Relationship Of The Nonverbal Unable To Self Rate Pain Scale And Verbal Scale On Adult Post Operative Patients
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Relationship Of The Nonverbal Unable To Self Rate Pain Scale And Verbal Scale On Adult Post Operative Patients
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Author : Sarah Wood
language : en
Publisher:
Release Date : 2012
Relationship Of The Nonverbal Unable To Self Rate Pain Scale And Verbal Scale On Adult Post Operative Patients written by Sarah Wood and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012 with Dissertations, Academic categories.
Pain and how to measure pain has always been a challenge to the profession of nursing. The best way to assess patients' pain is by having them self-report or verbally inform the healthcare provider by evaluating how the pain feels. The American Pain Society calls the self-report of pain the "Gold Standard of Pain Assessment." The struggle as to how to measure pain occurs when a patient is unable to verbally explain to the nurse that they are in pain/the severity of their pain or if there is a new type of pain they are experiencing. The Nonverbal/Unable to Self-Rate Pain Scale is a tool utilized to help rate pain nonverbally for those who are unable to communicate pain. This tool is a combination of three different nonverbal pain scales which had not been shown to have a relationship with a verbal pain score. This quantitative pilot study compared post-operative patients' reported verbal pain score with the score the principal investigator observed, utilizing the Nonverbal/Unable to Self-Rate Pain Scale. The sample was a convenience sample. The study was conducted at a suburban hospital containing 150 beds. The unit participating in the study was a 47 bed medical/surgical floor specializing in bariatric surgery. The data were analyzed utilizing simple and descriptive statistics. The theoretical framework utilized for this study was Kolcaba's Comfort Theory. The outcome of this study revealed that a nonverbal observed pain score was consistently lower than the verbal pain scores reported by post-operative patients. The clinical implications are the Nonverbal/Unable to Self-Rate Pain Scale is not a useful tool in measuring pain. However, the study did find that the Nonverbal/Unable to Self-Rate Pain Scale was more accurate with the male population. Further input with a broader patient scope could further and better evaluate the effectiveness of the pain scale utilized.
Handbook Of Pain And Palliative Care
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Author : Rhonda J. Moore
language : en
Publisher: Springer
Release Date : 2019-06-12
Handbook Of Pain And Palliative Care written by Rhonda J. Moore and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-06-12 with Psychology categories.
This comprehensive revision of the invaluable reference presents a rigorous survey of pain and palliative care phenomena across the lifespan and across disciplines. Grounded in the biopsychosocial viewpoint of its predecessor, it offers up-to-date understanding of assessments and interventions for pain, the communication of pain, common pain conditions and their mechanisms, and research and policy issues. In keeping with the current public attention to painkiller use and misuse, contributors discuss a full range of pharmacological and non-pharmacological approaches to pain relief and management. And palliative care is given expanded coverage, with chapters on interventive, ethical, and spiritual concerns. · Pain, intercultural communication, and narrative medicine. · Assessment of pain: tools, challenges, and special populations. · Persistent pain in the older adult: practical considerations for evaluation and management. · Acute to chronic pain: transition in the post-surgical patient. · Evidence-based pharmacotherapy of chronic pain. · Complementary and integrative health in chronic pain and palliative care. · The patient’s perspective of chronic pain. · Disparities in pain and pain care. This mix of evolving and emerging topics makes the Second Edition of the Handbook of Pain and Palliative Care a necessity for health practitioners specializing in pain management or palliative care, clinical and health psychologists, public health professionals, and clinicians and administrators in long-term care and hospice.
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.
Adult Gerontology Clinical Nurse Specialist Certification Review
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Author : Amy C. Shay, PhD, RN, APRN-CNS, FCNS
language : en
Publisher: Springer Publishing Company
Release Date : 2021-03-02
Adult Gerontology Clinical Nurse Specialist Certification Review written by Amy C. Shay, PhD, RN, APRN-CNS, FCNS and has been published by Springer Publishing Company this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-03-02 with Medical categories.
Co-Published with the National Association of Clinical Nurse Specialists (NACNS) to provide you with invaluable guidance for acing your Adult-Gerontology CNS exam! This comprehensive review manual provides the ultimate resource for either the AACN Adult-Gerontology Clinical Nurse Specialist Wellness Through Acute Care (ACCNS-AG) or the ANCC Adult-Gerontology Clinical Nurse Specialist (AGCNS-BC) certification exam. It incorporates both current test plans and the most recent NACNS core competencies, encompassing all the essential knowledge you need to pass the exam and succeed in practice. Written by certified Clinical Nurse Specialist educators and practitioners, this guide begins with an overview of both exams, study tips, and test-taking strategies to help you prepare for the big day. The manual is then organized into three sections according to the Three Spheres of Impact for CNS Practice. Patient Direct Care: covers health assessment, diagnostic reasoning, pharmacology, and pathophysiology Nurses & Nursing Practice: reviews health maximization, consultation, advocacy, culturally competent care, and coaching and mentoring Organizations & Systems: features sections on leadership, QI/safety, outcomes, research, and evidence-based practice Adult-Gerontology Clinical Nurse Specialist Certification Review provides a targeted, systematic review for the ACCNS-AG and AGCNS-BC exams with end-of-chapter review questions and a FULL practice test that includes answers and rationales in an easy-to-digest format. Key Features: Reflects the latest AACN and ANCC test plans Incorporates the updated NACNS Core Competencies and the AACN Scope and Standards for CNS Practice Edited and authored by certified Clinical Nurse Specialist educators and practitioners Includes end-of-chapter review questions, PLUS a valuable 175-question practice test with rationales for self-assessment Purchase includes digital access for use on most mobile devices or computers
Chronic Pain Management For The Hospitalized Patient
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Author : Richard W. Rosenquist
language : en
Publisher: Oxford University Press
Release Date : 2016-02-17
Chronic Pain Management For The Hospitalized Patient written by Richard W. Rosenquist and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-02-17 with Medical categories.
Up to 35% of adults suffer from chronic pain, and a substantial number of these patients are admitted to hospitals every year. A major concern of these patients is whether the pain will be adequately controlled during hospitalization. these patients are more likely to have poor pain control and may experience an exacerbation of their co-exisitng chronic pain condition during hospital admission. Adequate pain control is directly related to clinical outcomes, length of hospital stay, and patient satisfaction. A considerable body of evidence demonstrates the medical, social, and economic benefits of satisfactory inpatient pain control. Currently, there are limited pain control guidelines to address this challenging inpatient population. In fact, there are no guidelines outlinign best practices for postoperative pain control in patients with chronic pain. The complex nature of chronic pain and a dearth of publications addressing the concerns of these patients make the creation of relevant guidelines difficult. The goal of this book is to equip clinicians to provide safe and effective management of hospitalized patients with co-existing chronic pain. Each chapter addresses a particular clinical question and is written by an expert in the field. Chapters describe basic principles and specific clinical situations commonly encountered during the care of patients with co-existing chronic pain in hospital settings.
Palliative And End Of Life Care An Issue Of Nursing Clinics Of North America E Book
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Author : James C. Pace
language : en
Publisher: Elsevier Health Sciences
Release Date : 2016-08-10
Palliative And End Of Life Care An Issue Of Nursing Clinics Of North America E Book written by James C. Pace and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-08-10 with Medical categories.
The Guest Editors have secured top experts in the area of palliative care to write current and clinically relevant articles. Articles in this issue are devoted to: Caring for LGBT Populations; Integrating Palliative Care into Primary Care; Pain Management in the Cognitively Impaired; Pain Management in the Client with Substance Use Disorder; Rituals at End of Life; Death Bed Phenomena; Family Care During End of Life; Palliative Wound Care; Pet-Assisted Therapy in Palliative Care; Palliative Sedation: State of the Science. Readers will come away with the updated information they need to provide state-of-the-art palliative care to their patients.
Potter Perry S Fundamentals Of Nursing Anz Edition Ebook
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Author : Jackie Crisp
language : en
Publisher: Elsevier Health Sciences
Release Date : 2020-10-15
Potter Perry S Fundamentals Of Nursing Anz Edition Ebook written by Jackie Crisp and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-10-15 with Medical categories.
Now in its 6th edition, this trusted reference for nursing students supports the development of safe, effective and person-centred practice. The text has been comprehensively revised by nursing leaders and experts from across the spectrum of clinical practice, education, research and health policy settings; and a highly experienced editorial team, which includes Jackie Crisp, Clint Douglas, Geraldine Rebeiro and Donna Waters. Chapters of Potter & Perry’s Fundamentals of Nursing, 6e engage students with contemporary concepts and clinical examples, designed to build clinical reasoning skills. Early chapters introduce frameworks such as Fundamentals of Care and cultural safety, as ways of being and practising as a nurse. These frameworks are then applied in clinical and practice context chapters throughout. Reflection points in each chapter encourage curiosity and creativity in learning, including the importance of self-care and self-assessment. 79 clinical skills over 41 chapters updated to reflect latest evidence and practice standards, including 4 new skills Fully aligned to local learning and curriculum outcomes for first-year nursing programs Aligned to 2016 NMBA Registered Nurse Standards for Practice and National Safety and Quality Health Service Standards Easy-to-understand for beginning students Focus on person-centred practice and language throughout 44 clinical skills videos (including 5 NEW) available on Evolve, along with additional student and instructor resources Accompanied by Fundamentals of nursing clinical skills workbook 4e An eBook included in all print purchases Additional resources on Evolve: • eBook on VitalSource Instructor resources: Testbank Critical Reflection Points and answers Image collection Tables and boxes collection PowerPoint slides Students and Instructor resources: 44 Clinical Skills videos Clinical Cases: Fundamentals of nursing case studies Restructured to reflect current curriculum structure New chapters on end-of-life care and primary care New online chapter on nursing informatics aligned to the new National Nursing and Midwifery Digital Health Capabilities Framework, including a new skill and competency assessment tool
Evidence Based Geriatric Nursing Protocols For Best Practice Sixth Edition
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Author : Marie Boltz, PhD, RN, GNP-BC, FGSA, FAAN
language : en
Publisher: Springer Publishing Company
Release Date : 2020-03-31
Evidence Based Geriatric Nursing Protocols For Best Practice Sixth Edition written by Marie Boltz, PhD, RN, GNP-BC, FGSA, FAAN and has been published by Springer Publishing Company this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-03-31 with Medical categories.
Note to Readers: Publisher does not guarantee quality or access to any included digital components if book is purchased through a third-party seller. AJN Book of the Year 2016 First-Place Winner in Gerontological Nursing! “The evidence-based protocols are designed as a primary reference and are useful, substantive, and timely....The broader contributions of useful format and succinct review of the evidence make it likely that this text will continue to be the leading resource in nursing education and practice.” —The Gerontologist “As a gerontological clinical educator/research nurse, I will often use this as a reference. The format and the content are good, and the explanations of how to best use the evidence simplify the process of sifting through mountains of information to figure the best practice.” Score: 97,**** —Doody’s The newest edition of this distinguished reference in geriatric nursing delivers updated guidelines, new illustrative case studies, and the latest evidence-based protocols developed by leading researchers, educators, and practitioners in each topic area. The sixth edition includes new approaches devoted to supporting LGBTQ+ elders, persons living with dementia and their families, and older adults living with HIV. New operational strategies provide guidance in using the electronic health record, implementing improved person-centered care approaches, and maintaining age-friendly atmospheres. Using evidence derived from all levels of care, this text offers developed guidelines for improving both quality and outcomes when caring for older adults in multiple disciplines, including interprofessional team members, long-term care and other staff educators, social workers, dietitians, and physicians. Chapters provide assessment and management principles, clinical interventions, specialty practice, and models of care. They consistently feature chapter objectives, annotated references, evidence ratings for each protocol, and resources for further investigation. Each protocol is embedded within the chapter content to provide context and detailed evidence. The protocols consistently include an overview, evidence-based assessment, intervention strategies, and a supporting case study with discussion. PowerPoint presentations and a test bank are available as instructor’s resources. New Chapters: Informational Technology: Embedding CPGs Organizational Approaches to Promote Person-Centered Care Environmental Approaches to Support Aging-Friendly Care HIV Prevention and Care for the Older Adult LGBTQ+ Perspectives Key Features: Best practices for in-patient, in-home, and long-term care settings Case studies with discussions in each chapter to illustrate application of clinical practice and related Nursing Standard of Practice Protocol The AGREE systematic method was used to evaluate each protocol and validate this book’s content Instructor’s resources including PowerPoints and a Test Bank Purchase includes digital access for use on most mobile devices and computers
Potter Perry S Fundamentals Of Nursing Aus Version E Book
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Author : Geraldine Rebeiro
language : en
Publisher: Elsevier Health Sciences
Release Date : 2012-11-09
Potter Perry S Fundamentals Of Nursing Aus Version E Book written by Geraldine Rebeiro and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-11-09 with Medical categories.
Potter and Perry’s Fundamentals of Nursing, 4th ANZ edition ebook is the leading fundamentals text for nursing students in Australia and New Zealand. The dynamic fourth edition of Potter and Perry’s Fundamentals of Nursing presents an engaging approach to the fundamentals of nursing while building on its renowned reputation as the foremost text for nursing students across Australia and New Zealand. The new editorial team presents a critical thinking approach, to encourage the critical skills and understandings students require to maintain a high level of active engagement in the development of their practice within the health care systems they will work throughout their careers. Meaningful clinical examples combined with critical thinking questions, promote reflection and support deeper learning. These examples underscore how putting quality nursing knowledge and skills into practice can mean the difference between patient recovery and independence versus life threatening complications and patient decline. Current research examples encourage students to see the dynamic nature of evidence for nursing practice and gain understanding that ongoing change in practice is the norm and should be embraced. Potter and Perry’s Fundamentals of Nursing, 4th ANZ edition ebook is supported by the Fundamentals of Nursing: clinical skills workbook 2nd edition. The skills in this indispensable workbook are directly aligned to the National Competency Standards for the Registered Nurse for Australia and New Zealand and support the theory and practice of each skill. A mobile study app for iOS called ClinicalCases is also available via the Apple App store for purchase. The ClinicalCases app takes an engaging approach to learning and revision. Students will find it the perfect exam preparation and study tool. It consists of 24 progressive case studies with MCQs and explanations for all answers. It also features over 150 Flash card key terms and a Word game. A great way to learn at your own pace, whenever, wherever... Elsevier’s Evolve platform also offers a wealth of online resources for nursing students and lecturers, including an impressive suite of Australian nursing clinical skills videos to be used in conjunction with the text and workbook. These videos are ideal for viewing in class or during independent study and are a valuable tool for revision prior to assessment. Other online resources include PowerPoint presentations, an exam view test bank, critical thinking questions and answers, integrated lesson plans, images, weblinks and a chapter on the Essentials of Care.
Critical Care Nursing E Book
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Author : Linda D. Urden
language : en
Publisher: Elsevier Health Sciences
Release Date : 2017-02-15
Critical Care Nursing E Book written by Linda D. Urden and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-02-15 with Medical categories.
Get a firm understanding and mastery of the unique issues and procedures involved in critical care nursing with Critical Care Nursing: Diagnosis and Management, 8th Edition. Praised for its comprehensive coverage and clear organization, this market-leading text offers a great foundation in the realities and challenges of today’s critical care unit that’s perfect for both nursing students and practicing nurses alike. This new edition also features enhanced integration of QSEN and interprofessional collaborative practice, plus expanded coverage of leadership, post-ICU outcomes and highly contagious infections. Revamped case studies, Patient Teaching boxes, Evidence-Based Practice boxes, Patient Safety Alerts, and other learning tools further develop your critical thinking skills and prepare you for success in high-acuity, progressive, and critical care settings. UNIQUE! Nursing management plans of care feature approximately 35 NANDA-I nursing diagnoses to provide a detailed, ready-to-use, clinically current reference for safe, effective patient care. Consistent organization within each body-system unit provides a systematic framework for learning and for CCRN and PCCN certification preparation. It also serves as a great reference for clinical practice. Pharmacologic Management tables offer quick summaries of the drugs most often used in critical care.