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O manejo da dor por profissionais de enfermagem no cuidado de crianças no pós-operatório tardio de cirurgia cardíaca; Late postoperative pain management by the nursing team in the care of children after heart surgery

Queiroz, Fernanda Cristina
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 26/04/2007 PT
Relevância na Pesquisa
56.25%
A dor pós-operatória é um fenômeno complexo, multidimensional e subjetivo, tanto para a criança quanto para os profissionais de saúde que lidam com ela. Seu manejo constitui-se em desafio, principalmente quando está ligado à dor em crianças, com suas particularidades do desenvolvimento infantil. Buscando contribuir com a discussão a respeito do manejo da dor pela equipe de enfermagem, o objetivo do presente estudo é compreender como os profissionais de enfermagem lidam com o manejo da dor em criança, no pós-operatório tardio de cirurgia cardíaca. O estudo é de natureza descritivo-exploratória, com abordagem metodológica qualitativa. Participaram do estudo vinte e três profissionais de enfermagem, sendo seis enfermeiros, três técnicos de enfermagem e quatorze auxiliares de enfermagem. A principal técnica de coleta de dados foi a entrevista semi-estruturada. A observação das atividades desses profissionais na enfermaria, relacionadas ao manejo da dor da criança, e a coleta de dados no prontuário da criança foram as técnicas usadas para complementar os dados provenientes das entrevistas. Na análise de conteúdo, os dados permitiram a compreensão de como os profissionais de enfermagem manejam a dor da criança...

Manejo da dor pós-operatória em pacientes submetidos à mastectomia; Postoperative pain management in patients undergoing mastectomy

Felix, Márcia Marques dos Santos
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 03/09/2013 PT
Relevância na Pesquisa
66.26%
O alívio da dor humana é preceito defendido há milênios e considerado importante missão dos profissionais da saúde. No entanto, milhões de pacientes todos os anos sofrem de dor aguda como resultado de um trauma, doença ou cirurgia. A dor aguda em pós-operatório, decorrente de lesões teciduais, pode gerar alterações fisiológicas que, se não forem resolvidas podem resultar em dor crônica, trazendo prejuízos à saúde e à qualidade de vida. A cirurgia de mastectomia, principal abordagem terapêutica para o tratamento primário do câncer de mama, é responsável por uma série de alterações vivenciadas pelos pacientes que a enfrentam, pois é um processo cirúrgico agressivo que pode levar à ocorrência de dor persistente no pós- operatório. O presente estudo consiste de uma revisão integrativa de literatura com o objetivo de analisar as evidências disponíveis na literatura sobre o manejo da dor pós-operatória em pacientes submetidos à mastectomia. A busca dos estudos primários foi realizada nas bases de dados LILACS, PubMed e CINAHL e compreendeu o período de julho de 2007 a julho de 2012. A amostra constituiu de 21 artigos científicos, que foram reunidos em quatro categorias temáticas: intervenções farmacológicas (5 artigos)...

O manejo da dor neonatal na perspectiva da equipe de saúde de uma maternidade de Ribeirão Preto-SP; Neonatal pain management in the perspective of the health team of a maternity hospital in Ribeirão Preto, São Paulo

Oliveira, Caroline Ramos de
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 26/09/2014 PT
Relevância na Pesquisa
66.28%
A dor é um fenômeno que está presente na assistência em saúde aos neonatos, e sua identificação, avaliação e tratamento pela equipe de saúde são ações relevantes para o bem estar do bebê, visto que interfere no restabelecimento de sua saúde e pode gerar consequências deletérias a curto, médio e longo prazo. O presente trabalho trata-se de um estudo quali-quantitativo, descritivo exploratório, cujo objetivo foi identificar o manejo da dor neonatal sob a perspectiva da equipe de saúde de uma maternidade de Ribeirão Preto - SP. Na etapa quantitativa do estudo, participaram 81 profissionais de saúde da maternidade: 12 pediatras, 1 técnica do laboratório, 22 enfermeiras e 46 auxiliares/técnicas de enfermagem, que responderam a um questionário de autopreenchimento com questões objetivas sobre dados pessoais, profissionais e dados específicos sobre o conhecimento e a prática da avaliação e manejo não farmacológico da dor neonatal. Na segunda etapa, profissionais considerados líderes de equipe foram convidados a participar, de forma individual, de uma entrevista semiestruturada gravada em áudio que após a transcrição foram submetidas à análise de conteúdo. Da análise dos dados quantitativos...

PAIN MANAGEMENT IN NEONATAL INTENSIVE CARE UNITS: TRANSLATING RESEARCH AND EVIDENCE INTO PRACTICE.

Cruz, M Dulce Damas; Fernandes, Ananda; Oliveira, CR
Fonte: International Congress of UENPS (Union of European Neonatal and Perinatal Societies) Publicador: International Congress of UENPS (Union of European Neonatal and Perinatal Societies)
Tipo: Aula
POR
Relevância na Pesquisa
66.16%
Introduction: There is a consensus that a revolution in knowledge of neonate pain management has occurred, an increasing volume of scientific evidence to support the assessment and clinical guidelines. There are also different studies that indicate a gap between what is known and what occurs in practice. The goal of this study was known the models that contribute for applicability of the Evidence-Based Practice and explored the link between the evidence and the neonatal pain management. Methods: A literature review including studies about factors influencing use of research in practice and presentation of models for the integration of evidence-based practice. Results: Individual determinants, educational programs, promoting network and dissemination of evidence-based practice findings are important to increase professional care involvement. While we have growing evidence base, knowledge does not appear to be efficiently translated into practice, one reason may be that the implementation of evidence into practice is not from researcher to practitioner. Practice defined by regulatory, accreditation agencies, and professional standards if regulated by audits have more efficacy. Strategies involving interaction between healthcare professionals are consistent. Social learning theory contributes to theoretical understanding of pain...

Iliohypogastric/ilioinguinal nerve block in inguinal hernia repair for postoperative pain management: comparison of the anatomical landmark and ultrasound guided techniques

Demirci,Abdurrahman; Efe,Esra Mercanoglu; Türker,Gürkan; Gurbet,Alp; Kaya,Fatma Nur; Anil,Ali; Çimen,İlker
Fonte: Sociedade Brasileira de Anestesiologia Publicador: Sociedade Brasileira de Anestesiologia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/10/2014 EN
Relevância na Pesquisa
66.02%
Objectives: The purpose of this study is to compare the efficacy of iliohypogastric/ilioinguinal nerve blocks performed with the ultrasound guided and the anatomical landmark techniques for postoperative pain management in cases of adult inguinal herniorrhaphy. Methods: 40 patients, ASA I-II status were randomized into two groups equally: in Group AN (anatomical landmark technique) and in Group ultrasound (ultrasound guided technique), iliohypogastric/ilioinguinal nerve block was performed with 20 ml of 0.5% levobupivacaine prior to surgery with the specified techniques. Pain score in postoperative assessment, first mobilization time, duration of hospital stay, score of postoperative analgesia satisfaction, opioid induced side effects and complications related to block were assessed for 24 h postoperatively. Results: VAS scores at rest in the recovery room and all the clinical follow-up points were found significantly less in Group ultrasound (p < 0.01 or p < 0.001). VAS scores at movement in the recovery room and all the clinical follow-up points were found significantly less in Group ultrasound (p < 0.001 in all time points). While duration of hospital stay and the first mobilization time were being found significantly shorter...

Chronic pain management in non-oncologic patients: multicentric study on adult patients referring to the centers for pain management in the Lazio Region (Italy); LA GESTIONE DEL DOLORE CRONICO NON ONCOLOGICO: STUDIO MULTICENTRICO SULLA POPOLAZIONE ADULTA AFFERENTE AI CENTRI DI TERAPIA DEL DOLORE NELLA REGIONE LAZIO

LATINA, ROBERTO
Fonte: La Sapienza Universidade de Roma Publicador: La Sapienza Universidade de Roma
Tipo: Tese de Doutorado
IT
Relevância na Pesquisa
56.29%
Introduction Chronic pain is a complex phenomenon usually associated with psychological stress, which implies falling back on the National Health Service and reducing work capacities, indeed affecting Activities of Daily Living. Studies based on efficacy have identified the multidisciplinary approach as the most effective means to obtain therapeutic results. These programs can be provided by the Centers for Pain Management (CPMs), where multidisciplinary teams are likely to provide the necessary expertise to outline the best treatments for the diagnosis and management of chronic pain. To date, very little information is available on the kind of assistance and support these centers can provide, as well as on the clinical and socio-demographic characteristics of patients who refer to these facilities. Aims The present investigation has the following objectives: • to describe what kind of assistance the centers for pain management (CPMs) in the Lazio Region are able to provide; • to describe the clinical and socio-demographic characteristics of the population referring to the CPMs; • to describe the type of pharmacologic, complementary and intervention treatments; • to describe the clinical characteristics of patients who turn to the two different levels of available assistance (hub and spoke system). Methods In 2011 a non-profit...

Are we providing the best possible pain management for our elderly patients in the acute-care setting?

Mcliesh, P.; Mungall, D.; Wiechula, R.
Fonte: Blackwell Publishing Asia Publicador: Blackwell Publishing Asia
Tipo: Artigo de Revista Científica
Publicado em //2009 EN
Relevância na Pesquisa
66.23%
Background: During 2008 seven practice improvement projects were conducted in an acute-care hospital under the banner of The Older Person and Improving Care (TOPIC 7). Each project team examined a discrete aspect of care of the elderly and this project focus was on pain management and in particular assessment of the older person with communication difficulties. Aims: The project intended to assess current practice and implement changes to match best practice in the management of pain in the older person within an acute-care setting. Methods: A multidisciplinary team was recruited to conduct the project. The pain team with the other six TOPIC 7 teams was facilitated by a coordinating team. The project was divided into four phases. Phase one was designated as Describing, where the clinical issue was identified and focused to priority areas. It was decided to focus on the elderly who were unable to verbally communicate their pain management needs. Standards of practice relevant to the area of practice were sourced to guide practice improvement. Phase two was Measuring activity where clinical audits were used to measure current practice and compare this with the appropriate standards. Phase three was Taking action where a range of practice improvement activities were implemented including the introduction of the Abbey Pain Scale. The final phase was designated as Review and share where the impact of the project activities was measured with a follow-up audit and the results were disseminated. Results: Initial results showed a need for increased awareness of the difficulties in the pain assessment and management of older persons who cannot verbally communicate their needs. Seventy-eight per cent of patients had a documented pain assessment in the previous 24 h on audit. However...

Enhancing the use of opioids in pain management: antinociceptive potentiation with opioid agonist/antagonist combinations.

La Vincente, Sophie
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2005
Relevância na Pesquisa
66.11%
While opioids are the most effective and widely used class of drug for the management of moderate to severe pain, their use may be limited by adverse effects that are unpleasant and potentially dangerous. Research is increasingly directed towards strategies to improve the use of opioids in pain management, investigating methods by which the analgesia afforded by an opioid may be enhanced, while minimising adverse effects. One approach that has produced promising findings in animal studies and some clinical reports is the combination of an opioid agonist and "ultra-low" (nanomole) doses of an opioid antagonist. A recent animal study reported that antinociception may be significantly enhanced with the combination of the partial opioid agonist/antagonist buprenorphine and ultra-low doses of the antagonist naloxone. The central aim of the studies described herein was to investigate the effect of this drug combination on response to experimental nociceptive stimuli and the incidence and severity of adverse effects among healthy volunteers. The first study established normative responses to two commonly used nociceptive tests, the cold pressor and electrical stimulation tests, in 100 healthy volunteers. The effect of buprenorphine on nociceptive test performance had not previously been determined...

Relaxation techniques for pain management in labour

Smith, C.; Levett, K.; Collins, C.; Crowther, C.
Fonte: Update Software Ltd Publicador: Update Software Ltd
Tipo: Artigo de Revista Científica
Publicado em //2011 EN
Relevância na Pesquisa
66.23%
Background: Many women would like to avoid pharmacological or invasive methods of pain management in labour and this may contribute towards the popularity of complementary methods of pain management. This review examined currently available evidence supporting the useof relaxation therapies for pain management in labour. Objectives: To examine the effects of relaxation methods for pain management in labour on maternal and perinatal morbidity. Search methods: We searched the Cochrane Pregnancy and Childbirth Group’s Trials Register (30 November 2010), The Cochrane Complementary Medicine Field’s Trials Register (November 2011), the Cochrane Central Register of Controlled Trials (The Cochrane Library 2010, Issue 4), MEDLINE (1966 to 30 November 2010), CINAHL (1980 to 30 November 2010), the Australian and New Zealand Clinical Trial Registry (30 November 2010), Chinese Clinical Trial Register (30 November 2010), Current Controlled Trials (30 November 2010), ClinicalTrials.gov, (30 November 2010) ISRCTN Register (30 November 2010), National Centre for Complementary and Alternative Medicine (NCCAM) (30 November 2010) and the WHO International Clinical Trials Registry Platform (30 November 2010). Selection criteria: Randomised controlled trials comparing relaxation methods with standard care...

Acupuncture or acupressure for pain management in labour (review)

Smith, C.; Collins, C.; Crowther, C.; Levett, K.
Fonte: Update Software Ltd Publicador: Update Software Ltd
Tipo: Artigo de Revista Científica
Publicado em //2011 EN
Relevância na Pesquisa
56.24%
Background: Many women would like to avoid pharmacological or invasive methods of pain management in labour and this may contribute towards the popularity of complementary methods of pain management. This review examined evidence supporting the use of acupuncture and acupressure for pain management in labour. Objectives: To examine the effects of acupuncture and acupressure for pain management in labour. Search methods: We searched the Cochrane Pregnancy and Childbirth Group’s Trials Register and The Cochrane Complementary Medicine Field’s Trials Register (October 2010), the Cochrane Central Register of Controlled Trials (The Cochrane Library 2010, Issue 4), MEDLINE (1966 to October 2010), and CINAHL (1980 to October 2010). Selection criteria: Published and unpublished randomised controlled trials comparing acupuncture and acupressure with placebo, no treatment or other non-pharmacological forms of pain management in labour. We included all women whether primiparous or multiparous, and in spontaneous or induced labour. Data collection and analysis: We performed meta-analysis using risk ratios (RR) for dichotomous outcomes and mean differences (MD) for continuous outcomes. The outcome measures included pain intensity, satisfaction with pain relief...

Post-operative pain management: a literature review

Kitson, A.
Fonte: John Wiley & Sons Publicador: John Wiley & Sons
Tipo: Artigo de Revista Científica
Publicado em //1994 EN
Relevância na Pesquisa
66.1%
The appropriateness of any set of criteria generated to measure the quality of a particular intervention is dependent upon a thorough, up-to-date assessment of the current state-of-the-art. Few areas in nursing have received as much research attention as that of pain control, particularly post-operative pain control. The following review of the literature* on this subject complements earlier reviews undertaken by Seers (1988) by organizing the information according to four distinct categories, namely environmental issues, nursing actions, patient outcomes and a review of a number of pain measures. This particular format was selected in order to help in the development of structure, process and outcome criteria on the topic of post-operative pain management. The section on measurement is to inform practitioners about pain-assessment charts and provide ideas about auditing this area.; Alison Kitson; Review

The efficacy of local anaesthetic infiltrated at the incision site for post-operative pain management following abdominal surgery: an application to fast-track surgery.

Krishnan, Sumithra
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2012
Relevância na Pesquisa
66.13%
Post-operative pain is the most commonly encountered and therapeutically difficult problem on a surgical ward. Pain can be a preventable outcome of surgery but its treatment is inadequate for many patients, as 30-70 % of patients continue to suffer from pain post-operatively. Current pharmacological approaches used for pain management consist mainly of opioids, which cause serious adverse effects and may increase patient morbidity and prolong recovery. Therefore, this may be reduced with appropriately delivered local anaesthesia, as a favourable adjuvant. The aim of this study was to test whether a continuous 96 hour infusion of the local anaesthetic, levobupivacaine, using a commercial infiltration device (Painbuster®, IFlow Corp, USA), delivered into the deeper muscle layers where pain fibres penetrate, can minimise or eliminate the need for opioid analgesia following laparoscopic or open abdominal surgery. The novel aspects of the study include the higher dosage of the local anaesthetic, the longer duration of infusion, and the location of the catheter in the deeper tissue layers aimed at maximising response, all as part of a fast-track surgery approach. Patients scheduled for laparoscopic or open abdominal surgery who consented into this randomised double-blinded placebo-controlled trial...

A randomized double-blind clinical trial of a continuous 96-hour levobupivacaine infltration after open or laparoscopic colorectal surgery for postoperative pain management - including clinically important changes in protein binding

Krishnan, S.; Morris, R.; Hewett, P.; Field, J.; Karatassas, A.; Tou, S.; Westley, I.; Wicks, F.; Tonkin, J.
Fonte: Lippincott Williams & Wilkins Publicador: Lippincott Williams & Wilkins
Tipo: Artigo de Revista Científica
Publicado em //2014 EN
Relevância na Pesquisa
66.02%
Background: Continuous local anesthetic infiltration has been used for pain management after open colorectal surgery. However, its application to patients undergoing laparoscopic colorectal surgery has not been examined. The aim of this prospective, randomized, double-blind, placebo-controlled clinical trial was to study the use of a commercial infiltration device in patients undergoing open or laparoscopic colorectal surgery, along with plasma concentrations of levobupivacaine, its acute-phase binding protein (alpha-1 acid glycoprotein, AAG), and the stress marker, cortisol. Methods: Eligible patients were randomized (2:1) to receive a continuous infiltration of either levobupivacaine or placebo using a commercial device (ON-Q PainBuster) inserted in the preperitoneal layer at the end of surgery. Blood was sampled for determination of levobupivacaine and AAG and cortisol concentrations. Other outcomes measured were pain scores, morbidity and mortality, time to bowel movement, mobilization, and length of hospitalization. Results: In patients having open surgery, the levobupivacaine treatment showed a trend toward reduced total opioid consumption. No patients reported adverse effects attributable to levobupivacaine, despite 11 patients having concentrations at some time(s) during the 96-hour infiltration of up to 5.5 mg/L exceeding a putative toxicity threshold of 2.7 mg/L. AAG concentrations measured postsurgery increased by a mean of 55% (P < 0.001) at 48 hours. Cortisol concentrations also increased significantly by a mean of 191% at 1 hour. Conclusions: Continuous local anesthetic infiltration may be more beneficial in open surgery. The threshold for adverse effects from highly bound local anesthetic drugs established in healthy volunteers is of limited usefulness in clinical scenarios in which AAG concentration increases in response to surgical stress. Hence...

Muscle relaxants for pain management in rheumatoid arthritis

Richards, B.L.; Whittle, S.L.; Buchbinder, R.
Fonte: Cochrane Collaboration Publicador: Cochrane Collaboration
Tipo: Artigo de Revista Científica
Publicado em //2012 EN
Relevância na Pesquisa
66.17%
BACKGROUND Pain management is a high priority for patients with rheumatoid arthritis (RA). Muscle relaxants include drugs that reduce muscle spasm (for example benzodiazepines such as diazepam (Valium), alprazolam (Xanax), lorazepam (Ativan) and non-benzodiazepines such as metaxalone (Skelaxin) or a combination of paracetamol and orphenadrine (Muscol)) and drugs that prevent increased muscle tone (baclofen and dantrolene). Despite a paucity of evidence supporting their use, antispasmodic and antispasticity muscle relaxants have gained widespread clinical acceptance as adjuvants in the management of patients with chronic musculoskeletal pain. OBJECTIVES The aim of this review was to determine the efficacy and safety of muscle relaxants in pain management in patients with RA. The muscle relaxants that were included in this review are the antispasmodic benzodiazepines (alprazolam, bromazepam, chlordiazepoxide,cinolazepam, clonazepam, cloxazolam, clorazepate, diazepam, estazolam, flunitrazepam, flurazepam, flutoprazepam, halazepam, ketazolam, loprazolam, lorazepam, lormetazepam, medazepam, midazolam, nimetazepam, nitrazepam, nordazepam, oxazepam, pinazepam, prazepam, quazepam, temazepam, tetrazepam, triazolam), antispasmodic non-benzodiazepines (cyclobenzaprine...

Neuromodulators for pain management in rheumatoid arthritis

Richards, B.L.; Whittle, S.L.; Buchbinder, R.
Fonte: John Wiley & Sons Publicador: John Wiley & Sons
Tipo: Artigo de Revista Científica
Publicado em //2012 EN
Relevância na Pesquisa
66.18%
BACKGROUND Pain management is a high priority for patients with rheumatoid arthritis (RA). Despite deficiencies in research data, neuromodulators have gained widespread clinical acceptance as adjuvants in the management of patients with chronic musculoskeletal pain. OBJECTIVES The aim of this review was to determine the efficacy and safety of neuromodulators in pain management in patients with RA. Neuromodulators included in this review were anticonvulsants (gabapentin, pregabalin, phenytoin, sodium valproate, lamotrigine, carbamazepine, levetiracetam, oxcarbazepine, tiagabine and topiramate), ketamine, bupropion, methylphenidate, nefopam, capsaicin and the cannabinoids. SEARCH METHODS We performed a computer-assisted search of the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2010, 4th quarter), MEDLINE (1950 to week 1 November 2010), EMBASE (Week 44, 2010) and PsycINFO (1806 to week 2 November 2010). We also searched the 2008 and 2009 American College of Rheumatology (ACR) and European League against Rheumatism (EULAR) conference abstracts and performed a handsearch of reference lists of articles. SELECTION CRITERIA We included randomised controlled trials which compared any neuromodulator to another therapy (active or placebo...

PACU nurses & postoperative pain : A focused ethnography

Nayar, Priya Susan
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2014
Relevância na Pesquisa
56.27%
BACKGROUND: The post-anaesthetic care unit (PACU) is the first place that patients are taken following their operation and it is here that the initial recovery from their anaesthetic and surgery happens. Accordingly a significant proportion of the PACU nurse’s time is involved with the assessment and management of pain in the postoperative patient. Despite the implementation of standardised tools such as pain rating scales and medication protocols, the assessment and management of postoperative pain varies markedly from one patient to another in the PACU. Taking this into consideration, the researcher sought to understand how PACU nurses interpret pain assessment and management of the postoperative patient. AIM: To understand the processes PACU nurses utilise when assessing pain and implementing subsequent pain management in patients following surgery. METHODOLOGY: The qualitative approach of focused ethnography was used to frame this study. Focused ethnography was considered to best portray the perspectives of PACU nurses, as a culture, regarding the assessment and management of postoperative pain. METHODS: Ten PACU nurses were recruited from the PACU of a government hospital. The experience of the participants ranged from 3 years to more than 20 years in PACU nursing. James Spradley’s ethnographic research cycle was used to frame the research process. The research design employed two methods of data collection: participant observation and individual interviews. Collected data was transcribed and thematic analysis conducted. FINDINGS: Five themes emerged reflecting the perspectives of PACU nurses on the assessment and management of postoperative pain. These themes are: With Surgery Comes Pain; The Picture Beyond The Wound; Knowing; The Individual Experience; and Bridging Surgical Care. There are many complexities involved in assessing and managing postoperative pain in the PACU. Underpinning the five themes...

Pain management in hospitalized children in Portugal

Batalha, Luís Manuel da Cunha; Costa, Luisa Paula Santos; Reis, Gina Maria Rodrigues; Jacinto, Florinda Maria Reis Cerol; Santos, Paulo Miguel Gomes; Machado, Rosa
Fonte: Escola Superior de Enfermagem de Coimbra Publicador: Escola Superior de Enfermagem de Coimbra
Tipo: Conferência ou Objeto de Conferência Formato: application/pdf
Publicado em 18/07/2013 ENG
Relevância na Pesquisa
66.21%
Pain management in hospitalized children in Portugal Negligence in pain management practice is a recognized problem. Since 2001, Portugal has been making a strong effort to improve health care practices in this area through the development of awareness-raising campaigns, training sessions and publication of guidelines and best practice manuals. However, there is a lack of information on the prevalence of pain in hospitalized children and on the type of treatments used to manage pain1,2. This study aimed to identify the prevalence of pain in hospitalized children and characterize the type of treatments. A cross-sectional descriptive study was conducted based on an analysis of the clinical records over the last 24 hours. The sample was composed of children up to 18 years old with at least 24 hours of hospitalization in 4 pediatric hospitals. The clinical records were randomly selected and included 20% of staffing from each ward, in a total of 810 hours. Data were collected between August and December, 2011. Pain intensity was measured on a 0-10 scale: No pain <1; mild 1-3; Moderate 3-6; Severe or very severe 6-10. The analysis of the clinical records showed that children's mean age was 5 years, ranging between 0.4 and 18 years. Most participants were male (n=457...

Complementary and alternative therapies for pain management in labour

Smith, C.; Collins, C.; Cyna, A.; Crowther, C.
Fonte: John Wiley & Sons Publicador: John Wiley & Sons
Tipo: Artigo de Revista Científica
Publicado em //2006 EN
Relevância na Pesquisa
56.23%
BACKGROUND: Many women would like to avoid pharmacological or invasive methods of pain management in labour and this may contribute towards the popularity of complementary methods of pain management. This review examined currently available evidence supporting the use of alternative and complementary therapies for pain management in labour. OBJECTIVES: To examine the effects of complementary and alternative therapies for pain management in labour on maternal and perinatal morbidity. SEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (February 2006), the Cochrane Central Register of Controlled Trials (The Cochrane Library 2006, Issue 1), MEDLINE (1966 to February 2006), EMBASE (1980 to February 2006) and CINAHL (1980 to February 2006). SELECTION CRITERIA: The inclusion criteria included published and unpublished randomised controlled trials comparing complementary and alternative therapies (but not biofeedback) with placebo, no treatment or pharmacological forms of pain management in labour. All women whether primiparous or multiparous, and in spontaneous or induced labour, in the first and second stage of labour were included. DATA COLLECTION AND ANALYSIS: Meta-analysis was performed using relative risks for dichotomous outcomes and mean differences for continuous outcomes. The outcome measures were maternal satisfaction...

Complementary and alternative therapies for pain management in labour

Smith, C.; Collins, C.; Cyna, A.; Crowther, C.
Fonte: John Wiley & Sons Publicador: John Wiley & Sons
Tipo: Artigo de Revista Científica
Publicado em //2003 EN
Relevância na Pesquisa
66.24%
BACKGROUND: Many women would like to avoid pharmacological or invasive methods of pain management in labour and this may contribute towards the popularity of complementary methods of pain management. This review examined currently available evidence supporting the use of alternative and complementary therapies for pain management in labour. OBJECTIVES: To examine the effectiveness of complementary and alternative therapies for pain management in labour on maternal and perinatal morbidity. SEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group trials register (July 2002), the Cochrane Controlled Trials Register (The Cochrane Library Issue 2, 2002), MEDLINE (1966 to July 2002), EMBASE (1980 to July 2002) and CINAHL (1980 to July 2002). SELECTION CRITERIA: The inclusion criteria included published and unpublished randomised controlled trials comparing complementary and alternative therapies with placebo, no treatment or pharmacological forms of pain management in labour. All women whether primiparous or multiparous, and in spontaneous or induced labour, in the first and second stage of labour were included. DATA COLLECTION AND ANALYSIS: Meta-analysis was performed using relative risks for dichotomous outcomes and weighted mean differences for continuous outcomes. The outcome measures were maternal satisfaction...

Supporting chronic pain management across provincial and territorial health systems in Canada: Findings from two stakeholder dialogues

Wilson, Michael G; Lavis, John N; Ellen, Moriah E
Fonte: Pulsus Group Inc Publicador: Pulsus Group Inc
Tipo: Artigo de Revista Científica
EN_US
Relevância na Pesquisa
66.23%
BACKGROUND: Chronic pain is a serious health problem given its prevalence, associated disability, impact on quality of life and the costs associated with the extensive use of health care services by individuals living with it. OBJECTIVE: To summarize the research evidence and elicit health system policymakers’, stakeholders’ and researchers’ tacit knowledge and views about improving chronic pain management in Canada and engaging provincial and territorial health system decision makers in supporting comprehensive chronic pain management in Canada. METHODS: For these two topics, the global and local research evidence regarding each of the two problems were synthesized in evidence briefs. Three options were generated for addressing each problem, and implementation considerations were assessed. A stakeholder dialogue regarding each topic was convened (with 29 participants in total) and the deliberations were synthesized. RESULTS: To inform the first stakeholder dialogue, the authors found that systematic reviews supported the use of evidence-based tools for strengthening chronic pain management, including patient education, self-management supports, interventions to implement guidelines and multidisciplinary approaches to pain management. While research evidence about patient registries/treatment-monitoring systems is limited...