Articles: pain.
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Multicenter Study
Nurses' personal opinions about patients' pain and their effect on recorded assessments and titration of opioid doses.
In many clinical settings, nurses have a vital role in pain assessment and titration of opioid doses. Surveys of nurses have revealed knowledge deficits in these areas that are thought to contribute to under-treatment of pain. ⋯ Nurses are less likely to increase a previously safe but ineffective dose of opioid for a smiling patient than a grimacing patient. Survey results reveal a tendency for nurses' personal opinions about the patients' pain, rather than their recorded assessments, to influence choice of opioid dose and to contribute to undertreatment of pain.
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Randomized Controlled Trial Multicenter Study Comparative Study Clinical Trial
Use of a simple pain model to evaluate analgesic activity of ibuprofen versus paracetamol.
To evaluate the analgesic activity of ibuprofen against paracetamol using a simple pain model. ⋯ Sore throat pain provided a sensitive model to assess the analgesic efficacy of class I analgesics and discriminated between the analgesic efficacy of ibuprofen and paracetamol.
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Multicenter Study
Impact of relational coordination on quality of care, postoperative pain and functioning, and length of stay: a nine-hospital study of surgical patients.
Health care organizations face pressures from patients to improve the quality of care and clinical outcomes, as well as pressures from managed care to do so more efficiently. Coordination, the management of task interdependencies, is one way that health care organizations have attempted to meet these conflicting demands. ⋯ Relational coordination across health care providers is associated with improved quality of care, reduced postoperative pain, and decreased lengths of hospital stay for patients undergoing total joint arthroplasty. These findings support the design of formal practices to strengthen communication and relationships among key caregivers on surgical units.
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Multicenter Study
The impact of nurses' empathic responses on patients' pain management in acute care.
Although nurses have the major responsibility for pain management, little is known about nurses' responses to patients in the process of managing acute pain. ⋯ Empathy was not associated with patients' pain intensity or analgesic administration.
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Oncology nursing forum · Jul 2000
Multicenter StudyPain intensity and pain interference in hospitalized patients with cancer.
To examine relationships among pain intensity, interference in daily life because of pain, reported pain relief, and analgesics prescribed in hospitalized patients with cancer. ⋯ These findings reinforce the need to assess and treat pain in hospitalized patients with cancer. Nurses need to be aware of the prescribed dose of analgesics and administer a dose that provides adequate pain relief.