Articles: pain-management-methods.
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Controlling patients' pain is now a key factor in HCAHPS scores--and reimbursement. This Clinical Management installment looks at hospitals that are stepping up to the plate.
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Randomized Controlled Trial
Morphine and ketamine is superior to morphine alone for out-of-hospital trauma analgesia: a randomized controlled trial.
We assess the efficacy of intravenous ketamine compared with intravenous morphine in reducing pain in adults with significant out-of-hospital traumatic pain. ⋯ Intravenous morphine plus ketamine for out-of-hospital adult trauma patients provides analgesia superior to that of intravenous morphine alone but was associated with an increase in the rate of minor adverse effects.
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Comparative Study
An assessment of a short composite questionnaire designed for use in an interventional spine pain management setting.
To evaluate the reliability, validity, responsiveness, and practicality of a short composite questionnaire designed for use in an interventional spine pain management setting. ⋯ The PDQQ-S demonstrates adequate reliability and validity and superior responsiveness and practicality in persons with low back pain undergoing interventional spine pain management procedures.
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Vaso-occlusive crisis (VOC) is the most frequent complication of sickle-cell disease and is associated with significant acute bone pain. ⋯ HBOT is feasible in sickle cell disease and appears to be effective in reducing the pain of VOC rapidly.
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The elderly are often either untreated or undertreated for pain. The consequences of undertreatment for pain can have a devastating impact on health and quality of life, resulting in depression, anxiety, social isolation, cognitive impairment, immobility, and sleep disturbances. Reasons cited by healthcare professionals for inadequate pain control include lack of training, inappropriate pain assessment, and reluctance to prescribe opioids, however, the undertreatment of pain can be legally considered to constitute neglect, abuse, or negligence. The appropriate treatment of pain is humane and with good diagnostic efforts, proper consideration of appropriate medications and monitoring for adverse effects, healthcare providers can help to successfully control pain.