Nurses' Educational Needs for Pain Management of Post-Cardiac Surgery Patients

Leegaard, Marit; Watt‐Watson, Judy; McGillion, Michael; Costello, Judy; Elgie-Watson, Jeanne; Partridge, Kim

doi:10.1097/jcn.0b013e3181f806bc

Cited by 16 publications

(19 citation statements)

References 33 publications

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“…In addition, many patients receive analgesics on demand, but only minimal doses, particularly in the case of stronger drugs such as opioids, because nurses are afraid of the side effects of such drugs, including addiction and respiratory depression 19,20. Another barrier to proper pain management indicated by nurses is unsatisfactory access to evidence-based knowledge in the approach to pain management and a lack of support from physicians 21–23. Our study showed that a lower level of illness acceptance was associated with greater pain and taking analgesics, which may be due to inadequate pain control.…”

Section: Discussionmentioning

confidence: 69%

Adaptation to illness in relation to pain perceived by patients after surgery

Chabowski

Junke

Juzwiszyn

et al. 2017

JPR

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BackgroundPain is one of the factors that decrease quality of life. Undergoing surgery is inevitably associated with the sensation of pain, which can affect a patient’s level of acceptance of an illness. The aim of the study was to evaluate the level of acceptance of illness in patients undergoing surgical treatment with relation to the pain perceived by them during surgical treatment and to determine other factors that affect adaptation to illness among patients subjected to invasive treatment.Material and methodsThe study was conducted on a group of 100 patients with mean age of 51.27 (SD=18.98) hospitalized in surgery departments in the Provincial Specialist Hospital in Wrocław, Poland, in April 2016. The Acceptance of Illness Scale (AIS) and the Visual Analog Scale (VAS) for pain were used.ResultsThe mean score of VAS was 3.86 (SD =2.02). The mean score of AIS was 24.42 (SD =7.35). The level of acceptance of illness was significantly negatively correlated with the intensity of pain (p<0.001; r=−0.498), the number of coexisting diseases (p=0.002; r=−0.31), age (p<0.001; r=−0.391), and the period of time since the operation (p=0.007; r=−0.266). Patients taking analgesics showed a significantly lower acceptance of illness than those who did not (p=0.009). A patient’s place of living, education, and sex had no significant impact on their acceptance of illness.ConclusionA higher level of pain translates into a lower adaptation to illness despite the use of analgesics, which may indicate that inadequate pain control leads to a decrease in the acceptance of illness. Further research on monitoring postoperative pain, as well as the development of postoperative prevention programs, is required.

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Section: Discussionmentioning

confidence: 69%

Adaptation to illness in relation to pain perceived by patients after surgery

Chabowski

Junke

Juzwiszyn

et al. 2017

JPR

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“…In cognitively impaired or nonverbal patients, information from caregivers or family on the patient's behaviors may aid pain assessments 9 . Nevertheless, patient self‐reporting is generally viewed as more reliable than external observation and is ranked first in the hierarchy of pain assessment techniques 9,12 . Pain assessments should also include pain location, quality, type (eg, visceral, neuropathic), 9,13 and cause 9 .…”

Section: Assessment Of Painmentioning

confidence: 99%

“…Afterward, in‐hospital recovery assessments tend to focus on pain and restoration of more complex physiologic functions 3 . Patients’ expectations may be unrealistic regarding recovery, 12 and it is important for nurses to be familiar with the typical patterns of recovery, and recognize that patient age and comorbidities may have an effect 25,26 . The patient should understand that for most surgical procedures, at least some pain is to be expected 27 .…”

Section: Assessment Of Painmentioning

confidence: 99%

The Role of the Perioperative Nurse in Improving Surgical Patients' Clinical Outcomes and Satisfaction: Beyond Medication

Bruckenthal¹,

Simpson²

2016

AORN Journal

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For the perioperative nurse, the management of postsurgical pain includes various responsibilities, such as performing postsurgical pain assessments as an essential first step, facilitating recovery from surgery, and maximizing patient satisfaction during the postsurgical period. In addition, nurses are responsible for providing patient education regarding pain management, the quality of which may strongly influence patient satisfaction. External and internal challenges exist in perioperative care processes, however, and addressing these challenges will promote the overall goal of providing high-quality care.

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“…Sykepleier har et undervisende ansvar (7). God og tilpasset informasjon til pasienter som står i fare for å utvikle, eller allerede har utviklet, CIPP, kan i mange tilfeller avdekke pasienters misoppfatninger og redsler (8).…”

Section: Sykepleietiltak Ved Cippunclassified

Lindring av polynevropati etter cellegift

Haugen¹,

Haugen²

2018

Sykepleien

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En vanlig seneffekt etter kreftbehandling er cytostatikaindusert perifer polynevropati (CIPP). Denne artikkelen redegjør for en tverrfaglig tilnaerming til lindring av CIPP.Cytostatikaindusert perifer polynevropati (CIPP) kan vaere en plagsom seneffekt etter kreftbehandling. Sykepleieren har en viktig rolle når det gjelder å kartlegge symptomer og iverksette tiltak. Sykepleieren kan også ta initiativ til samarbeid med annet helsepersonell der pasienten kan ha nytte av et tverrfaglig tilbud.Cytostatikabehandling mot kreftsykdom involverer bruk av en rekke saerlig toksiske legemidler (1). Cytostatika retter seg for det meste mot å hemme DNA-replikasjonen i definerte faser der tumorceller er mer sårbare enn friske celler. FAGUTVIKLING Lindring av polynevropati etter cellegift CIPP Polynevropati Kreftbehandling Seneffekter Kreft

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Nurses' Educational Needs for Pain Management of Post-Cardiac Surgery Patients

Cited by 16 publications

References 33 publications

Adaptation to illness in relation to pain perceived by patients after surgery

Adaptation to illness in relation to pain perceived by patients after surgery

The Role of the Perioperative Nurse in Improving Surgical Patients' Clinical Outcomes and Satisfaction: Beyond Medication

Lindring av polynevropati etter cellegift

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