital/statistics & numerical data , Emergency Treatment/methods , Emergency Treatment/psychology , Humans , Nursing Assessment , Substance-Related Disorders/diagnosis , Substance-Related Disorders/etiology , Substance-Related Disorders/psychologySubject(s)
Analgesics, Non-Narcotic/therapeutic use , Arthritis, Rheumatoid/drug therapy , Cyclooxygenase Inhibitors/therapeutic use , Lactones/therapeutic use , Osteoarthritis/drug therapy , Sulfonamides/therapeutic use , Analgesics, Non-Narcotic/administration & dosage , Analgesics, Non-Narcotic/adverse effects , Anti-Inflammatory Agents, Non-Steroidal/administration & dosage , Celecoxib , Cyclooxygenase Inhibitors/administration & dosage , Cyclooxygenase Inhibitors/adverse effects , Drug Therapy, Combination , Gastrointestinal Diseases/chemically induced , Humans , Lactones/administration & dosage , Lactones/adverse effects , Pyrazoles , Randomized Controlled Trials as Topic , Sulfonamides/administration & dosage , Sulfonamides/adverse effects , SulfonesSubject(s)
Analgesics, Opioid/therapeutic use , Hydromorphone/therapeutic use , Meperidine/therapeutic use , Morphine/pharmacology , Morphine/therapeutic use , Pain/drug therapy , Analgesics, Opioid/pharmacology , Chronic Disease , Humans , Hydromorphone/pharmacology , Meperidine/pharmacology , Neoplasms/physiopathology , Pain/etiologySubject(s)
Anesthetics, Local/administration & dosage , Herpes Zoster Oticus/complications , Lidocaine/administration & dosage , Pain/drug therapy , Pain/virology , Anesthetics, Local/pharmacology , Drug Administration Schedule , Evidence-Based Medicine , Humans , Lidocaine/pharmacology , Treatment OutcomeSubject(s)
Analgesics, Opioid/adverse effects , Central Nervous System Diseases/chemically induced , Liability, Legal , Malpractice/legislation & jurisprudence , Meperidine/adverse effects , Nursing Staff, Hospital/legislation & jurisprudence , Pain/drug therapy , Adult , Contraindications , Humans , Male , Nursing Assessment , Pain/nursing , Risk Factors , United StatesSubject(s)
Attitude of Health Personnel , Attitude to Health , Nursing Assessment/standards , Nursing Staff, Hospital/psychology , Pain Measurement/standards , Pain/diagnosis , Deception , Guideline Adherence , Humans , Joint Commission on Accreditation of Healthcare Organizations , Nurse-Patient Relations , Pain/nursing , Pain/psychology , Pain Measurement/psychology , Practice Guidelines as Topic , Trust , United StatesABSTRACT
Pain is common but is often undertreated in critically ill patients. A multimodal balanced analgesic approach is recommended for the management of pain in these patients. Balanced analgesia uses combined analgesic regimens, thereby reducing the likelihood of significant effects from a single agent or method. It may include several different drugs given to prevent or aggressively treat continuous and breakthrough pain as well as pain from procedures.
Subject(s)
Analgesics/therapeutic use , Pain/drug therapy , Adjuvants, Pharmaceutic/therapeutic use , Analgesics, Non-Narcotic/adverse effects , Analgesics, Non-Narcotic/pharmacology , Analgesics, Non-Narcotic/therapeutic use , Analgesics, Opioid/adverse effects , Analgesics, Opioid/pharmacology , Analgesics, Opioid/therapeutic use , Drug Administration Routes , Drug Therapy, Combination , Humans , Ventilator WeaningSubject(s)
Anti-Inflammatory Agents, Non-Steroidal/adverse effects , Blood Coagulation Disorders/chemically induced , Blood Coagulation Disorders/prevention & control , Gastrointestinal Diseases/chemically induced , Gastrointestinal Diseases/prevention & control , Patient Education as Topic/methods , HumansSubject(s)
Ethics, Nursing , Pain/drug therapy , Placebos/therapeutic use , Female , Humans , Pain/nursingABSTRACT
This paper reports on one goal of a project designed to improve end-of-life (EOL) care in nursing education. The goal was to improve the content regarding pain and EOL care included in major nursing textbooks. A descriptive study used content analysis of 50 textbooks selected from a potential of over 700 texts used in nursing education. The 50 texts included 45,683 pages. The text review was conducted using an analysis framework and included content analysis as well as quantification of the content present in the texts. While pain was the most common topic in the texts, the 248 pages of pain content represents only 0.5% of total text content. All nine areas of EOL content (902 pages) comprised only 2% of overall text. Particular weaknesses in the review of pain content were recognized in pharmacologic management of pain. In summary, nursing texts have limited content on pain. Increased attention to this area is essential to prepare nurses to care for patients at the end of life.