Importance of Interdisciplinary Pain Management

Miller, Elaine Tilka; Abu-Alhaija, Dania

doi:10.1016/j.pmn.2019.02.001

Cited by 3 publications

(4 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Proper inter-professional communication in modern healthcare systems plays a determining role in pain management (Miller & Abu-Alhaija 2019b). Accordingly, all attempts should be made to improve collaborative nursephysician relationships to facilitate better patient and organizational outcomes.…”

Section: Discussionmentioning

confidence: 99%

Nurses’ Perspectives on the Barriers and Facilitators of Pain Management in Hospitalized Patients

Amiri

Safa²,

Dianati³

et al. 2019

JCCNC

View full text Add to dashboard Cite

Background: Pain management is among the key tasks of nurses. Numerous studies have investigated the barriers and facilitators of pain management with conflicting results. The current study investigated the Iranian nurses' perspectives in terms of the barriers and facilitators of pain management in hospitalized patients.Methods: This was a cross-sectional study. A total of 321 nurses working in a large general teaching hospital were recruited by the census method. A two-part, self-report questionnaire, including questions on nurses' characteristics and barriers and facilitators of pain management, was applied to collect data. The questionnaire was developed by researchers using a literature review. The questionaries' reliability was assessed through a test-retest with a correlation coefficient of 0.89. SPSS was used for statistical data analysis. Descriptive statistics (frequency, percentage, mean, and standard deviation) were applied to analyze the data.Results: Insufficient nurse/patient ratio (Mean±SD: 3.31±0.87), excessive demand for pain medications by the patients (3.12±0.95), the spoken language difference between physician and patient (3.01±0.85), the ignorance of pain as a priority in care (2.94±0.98), and failure to precise pain assessment (2.90±0.89) were determined by the nurses, as the main barriers to pain management, respectively. The studied nurses also perceived the attendance of in-service courses of pain management (3.39±0.63), having sufficient pain management skills (3.24±0.76), motivation for relieving the patient's pain (3.24±0.81), effective nurse-physician relationship (3.26±0.68), proper supervision of the organization on a timely patient visit by the physician (3.12±0.92), and patient cooperation in pain management (3.21±0.75), as the main facilitators of pain management, respectively. Conclusion:The establishment of in-service education programs on pain management and strengthening the managerial processes, such as staffing and supervision, can facilitate pain management in hospitalized patients by nurses.

show abstract

Section: Discussionmentioning

confidence: 99%

Nurses’ Perspectives on the Barriers and Facilitators of Pain Management in Hospitalized Patients

Amiri

Safa²,

Dianati³

et al. 2019

JCCNC

View full text Add to dashboard Cite

show abstract

“…Chronic pain represents a substantial burden on patients and health systems, due in part to its complexity and resistance to traditional medical and pharmaceutical treatments (1). While progress in interdisciplinary care strategies has been made, effective pain management remains a unique challenge (2). With chronic pain becoming a problem of epidemic proportions(3), healthcare researchers and providers have turned their attention towards the identification of mechanisms for early detection and intervention (4,5).…”

Section: Introductionmentioning

confidence: 99%

“… 1 Though progress in interdisciplinary care strategies has been made, effective pain management remains a unique challenge. 2 With chronic pain becoming a problem of epidemic proportions, 3 health care researchers and providers have turned their attention toward the identification of mechanisms for early detection and intervention. 4 , 5 …”

Section: Introductionmentioning

confidence: 99%

Latent profile analysis of blood marker phenotypes and their relationships with clinical pain and interference reports in people with acute musculoskeletal trauma

Lee

Walton

2021

Canadian Journal of Pain

View full text Add to dashboard Cite

Background : The prevalence of inadequate treatments for chronic pain has necessitated the search for biological factors that influence the transition to chronicity. Methods : Antecubital blood was drawn from those who experienced acute, noncatastrophic musculoskeletal trauma. Follow-up occurred at 1, 3, 6, and 12 months with the primary outcome being Brief Pain Inventory (BPI) Functional Interference scores. Eight markers were chosen for latent profile analysis: brain-derived neurotrophic factor (BDNF); transforming growth factor-beta 1 (TGF-β1); C-reactive protein (CRP); tumor necrosis factor-alpha (TNF-α); interleukins (ILs) 1-beta, 6, and 10; and the stress hormone cortisol. Results : Mean age of the 106 participants was 44.6 years and 58.5% were female. The final model indicated a three-class solution that could be adequately described by three of the eight markers: class 1 = low concentration of all markers (33.9% of the sample), class 2 = average concentration of all markers (47.7%), and class 3 = high concentration of BDNF and TGF-β1 (18.3%). BPI Pain Interference scores captured at both inception and 6-month follow-up were compared across the three groups. Mean scores were significantly higher in class 3 for the BPI Interference subscale at inception (27.0 [SD 16.4] vs. 35.8 [SD 17.3], P = 0.05) and at 6-month follow-up (2.2 [SD 4.8] vs. 7.3 [SD 10.7], P = 0.03) compared to those of the other two classes. Conclusions : Although recovered populations are not significantly different in BDNF and TGF-β1 levels, those who experience persisting disability are more likely to have moderate to high levels in serum.

show abstract

“…Adequate pain management in the postoperative period demands an interdisciplinary approach and is associated with better functional outcomes, early patient mobilization, early hospital discharge, and preventing chronic pain occurrence ( 5 , 6 ). Unimodal analgesia implies administering one analgesic from a specific group (nonsteroidal anti-inflammatory drugs, opioids, non-opioids), requiring relatively high doses of analgesics to achieve a better pain relief.…”

mentioning

confidence: 99%

Intermittent tramadol vs tramadol administration via patient-controlled pump after lumbar discectomy: a randomized controlled trial

Kurtović

Rotim²,

Sajko³

et al. 2022

Croat Med J

View full text Add to dashboard Cite

Aim To compare the effect of intermittent tramadol dosing vs tramadol administration via patient-controlled pump on pain after lumbar discectomy. Methods This randomized prospective study enrolled 100 patients who underwent elective LIV-LV lumbar discectomy in the neurosurgery department at Sestre Milosrdnice University Hospital Center from May 2016 to July 2017. Patients were randomized to receive either tramadol (600 mg daily) via a patient-controlled analgesia (PCA) pump or intermittently. Pain was evaluated by the Croatian version of Short-Form McGill Pain Questionnaire. Results Forty percent of patients were women. The median (interquartile range) age of the patients was 51 (40-61) years. The groups did not differ in pain at 7 pm on the day of discectomy. However, in the morning and evening on the first postoperative day and in the morning and evening of the second postoperative day, the PCA group had significantly lower pain ( P = 0.023, P < 0.001, P < 0.001, P = 0.026, respectively). Conclusion This is the first study that used the Short Form McGill Pain Questionnaire to compare the effect of tramadol administration via PCA pump and intermittent administration on pain after LIV-LV discectomy in a neurosurgery department. Tramadol showed a good analgesic efficacy in lumbar spine surgery; tramadol via PCA controlled pain more effectively than intermittently administered tramadol. Australian New Zealand Clinical Trials Registry: ANZCTR12618001893291.

show abstract

Importance of Interdisciplinary Pain Management

Cited by 3 publications

References 9 publications

Nurses’ Perspectives on the Barriers and Facilitators of Pain Management in Hospitalized Patients

Nurses’ Perspectives on the Barriers and Facilitators of Pain Management in Hospitalized Patients

Latent profile analysis of blood marker phenotypes and their relationships with clinical pain and interference reports in people with acute musculoskeletal trauma

Intermittent tramadol vs tramadol administration via patient-controlled pump after lumbar discectomy: a randomized controlled trial

Contact Info

Product

Resources

About