The purposes of this study were to determine the incidence and characteristics of pain in hospitalized patients and to explore the type and perceived effectiveness of pharmacologic and nonpharmacologic therapies. Three hundred and fifty-three randomly selected patients reported experiencing pain during this hospitalization; 58% of these patients experienced excruciating pain. Fewer than half of the patients with pain had a member of the health care team ask them about their pain or note the pain in the patient record. The methods perceived as most effective in decreasing pain were analgesics, sleep, immobilization and distraction. As in earlier studies, the dose of analgesic administered over a 24-h period was less than a quarter of the amount ordered. This study concluded that (1) pain in hospitalized patients is more prevalent than has previously been reported, (2) patients with pain continue to receive inadequate dosages of analgesics, and (3) the identification and treatment of patients with pain remains a significant health care problem.
The division surgeon procured fifty ampules of amyl nitrite, containing 3 minims each. These were used in all doubtful cases. Of course the influence on the heart, as far as it concerns our experiment, is very similar to the effect of exercise. However, there is one great advantage : It is possible to listen to the heart during its period of increasing activity and acceleration, and there is no attending dyspnea as a disturbing factor. In other words, as the patient administers the drug to himself the observer listens at the apex of the heart until the desired effect of the
On September 28th, 1918, serum from convalescent influenzal pneumonia patients was used at my suggestion, in the treatment of this type of broncho-pneumonias at the Chelsea Naval Hospital on the service of Lt. Comm.MeGuire. The outcome in the treatment of 151
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