Der Schmerz
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Multicenter Study Comparative Study
[Pain therapy in German long-term care facilities in a European comparison : Results of the SHELTER study].
A considerable number of nursing home residents suffering from pain are insufficiently treated. International comparisons of pain management in German (GER) and other European (EU) nursing homes are still lacking. ⋯ The data demonstrate significant deficits in the recognition and treatment of pain in residents living in German or other European nursing home facilities. Further scope for improvement is seen in better recognition of relevant pain, in the adequate use of PRN and long-term medication and especially in the use of activating non-pharmacological treatment.
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Multicenter Study
[Patients with pain in outpatient care : A nationwide cross-sectional survey with path model].
There is limited knowledge on the degree of pain and pain-related impairments in home care clients. This study was carried out to provide data on the prevalence of pain and pain-related impairments in home care patients and to investigate the impact on activities of daily living and on classification into the three levels of care as defined by the statutory German long-term care insurance. ⋯ Even though the majority of home care clients in this representative study suffered from pain, the degree of pain intensity only becomes an issue in home care if it concurs with impairments in daily living and a corresponding classification to higher levels of care dependency. These findings suggest that pain and pain management should receive more attention in home care, irrespective of observable impairments in daily living. In practice, nurses in home care services should regularly assess the level of pain intensity among home care clients and the results of these regular pain assessments should be taken into account for the identification of individual care needs.
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Multicenter Study Comparative Study
[Social desirability in pain therapy : Response behavior of various professional groups on the implementation of multi-professional pain management.]
Research on the quality of pain management is often based on self-reported data pertaining to internal regulations provided by employees. However, data examining the correctness of the information given are rare. The project "Pain-Free Hospital" facilitated such an analysis and compared the answers provided by staff members with currently existing regulations. ⋯ Therapy plans and pain management-related regulations are known in hospitals after a systematic training. Data suggest that hospitals without regulations show a trend towards social desirability.
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Multicenter Study Observational Study
[Capsaicin 8 % cutaneous patches for phantom limb pain : Results from everyday practice (non-interventional study).]
Post amputation pain presents a challenge for pain physicians and is often detrimental to the patient's quality of life. ⋯ Capsaicin 8 % cutaneous patches seem to be effective and safe for the treatment of post amputation pain, notably in patients suffering from phantom limb pain.
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Multicenter Study Comparative Study
[Quality management in regional anesthesia using the example of a Regional Anesthesia Surveillance System (RASS)].
Regional anesthesia and regional analgesia techniques with or without a continuous catheter are frequently utilized in all areas of modern anesthesiology. There are individual and economic benefits but also risks involved with those techniques. ⋯ Therefore, it is important to create national and international databases with large case numbers utilizing standardized definitions of complications in order to allow realistic risk assessment and early discovery of potential dangers and preventive actions. This article shows the integration of standardized codes from the Regional Anesthesia Surveillance System with a software tool to allow high-quality data acquisition and the building of a foundation for national and international data collection and analysis as well as for feedback of institutional data for individual process optimization as part of a quality management system.