American Society for Pain Management Nursing Position Statement with Clinical Practice Guidelines: Authorized Agent Controlled Analgesia

Cooney, Maureen F.; Czarnecki, Michelle L.; Dunwoody, Colleen J.; Eksterowicz, Nancy; Merkel, Sandra; Oakes, Landon; Wuhrman, Elsa

doi:10.1016/j.pmn.2013.07.003

Cited by 21 publications

(19 citation statements)

References 10 publications

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“…PNCA has been shown to be safe and effective in several pediatric populations (Anghelescu et al, 2011;Czarnecki et al, 2008Czarnecki et al, , 2011Czarnecki et al, , 2014Czarnecki, Hainsworth, Simpson, & Weisman, 2017;Malviya et al, 2001;Monitto et al, 2000;Voepel-Lewis, Marinkovic, Kostrzewa, Tait, & Malviya, 2008) and is endorsed by the American Society of Pain Management Nurses (Cooney et al, 2013). Howard et al (2010) reviewed the use of Nurse Controlled Analgesia (NCA) for post-operative pain management in over 10,000 children, 510 of whom were neonates.…”

mentioning

confidence: 99%

A Pilot Randomized Controlled Trial of Outcomes Associated with Parent-Nurse Controlled Analgesia vs. Continuous Opioid Infusion in the Neonatal Intensive Care Unit

Czarnecki

Hainsworth

Simpson

et al. 2020

Pain Management Nursing

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Prospectively compare parent/nurse controlled analgesia (PNCA) to continuous opioid infusion (COI) in the post-operative neonatal intensive care unit (NICU) population. Design/Methods: A randomized controlled trial compared neonates treated with morphine PNCA to those treated with morphine COI. The primary outcome was average opioid consumption up to 3 post-operative days. Secondary outcomes included 1) pain intensity, 2) adverse events that may be directly related to opioid consumption, and 3) parent and nurse satisfaction. Results: The sample consisted of 25 post-operative neonates and young infants randomized to either morphine PNCA (n ¼ 16) or COI (n ¼ 9). Groups differed significantly on daily opioid consumption, with the PNCA group receiving significantly less opioid (P ¼ .02). Groups did not differ on average pain score or frequency of adverse events (P values > .05). Parents in both groups were satisfied with their infant's pain management and parents in the PNCA group were slightly more satisfied with their level of involvement (P ¼ .03). Groups did not differ in nursing satisfaction. Conclusions: PNCA may be an effective alternative to COI for pain management in the NICU population. This method may also substantially reduce opioid consumption, provide more individualized care, and improve parent satisfaction with their level of participation. Clinical Implications: Patients in the NICU represent one of our most vulnerable patient populations. As nurses strive to provide safe and effective pain management, results of this study suggest PNCA may allow nurses to maintain their patients' comfort while providing less opioid and potentially improving parental perception of involvement. Study Type: Treatment study. Level of Evidence: I.

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mentioning

confidence: 99%

A Pilot Randomized Controlled Trial of Outcomes Associated with Parent-Nurse Controlled Analgesia vs. Continuous Opioid Infusion in the Neonatal Intensive Care Unit

Czarnecki

Hainsworth

Simpson

et al. 2020

Pain Management Nursing

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“…En cuanto a las estrategias terapéuticas de gestión del dolor, los niños relataron que al sentir dolor pedían analgésicos y solicitaban a los padres otras medidas, como: masaje en la espalda o pies, compresas calientes o juegos recreativos para distraerlos. En cuanto a las estrategias utilizadas por los enfermeros, todos los niños relataron que ellos administraban medicamentos para aliviar su dolor y algunos mencionaron el uso de otras estrategias, siendo: compresa tibia y crioterapia (18) .…”

Section: Frecuenciaunclassified

Gestión del dolor de niños y adolescentes durante el período post- trasplante de células-tronco hematopoyéticas: una revisión integradora

Sousa

Mercês

Silva

et al. 2018

eglobal

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Este estudo teve como objetivo identificar, em produções científicas, as estratégias utilizadas para o gerenciamento da dor de crianças e adolescentes no período pós-transplante de células-tronco hematopoéticas. Para tanto, utilizou-se como metodologia a revisão integrativa da literatura a partir das seguintes fontes de informação: MEDLINE, LILACS, ScIELO, BDENF, SCOPUS, Web of Science e Plataforma de periódicos CAPES. Os descritores utilizados para a busca foram: pain, pain management; pain pediatric; hematopoietic stem cell transplantation; bone marrow transplantation; e as siglas BMT e HSCT. A amostra final foi constituída por sete artigos científicos, com base nos critérios de inclusão e exclusão. As estratégias de gerenciamento da dor identificadas nos estudos foram: analgesia controlada pelo paciente, analgesia controlada pelo cuidador; terapias complementares, tais como: aromaterapia; fototerapia extra oral com diodos infravermelhos; aplicação de calor; crioterapia; música, jogos, massagem; e indicadores de resultados para monitorar a eficácia do gerenciamento da dor. Concluiu-se que as estratégias mais eficazes foram: analgesia controlada pelo paciente ou cuidador e o indicador de resultados que possibilitou o controle da dor em tempo hábil. Não obstante, é importante ressaltar que outros estudos são necessários para avaliar a eficácia das estratégias complementares citadas. Este estudio tuvo como objetivo identificar, en producciones científicas, las estrategias utilizadas en la gestión del dolor de niños y adolescentes durante el período post trasplante de células-tronco hematopoyéticas. Para ello, utilizó como metodología la revisión integradora de la literatura a partir de las siguientes fuentes de información: MEDLINE, LILACS, ScIELO, BDENF, SCOPUS, Web of Science y Plataforma de periódicos CAPES. Se utilizó como descriptores: pain, pain management; pain pediatric; hematopoietic stem cell transplantation; bone marrow transplantation; y las siglas BMT e HSCT. La muestra final fue constituida por siete artículos científicos, a partir de los criterios de inclusión y exclusión. Las estrategias para la gestión del dolor identificadas en los estudios fueron: analgesia controlada por el paciente, analgesia controlada por el cuidador; terapias complementarias, tales como: aromaterapia; fototerapia extra oral con diodos infrarrojos; aplicación de calor; crioterapia; música, juegos, masaje; e indicadores de resultados para medir la eficacia de la gestión del dolor. La conclusión es que las estrategias más eficaces fueron: analgesia controlada por el paciente o cuidador y el indicador de resultados que posibilitó el control del dolor en tiempo hábil. Sin embargo, es necesario hacer hincapié en la importancia de invertir en otros estudios para evaluación de la eficacia de dichas estrategias complementarias. This study aims at the identification of strategies used for pain management in children and teenagers during the hematopoietic stem cells post-transplant period. An integrative review of literature was employed as methodology for this work, using as sources of information the following databases: MEDLINE, LILACS, SCIELO, BDENF, SCOPUS, Web of Science and CAPES periodic portal. The terms used for searching were: pain, pain management, pain pediatric, hematopoietic stem cell transplantation, bone marrow transplantation; and the acronyms BMT and HSCT. The final sample comprised seven articles, based on inclusion and exclusion criteria. The identified strategies for pain management in the studies were: patient-controlled analgesia, caregiver-controlled analgesia; complementary therapies such as: aromatherapy, extra-oral phototherapy with infrared diodes, heat application, cryotherapy, music, games, massage; and results indicators, in order to monitor the pain management effectiveness. As a conclusion, the most effective strategies were: patient or caregiver-controlled analgesia, and the results indicators that allowed pain management in adequate time. Nevertheless, it is important to highlight that other studies are necessary to evaluate the effectiveness of the complementary strategies employed.

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“…1 This method is referred to as ''nurse-activated dosing'' (NAD) and ''nurse-controlled analgesia,'' and has a long history of use in patients of all ages. 1,2,[5][6][7][8][9] NAD is supported by a position paper with clinical practice recommendations developed by the American Society for Pain Management Nursing, 7,8 and is endorsed by other nursing specialty organizations such as the Oncology Nursing Society and the Hospice and Palliative Care Nurses Association (Table 1 for guidelines for the use of NAD).…”

Section: Nurse-activated Dosingmentioning

confidence: 99%

“…1,2,[5][6][7][8][9] This therapy is referred to as ''caregiver-controlled analgesia'' or ''parent-controlled analgesia,'' depending on who is authorized to manage the patient's pain. 1,9 Caregiver-controlled analgesia, parent-controlled analgesia, and NAD are collectively referred to as ''authorized agent-controlled analgesia''.…”

Section: Nurse-activated Dosingmentioning

confidence: 99%

“…1,9 Caregiver-controlled analgesia, parent-controlled analgesia, and NAD are collectively referred to as ''authorized agent-controlled analgesia''. 7,8 In all cases of authorized agentcontrolled analgesia, the control of analgesia is returned to patients (ie, PCA) if and when they are able to assume it. 1 Criteria for determining which patients are candidates for NAD, policies and procedures, nursing and patient/family education regarding the therapy, and monitoring guidelines should be developed before the unconventional use of a PCA pump.…”

Section: Nurse-activated Dosingmentioning

confidence: 99%

See 1 more Smart Citation

Unconventional Use of a PCA Pump: Nurse-Activated Dosing

Pasero¹

2015

Journal of PeriAnesthesia Nursing

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American Society for Pain Management Nursing Position Statement with Clinical Practice Guidelines: Authorized Agent Controlled Analgesia

Cited by 21 publications

References 10 publications

A Pilot Randomized Controlled Trial of Outcomes Associated with Parent-Nurse Controlled Analgesia vs. Continuous Opioid Infusion in the Neonatal Intensive Care Unit

A Pilot Randomized Controlled Trial of Outcomes Associated with Parent-Nurse Controlled Analgesia vs. Continuous Opioid Infusion in the Neonatal Intensive Care Unit

Gestión del dolor de niños y adolescentes durante el período post- trasplante de células-tronco hematopoyéticas: una revisión integradora

Unconventional Use of a PCA Pump: Nurse-Activated Dosing

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