Articles: pain-management.
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Acta Anaesthesiol Scand · Oct 2022
Randomized Controlled TrialA randomized controlled trial on virtual reality distraction during venous cannulation in young children.
Pain management in children is often inadequate, and the single most common painful procedure in children who are hospitalized is needle procedures. Virtual reality (VR) has been shown to decrease anxiety and pain in children undergoing painful procedures primarily in children from the age of 7 years. Our aim for this study is to investigate patient satisfaction and pain reduction by using a three-dimensional VR interactive game as a distraction in 4-7 years old children during venous cannulation. ⋯ VR distraction is an acceptable form of distraction for children 4-7 years old when combined with topical numbing cream and positioning during preoperative venous cannulation. No difference was found between VR- and smartphone/tablet distraction.
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Few studies have explored the impact of low back or lower limb pain severity on recurrent (≥2) falls in older adults. ⋯ Severe low back pain, or severe lower limb pain is associated with an increased likelihood of recurrent falls in older males and females, and an increased likelihood of falls-related injuries in older female recurrent fallers. Assessment and management of severe low back and lower limb pain should be prioritized when undertaking falls-risk assessment. Future longitudinal research is required to further interrogate this relationship and its underlying mechanisms.
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Reg Anesth Pain Med · Oct 2022
Prospective cohort study on the trajectory and association of perioperative anxiety and postoperative opioid-related outcomes.
Although perioperative anxiety is common, its trajectory and influence on postoperative pain and opioid use are not well understood. We sought to examine the association and trajectory of perioperative anxiety, pain and opioid use following common surgical procedures. ⋯ Anxiety is an independent risk factor for increased pain and opioid use after surgery. Future studies examining targeted behavioral therapies to reduce anxiety during the perioperative period may positively impact postoperative pain and opioid use.
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High rates of pain impede quality of life for persons with advanced cancer. Research has identified barriers to cancer pain control. Little has been written, however, about the unique motivating goals and individual pain management behaviors of persons with cancer-related pain. ⋯ Current cancer pain assessment tools do not capture the unique complexities of cancer pain motivating behaviors, or personal functional goals, and thus hinder nurses' capacity to provide tailored care across patient encounters. Until a measure with specificity to capture unique patient goals is developed, nurses must rely on their own skills to comprehend if and how motivating factors could benefit individual cancer pain management plans.