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1.
Am J Nurs ; 121(6): 45-47, 2021 06 01.
Article in English | MEDLINE | ID: mdl-34009164

ABSTRACT

ABSTRACT: Shoulder injury related to vaccine administration (SIRVA) is a preventable complication caused by improper needle placement. It is associated with persistent shoulder pain and limited range of motion that occur within hours of vaccination and can last for months or longer. This article provides a brief overview of SIRVA and explains how vaccinators can prevent it by using proper injection technique.


Subject(s)
Injections, Intramuscular/adverse effects , Shoulder Injuries/etiology , Shoulder Pain/chemically induced , Vaccines/administration & dosage , Vaccines/adverse effects , Adverse Drug Reaction Reporting Systems , Humans , Injections, Intramuscular/nursing , Needles/adverse effects , Shoulder Injuries/nursing , Shoulder Pain/etiology , Shoulder Pain/nursing
2.
Pain Manag Nurs ; 19(6): 663-670, 2018 12.
Article in English | MEDLINE | ID: mdl-29934129

ABSTRACT

BACKGROUND: The exaggerated lithotomy position with the expertise of nurses can be successful solution for the patients who have the postoperative shoulder pain after laparoscopic cholecystectomy. AIMS: This study aimed to determine the effect of applying an exaggerated lithotomy positions to patients who had laparoscopic cholecystectomy to relieve shoulder pain. The study was conducted on nonrandomized groups and made as a semiexperimental study with a pretest/post-test control group design. Design, Settings, and Subjects/Participants: The study was conducted on 102 patients who had elective laparoscopic cholecystectomy and agreed to participate in this study after they met the inclusion-exclusion criteria in the general surgery clinic of a training and research hospital in Istanbul between December 12, 2012, and June 30, 2013. METHODS: The pain levels (10 minutes before and after positioning) and peripheral oxygen saturation (SPO2) levels (1 minute, 5 minutes, and 10 minutes before and after positioning-total 6 times) of the patients were measured using a visual analog scale and pulse oximetry, respectively. The pain levels and the analgesic (pethidine hydrochloride and diclofenac sodium) usage of the patients in both the experimental and the control group were compared. RESULTS: The exaggerated lithotomy position appreciably lowered the shoulder pain of the patients in the experimental group (t = 12.663; p = .000 < .001). It also increased peripheral saturation levels of the patients more rapidly compared with those in the control group receiving analgesics (t = 17.693; p = .000 < .005). In addition, it decreased the need to use additional analgesics and opioids (t = 2.14; p = .037). CONCLUSIONS: In this study the exaggerated lithotomy position was found to be fast and effective for relieving shoulder pain after laparoscopic cholecystectomy, decreased the need to use additional analgesics and opioids, and, in conjunction with pain control, also contributed to improvements in respiratory functions.


Subject(s)
Cholecystectomy, Laparoscopic/adverse effects , Nursing Process , Pain, Postoperative/prevention & control , Posture , Shoulder Pain/prevention & control , Adult , Aged , Cholecystectomy, Laparoscopic/nursing , Female , Humans , Male , Middle Aged , Pain Management/nursing , Pain, Postoperative/nursing , Shoulder Pain/nursing , Treatment Outcome , Young Adult
4.
J Neurosci Nurs ; 47(1): 10-9, 2015 Feb.
Article in English | MEDLINE | ID: mdl-25503543

ABSTRACT

Hemiplegic shoulder pain is a common, complex, and distressing complication, which is related to stroke and occurs in the paralytic side of the patient. It not only presents in the early stage but also can persist into the chronic stage of stroke. The incidence of this complication varies from 12% to 58%, and the most common period of occurrence is at 8-10 weeks poststroke. The multifactorial etiology and underlying mechanisms make it intractable. It is difficult to get a clear description of the percentage of patients receiving adequate pain relief because of a large number of treatments and different results found in interventional studies performed in subjects in different stages of stroke. This review summarizes the incidence, temporal presentation, and etiology of hemiplegic shoulder pain and the current advances in its management and analyzes the reliability and validity of the studies. It suggests careful and regular assessment, and an integrated care model is necessary in practice.


Subject(s)
Evidence-Based Nursing , Hemiplegia/nursing , Shoulder Pain/nursing , Stroke/nursing , Humans , Nursing Assessment , Pain Management/nursing , Stroke/complications
5.
Nurs Stand ; 28(22): 51-8; quiz 60, 2014.
Article in English | MEDLINE | ID: mdl-24471638

ABSTRACT

Shoulder pain is a common musculoskeletal problem that can have a significant effect on people's activities of daily living and quality of life. Nurses have a central role in the assessment, management and follow up of patients undergoing conservative and surgical treatments. Understanding the often complex and chronic nature of shoulder pain will help healthcare professionals to provide holistic patient-centred care, considering the most suitable treatment options for the individual.


Subject(s)
Pain Management/methods , Patient-Centered Care/methods , Shoulder Pain/nursing , Analgesics/therapeutic use , Humans , Practice Guidelines as Topic , Shoulder Pain/drug therapy
6.
Complement Ther Nurs Midwifery ; 10(4): 209-16, 2004 Nov.
Article in English | MEDLINE | ID: mdl-15519938

ABSTRACT

This study explores the effect of slow-stroke back massages on anxiety and shoulder pain in hospitalized elderly patients with stroke. An experimental quantitative design was conducted, comparing the scores for self-reported pain, anxiety, blood pressure, heart rate and pain of two groups of patients before and immediately after, and three days after the intervention. The intervention consisted of ten minutes of slow-stroke back massage (SSBM) for seven consecutive evenings. One hundred and two patients participated in the entire study and were randomly assigned to a massage group or a control group. The results revealed that the massage intervention significantly reduced the patients' levels of pain perception and anxiety. In addition to the subjective measures, all physiological measures (systolic and diastolic blood pressures and heart rate) changed positively, indicating relaxation. The prolonged effect of SSBM was also evident, as reflected by the maintenance of the psycho-physiological parameters three days after the massage. The patients' perceptions of SSBM, determined from a questionnaire, revealed positive support for SSBM for elderly stroke patients. The authors suggest that SSBM is an effective nursing intervention for reducing shoulder pain and anxiety in elderly patients with stroke. From a nursing perspective, this nursing practice provides a challenge and an opportunity for nurses and family caregivers to blend alternative therapies with technology to provide more individualized and holistic patient care.


Subject(s)
Anxiety/nursing , Massage/methods , Shoulder Pain/nursing , Stroke Rehabilitation , Stroke/nursing , Aged , Aged, 80 and over , Anxiety/etiology , Blood Pressure , Female , Heart Rate , Hong Kong , Humans , Male , Massage/nursing , Nurse's Role , Nurse-Patient Relations , Pain Measurement , Patient Satisfaction/statistics & numerical data , Shoulder Pain/etiology , Surveys and Questionnaires , Time Factors
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