Towards Effective Pain Management: Breaking the Barriers

Al-Mahrezi, Abdulaziz

doi:10.5001/omj.2017.69

Cited by 19 publications

(15 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Majority of studies concluded that Institution related barriers were most rated barrier in pain management. The results of this study match with previous studies, that lack of institutional policies, inappropriate nurse-patient ratio, unavailability of nonpharmacological measures produced hurdle in pain management and made nurses unable to control pain 13,20 .…”

Section: Discussionsupporting

confidence: 86%

“…The current study was carried out to explore the barriers that nurses perceived in the management of cancer pain and have agreement with previous studies that nurse's related barriers exist and produce difficulty in pain management. Among nurse's related barriers, inadequate training to nurses for pain management, inadequate time for pain assessment, inadequate time for health teaching and non-pharmacological interventions were found most agreed barrier that put stress on the call for training of nurses on pain management [11][12][13][14][15] .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Exploration of Barriers Perceived by Oncology Nurses Related to Cancer Pain Management

Rehmat¹,

Begum²,

Manzoor

et al. 2021

JMS

View full text Add to dashboard Cite

Objectives: To explore barriers perceived by oncology nurses in cancer pain management. Methods: A descriptive Cross sectional study was conducted in oncology department of four tertiary care hospitals of Punjab which include Mayo hospital Lahore, Jinnah hospital Lahore, Allied hospital Faisalabad and Nishtar hospital Multan. Sample of 72 nurses working in oncology departments of four tertiary care hospitals were selected by using purposive sampling. Self-administered questionnaire was used to collect data. The data analysis was performed using SPSS version 20 and micro soft excel. Results: The results identified that system related barriers were found more prevalent. From system related barriers inappropriate nurse –patient ratio was found most prevalent barriers as 95.9% (n=72) respondent were agree for this barrier Conclusion: nurses face lot of barriers in pain management that hinder their efficiency to control pain.

show abstract

Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Exploration of Barriers Perceived by Oncology Nurses Related to Cancer Pain Management

Rehmat¹,

Begum²,

Manzoor

et al. 2021

JMS

View full text Add to dashboard Cite

show abstract

“…In addition, it provided good quality of intraoperative analgesia and hemodynamic stability. Previously, in clinical study, intrathecal dexmedetomidine (3μg) added to bupivacaine significantly reduce the onset of motor block and increase sensory and motor block duration with hemodynamic stability and absence of sedation [11] .…”

Section: Discussionmentioning

confidence: 98%

Spinal Bupivacaine-Dexmedetomidine versus Bupivacaine-Fentanyl for lower Limb Amputation Surgery. Effects on Early Stump and Phantom Pain

Fekry¹,

Sharf

Kandil³

et al. 2019

International Journal of Medical Arts

View full text Add to dashboard Cite

Background: In neuroaxial anesthesia, there was many adjuvants used with the purpose of increasing anesthesia duration and reduction of postoperative analgesia. Objective: comparison between dexmedetomidine and fentanyl when added to 0.5% hyperbaric bupivacaine, for lower limb amputation on early stump and phantom pain after spinal anesthesia. Patients and Methods: Ninety patient arranged for lower limb amputation surgery were randomly allocated into three groups (each 30 patients). Each patient received 2 ml of hyperbaric bupivacaine (0.5%) plus 0.5 ml normal saline in control group (Group B) or 5µ dexmedetomidine diluted in 0.5 ml normal saline in BD group or 25 µ fentanyl diluted in 0.5 ml normal saline in BF group. Anesthesia, analgesia, sedation, hemodynamic changes, adverse effects and post-operative pain up to one month were recorded. Results: The studied groups showed no significant differences regarding demographic characteristics and hemodynamic (heart rate and mean arterial pressure). Patients in group BD had significant increase of sensory and motor block time compared to BF B groups. Postoperatively, there was a significant decrease of pain in BD group in the first 24 hours when compared to control or BF group. The postoperative mean total consumption of analgesics during the first day was significantly decreased in BD when compared to BF and control groups. Conclusions: dexmedetomidine (5μg) represents a good alternative to fentanyl (25μg) as a spinal adjuvant to bupivacaine in surgery for the lower limb.

show abstract

“…15 Enhancing the pain management curriculum in medical education is increasingly being seen as a priority. 15,16,17 Enhancing education for practicing physicians about pain and related areas is also increasingly a priority. As of 2018, efforts by the AMA and state and specialty societies have dramatically increased opportunities for health care professionals to complete continuing medical education and to access other resources related to pain care, opioid prescribing, substance use disorders, and other topics on pain management and the nation's opioid epidemic.…”

Section: Framing the Issuementioning

confidence: 99%

Addressing Obstacles to Evidence-Informed Pain Care

2020

AMA Journal of Ethics

View full text Add to dashboard Cite

Pain is a universal human experience and the most common reason patients seek health care. This article describes barriers to effective, high-quality, evidence-informed pain care. Based on the clinical literature and pain specialists' survey results, the AMA Pain Care Task Force suggests strategies that clinicians can use to offer good pain care to patients. The task force also canvasses key policy-level concerns that situate clinicians in micro-and macro-level complexities related to payers, workforce and training demands, legal and regulatory questions, research, stigma, and patients' beliefs and expectations. The viewpoints expressed in this article are those of the author(s) and do not necessarily reflect the views and policies of the AMA.

show abstract

Towards Effective Pain Management: Breaking the Barriers

Cited by 19 publications

References 11 publications

Exploration of Barriers Perceived by Oncology Nurses Related to Cancer Pain Management

Exploration of Barriers Perceived by Oncology Nurses Related to Cancer Pain Management

Spinal Bupivacaine-Dexmedetomidine versus Bupivacaine-Fentanyl for lower Limb Amputation Surgery. Effects on Early Stump and Phantom Pain

Addressing Obstacles to Evidence-Informed Pain Care

Contact Info

Product

Resources

About