Articles: pain-management.
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Wound-related pain, particularly following wound care interventions, is a concern to all involved in wound management. However, little is understood about how remedial action to manage such pain can affect healthcare provision, particularly in terms of resources. ⋯ It was found that the presence of pain influences the choice and frequency of analgesia, use of anxiolytic medications, frequency of dressing change and the environment in which care is provided. These results can help clinicians to understand the close relationship that exists between pain and clinical intervention, and the implications for resource management.
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Randomized Controlled Trial
Telecare collaborative management of chronic pain in primary care: a randomized clinical trial.
Chronic musculoskeletal pain is among the most prevalent, costly, and disabling medical disorders. However, few clinical trials have examined interventions to improve chronic pain in primary care. ⋯ Telecare collaborative management increased the proportion of primary care patients with improved chronic musculoskeletal pain. This was accomplished by optimizing nonopioid analgesic medications using a stepped care algorithm and monitoring.
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Pain in people with dementia is increasingly recognised as both underassessed and undertreated. This review discusses the main barriers to effective assessment and management of pain in this population, strategies to overcome these barriers, and the implications of such strategies for practitioners and researchers. ⋯ More research is necessary to explore barriers and develop further evidence-based strategies to tackle them. Nurses need to be aware of these barriers and become active in overcoming them.