Acute Pain Symptom Assessment And Management In Nonverbal Puerto Rican Patients In The Early Postoperative Period
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Acute Pain Symptom Assessment And Management In Nonverbal Puerto Rican Patients In The Early Postoperative Period
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Author : Sherily Pereira
language : en
Publisher:
Release Date : 2016
Acute Pain Symptom Assessment And Management In Nonverbal Puerto Rican Patients In The Early Postoperative Period written by Sherily Pereira and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016 with categories.
Acute pain is a symptom that represents significant concern for surgical patients during the early postoperative period. This is probably due to the use of ineffective instruments or protocols for assessment in patients with different levels of sedation after general anesthesia. This study described the relationships between the total scores obtained from two pain assessment instruments, the Non-verbal Pain Scale Revised (NVPS-R) and Critical Care Pain Observation Tool (CPOT), during the early postoperative period for non-verbal patients at Post Anesthesia Care Unit (PACU). After assessing patient's pain with both instruments simultaneously, we determined, and evaluated the relationships between the two behavioral instruments to assess acute pain in the early postoperative period. Recent literature confirmed the research gap in assessment of postoperative pain in nonverbal patients due to inadequate evidence to guide recommendations about which specific non-verbal pain instrument to use. The results of this study present a high correlation between total pain scores of both behavioral assessment instruments, CPOT and NVPS-R, for postoperative patients after abdomino-pelvic, gastrointestinal and gynecological surgeries. Incidental findings suggest that CPOT vocalization indicator was consistently present in patients with significant pain. Increases in the NVPS-R vital signs and respiratory indicators were not seen consistently in patients with significant pain. The vital sign indicators included in the NVPS-R need to be further investigated to determine their validity for assuring pain assessment because our findings do not support their use exclusively. Physiologic indicators as heart rate, mean arterial pressure, respiratory rate and pulse oxygen saturation were not good indicators of acute pain. This study is important because pain assessment is the best way to initiate the most appropriate treatment to alleviate pain after surgery. Institutions where surgeries are performed need to standardize and provide clear policies and procedures for effective postoperative pain assessment and management. Healthcare providers are patient advocates and a clear vision in providing the most effective management contributes to decrease the worldwide problem of under treatment of acute pain.
Acute Pain Management
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Author : Raymond S. Sinatra
language : en
Publisher: Cambridge University Press
Release Date : 2009-04-27
Acute Pain Management written by Raymond S. Sinatra and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009-04-27 with Medical categories.
This textbook provides an overview of pain management useful to specialists as well as non-specialists, surgeons, and nursing staff.
Decision Making In Orthopedic And Regional Anesthesiology
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Author : Michael R. Anderson
language : en
Publisher: Cambridge University Press
Release Date : 2015-09-17
Decision Making In Orthopedic And Regional Anesthesiology written by Michael R. Anderson and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-09-17 with Medical categories.
In light of evolving techniques and strategies for increasingly complex orthopedic procedures, this accessible guide to patient management outlines the considerations involved in selecting the most suitable anesthetic for both common and complex clinical scenarios. Chapters cover a multitude of clinical presentations and procedures, ranging from orthopedic trauma to total joint replacement, outpatient hand procedures and regional anesthetic placement in patients with pre-existing conditions. Each chapter discusses and evaluates multiple approaches, accompanied by a review of the current literature. Abundant case scenarios of patients undergoing orthopedic surgical or regional anesthesia provide a handy framework for specialists and consultants, as well as an invaluable guide for trainees in anesthesia, regional anesthesia and emergency medicine.
Relieving Pain In America
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2011-10-26
Relieving Pain In America written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-10-26 with Medical categories.
Chronic pain costs the nation up to $635 billion each year in medical treatment and lost productivity. The 2010 Patient Protection and Affordable Care Act required the Department of Health and Human Services (HHS) to enlist the Institute of Medicine (IOM) in examining pain as a public health problem. In this report, the IOM offers a blueprint for action in transforming prevention, care, education, and research, with the goal of providing relief for people with pain in America. To reach the vast multitude of people with various types of pain, the nation must adopt a population-level prevention and management strategy. The IOM recommends that HHS develop a comprehensive plan with specific goals, actions, and timeframes. Better data are needed to help shape efforts, especially on the groups of people currently underdiagnosed and undertreated, and the IOM encourages federal and state agencies and private organizations to accelerate the collection of data on pain incidence, prevalence, and treatments. Because pain varies from patient to patient, healthcare providers should increasingly aim at tailoring pain care to each person's experience, and self-management of pain should be promoted. In addition, because there are major gaps in knowledge about pain across health care and society alike, the IOM recommends that federal agencies and other stakeholders redesign education programs to bridge these gaps. Pain is a major driver for visits to physicians, a major reason for taking medications, a major cause of disability, and a key factor in quality of life and productivity. Given the burden of pain in human lives, dollars, and social consequences, relieving pain should be a national priority.
Brain Disorders In Critical Illness
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Author : Robert D. Stevens
language : en
Publisher: Cambridge University Press
Release Date : 2013-09-19
Brain Disorders In Critical Illness written by Robert D. Stevens and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-09-19 with Medical categories.
Brain dysfunction is a major clinical problem in intensive care, with potentially debilitating long-term consequences for post-ICU patients of any age. The resulting extended length of stay in the ICU and post-discharge cognitive dysfunction are now recognized as major healthcare burdens. This comprehensive clinical text provides intensivists and neurologists with a practical review of the pathophysiology of brain dysfunction and a thorough account of the diagnostic and therapeutic options available. Initial sections review the epidemiology, outcomes, relevant behavioral neurology and biological mechanisms of brain dysfunction. Subsequent sections evaluate the available diagnostic options and preventative and therapeutic interventions, with a final section on clinical encephalopathy syndromes encountered in the ICU. Each chapter is rich in illustrations, with an executive summary and a helpful glossary of terms. Brain Disorders in Critical Illness is a seminal reference for all physicians and neuroscientists interested in the care and outcome of severely ill patients.
Core Topics In Cardiac Anesthesia
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Author : Jonathan H. Mackay
language : en
Publisher: Cambridge University Press
Release Date : 2012-03-15
Core Topics In Cardiac Anesthesia written by Jonathan H. Mackay and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-03-15 with Medical categories.
Since the publication of the first edition of Core Topics in Cardiac Anaesthesia, the clinical landscape has undergone significant change. Recent developments include the increased use of electrophysiology, the resurgence of primary percutaneous intervention in acute coronary syndromes, the use of percutaneous devices in patients previously considered inoperable, and the withdrawal of aprotinin. Against this landscape, this invaluable resource has been fully updated. New chapters are dedicated to right heart valves, pulmonary vascular disease, cardiac tumours and cardiac trauma. All other chapters have been updated according to the latest international guidelines. Written and edited by an international author team with a wealth of expertise in all aspects of the perioperative care of cardiac patients, topics are presented in an easy to digest and a readily accessible manner. Core Topics in Cardiac Anaesthesia, Second Edition is essential reading for residents and fellows in anaesthesia and cardiac surgery and clinical perfusionists.
Respiratory Care Patient Assessment And Care Plan Development
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Author : David C. Shelledy
language : en
Publisher: Jones & Bartlett Learning
Release Date : 2021-02-08
Respiratory Care Patient Assessment And Care Plan Development written by David C. Shelledy and has been published by Jones & Bartlett Learning this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-02-08 with Medical categories.
Respiratory Care: Patient Assessment and Care Plan Development, Second Edition describes the purpose of patient assessment and then guides the reader through the process of reviewing existing data in the medical record
Pain
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Author : Thomas Hadjistavropoulos
language : en
Publisher: Psychology Press
Release Date : 2004-02-04
Pain written by Thomas Hadjistavropoulos and has been published by Psychology Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2004-02-04 with Health & Fitness categories.
This invaluable resource presents a state-of-the-art account of the psychology of pain from leading researchers. It features contributions from clinical, social, and biopsychological perspectives, the latest theories of pain, as well as basic processes and applied issues. The book opens with an introduction to the history of pain theory and the epidemiology of pain. It then explores theoretical work, including the gate control theory/neuromatrix model, as well as biopsychosocial, cognitive/behavioral, and psychodynamic perspectives. Issues, such as the link between psychophysiological processes and consciousness and the communication of pain are examined. Pain over the life span, ethno-cultural, and individual differences are the focus of the next three chapters. Pain: Psychological Perspectives addresses current clinical issues: * pain assessment and acute and chronic pain interventions; * the unavailability of psychological interventions for chronic pain in a number of settings, the use of self-report, and issues related to the implementation of certain biomedical interventions; and * the latest ethical standards and the theories. Intended for practitioners, researchers, and students involved with the study of pain in fields such as clinical and health psychology, this book will also appeal to physicians, nurses, and physiotherapists. Pain is ideal for advanced courses on the psychology of pain, pain management, and related courses that address this topic.
Oral Health In America
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Author :
language : en
Publisher:
Release Date : 2000
Oral Health In America written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2000 with Dental public health categories.
Core Topics In Airway Management
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Author : Ian Calder
language : en
Publisher: Cambridge University Press
Release Date : 2010-12-16
Core Topics In Airway Management written by Ian Calder and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-12-16 with Medical categories.
Every anaesthetist reaches the end of their career with a collection of difficult airway experiences. Managing airway challenges relies on a combination of good clinical practice, knowledge of relevant basic sciences and critical evaluation of every aspect of airway care. This new edition of Core Topics in Airway Management provides any trainee or consultant involved in airway techniques with practical, clinically relevant coverage of the core skills and knowledge required to manage airways in a wide variety of patients and clinical settings. All new procedures and equipment are reviewed, and detailed chapters advise on airway issues in a range of surgical procedures. This edition also contains a series of practical questions and answers, enabling the reader to evaluate their knowledge. Written by leading airway experts with decades of experience managing difficult airways, Core Topics in Airway Management, 2nd edition is an invaluable tool for anaesthetists, intensivists, and emergency physicians.