Implementation of a chest pain management service improves patient care and reduces costs

Chest pain is a common medical symptom that paramedics attend to in the out-of-hospital environment. The causes of chest pain and the signs and symptoms are explained in this article, alongside tools that could be useful in diagnosis, such as clinical risk scores and troponin testing. Finally, pain management strategies that use a balanced approach for optimal patient care are referred to, with some specificity for cardiac chest pain explained.

Download Full-text

Development of an interdisciplinary specialist facial pain management programme

British Journal of Pain ◽

10.1177/20494637211027607 ◽

2021 ◽

pp. 204946372110276

Author(s):

John Tetlow ◽

Christian Ainsley ◽

Hannah Twiddy ◽

Graham Derbyshire ◽

Rajiv Chawla

Keyword(s):

Pain Management ◽

Facial Pain ◽

Small Sample Size ◽

Small Sample ◽

Management Programme ◽

Management Service ◽

Team Members ◽

End Of Treatment ◽

Programme Content ◽

Multidisciplinary Perspective

Aims: This article aims to describe the development of a specialist chronic facial pain (CFP) management programme within an already well-established pain management service, including the content from a multidisciplinary perspective, and present preliminary descriptive 6-month outcomes from patients who have attended the programme. Methods: Authors used their clinical experience of working with people who have a diagnosis of CFP. They researched available literature, liaised with CFP support organisations and visited an existing UK-based CFP programme. Programme content was designed based on findings. The roles of pain interdisciplinary team members involved in delivering the programme are described, as well as a brief description of the structure of the programme and programme sessions provided by each discipline. Results: Clinical outcomes from programme participants were collected at assessment, end of treatment and 6 months post-treatment, which measured relevant outcomes for a pain management programme (PMP). Outcomes from 36 participants at both end of programme and 6 months following completion of programme demonstrate promising improvements. Qualitative data from patient satisfaction questionnaires completed at the end of programme suggest that providing a CFP-specific programme was beneficial for participants, with the main critique being that the programme sessions should be longer than 45 minutes. Conclusion: Attending a CFP-specific programme demonstrated positive 6-month changes in relevant outcome measures for people with CFP. With a small sample size, there is a need for further research into the effectiveness. It would also be beneficial to compare outcomes from the usual PMP treatment with people who have CFP, with outcomes from a CFP-specific programme.

Download Full-text

Strategies to Enhance Patient Care and Compliance with Pain Order Duplications and Gaps

Hospital Pharmacy ◽

10.1177/00185787211032358 ◽

2021 ◽

pp. 001857872110323

Author(s):

Shayna Cruz ◽

Amberene Daya ◽

Andrea Quinn ◽

Amanda Ries

Keyword(s):

Pain Management ◽

Patient Care ◽

Visual Analog Scale ◽

Patient Preferences ◽

Joint Commission ◽

Hospital Level ◽

Analog Scale ◽

Vas Scores ◽

Enhance Patient Care ◽

The Joint Commission

According to the Joint Commission every patient has a right to pain management. Due to multimodal pain management, pain orders have the potential for duplication as well as gaps in therapy. At our institution, we evaluated pain orders and implemented strategies that aimed to reduce those gaps. We found that current ordering practices permitted the use of varying visual analog scale (VAS) ranges (e.g., VAS 1-3 and 1-5) which inherently increased the potential for duplicate therapies. When gaps in therapy occurred, medication orders for corresponding VAS scores were not available and thus, therapy was delayed. Additionally, current administration policies did not take into account patient preferences for less potent agents which can also cause a delay in care. In summary, simple strategies, discussed in this article, may be implemented at the hospital level to optimize patient care while maintaining recommendations by the Joint Commission for clear medication orders.

Download Full-text

Manejo da dor em punção venosa pediátrica: um pacote de medidas

Revista Recien - Revista Científica de Enfermagem ◽

10.24276/rrecien2021.11.33.157-168 ◽

2021 ◽

Vol 11 (33) ◽

pp. 157-168

Author(s):

Larissa Grispan e Silva Guimarães ◽

Natália Shinkai Binotto ◽

Stela Faccioli Ederli ◽

Mauren Teresa Grubisich Mendes Tacla

Keyword(s):

Pain Management ◽

Patient Care ◽

Nursing Staff ◽

Professional Growth ◽

Management Strategies ◽

Care Bundle ◽

Evidence Based ◽

Topical Anesthetic ◽

Care Research ◽

Before And After

Apresentar o processo de elaboração de um pacote de medidas para manejo da dor de crianças submetidas à punção venosa pela equipe de enfermagem. Pesquisa Convergente Assistencial, do tipo antes e após intervenção, realizada com a equipe de enfermagem de uma unidade pediátrica do sul do Brasil. Elaboração de pacote de medidas com seis estratégias selecionadas pela equipe de enfermagem a serem utilizadas antes e durante a punção venosa: preparo da criança e/ou acompanhante, posicionamento da criança, distração, amamentação, solução adocicada associada ou não à sucção não nutritiva e anestésico tópico. Os participantes manifestaram satisfação quanto ao modo de elaboração do mesmo, destacando a contribuição deste para seu crescimento profissional. O pacote de medidas otimizou a adoção das estratégias para manejo da dor. A Pesquisa Convergente Assistencial alicerçada na prática baseada em evidências mostrou-se adequada, visto que propiciou a aplicação de achados científicos no cenário assistencial considerando suas particularidades.Descritores: Manejo da Dor, Criança, Cateterismo Periférico, Enfermagem Baseada em Evidências. Management of pediatric venipuncture pain: a package of measuresAbstract: To present the process of elaboration of a patient care package for pain management in children undergoing venipuncture by the nursing staff. Convergent Care Research, before and after intervention, conducted with the nursing staff of a southern pediatric unit in Brazil. Patient care packege with six strategies, selected by the nursing staff, to be used before and during venipuncture: preparation of the child and/or companion, child positioning, distraction, breastfeeding, sweet-tasting solution with or without non-nutritive suction and topical anesthetic usage. The package of measures optimized the adoption of pain management strategies, highlighting its contribution to their professional growth. The patient care bundle optimized the adoption of strategies for pain management. The Convergent Care Research grounded in evidence-based practice showed appropriate, since it allowed the application of scientific findings in the care setting, considering its peculiarities.Descriptors: Pain Management, Child, Catheterization, Peripheral, Evidence-Based Nursing. Manejo del dolor de la venopunción pediátrica: un paquete de medidasResumen: Presentar el proceso de elaboración de un paquete de medidas para manejo del dolor de niños sometidos a la venopunción por el equipo de enfermería. Investigación Convergente Asistencial, del tipo antes y después de la intervención, realizada con el equipo de enfermería de una unidad pediátrica en el sur de Brasil. Paquete de medidas con seis estrategias seleccionadas por el equipo de enfermería que deben ser utilizadas antes y durante la venopunción: preparación del niño y/o acompañante, posicionamiento del niño, distracción, amamantamiento, solución dulce asociada o no a succión no nutritiva y anestésica tópica. Los participantes manifestaron satisfacción en cuanto al modo de elaboración del mismo, destacando la contribución de este para su crecimiento profesional. El paquete de medidas optimizó la adopción de estrategias para manejo del dolor. La Investigación Convergente Asistencial cimentada en la práctica basada en evidencias se mostró adecuada, visto que propició la aplicación de hallazgos científicos en el escenario asistencial considerando sus particularidades.Descriptores: Manejo del Dolor, Niño, Cateterismo Periférico, Enfermería Basada en la Evidencia.

Download Full-text

Exploring impact of early pain information within NHS Greater Glasgow and Clyde (NHSGGC) Pain Management Service: A service development opportunity

Physiotherapy ◽

10.1016/j.physio.2021.10.186 ◽

2021 ◽

Vol 113 ◽

pp. e177-e178

Author(s):

R. Wylie ◽

J. Watson ◽

A. Williams

Keyword(s):

Pain Management ◽

Service Development ◽

Management Service ◽

Development Opportunity

Download Full-text

Extended Reality in Patient Care and Pharmacy Practice: A Viewpoint

Journal of Contemporary Pharmacy Practice ◽

10.37901/jcphp18-00030 ◽

2020 ◽

Vol 66 (4) ◽

pp. 22-27

Author(s):

Jody Takemoto ◽

Brittany Parmentier ◽

Rachel Bratelli ◽

Thayer Merritt ◽

Leanne California Health Sciences University

Keyword(s):

Virtual Reality ◽

Pain Management ◽

Patient Care ◽

Mixed Reality ◽

Pharmacy Practice ◽

Educational Practice ◽

Improve Patient Care ◽

Pharmacy Education ◽

Evolution Of Technology ◽

Improve Patient

The evolution of technology has given practitioners and educators more tools to better treat, manage, and educate both patients and future pharmacists. The objective of this viewpoint publication is to describe the current use of extended reality (XR) in pharmacy and propose ways in which pharmacy practice and education may benefit from incorporation of this technology. While these tools have been used for decades by many other professions, pharmacy is starting to adopt XR in professional and educational practice. XR (virtual reality, mixed reality, and augmented reality) is being used in various aspects of pharmacy care and education, such as pain management, diabetes self-care, cross-checking of prescriptions, treatments for addiction, and (in limited ways) patient and pharmacy education. There is great potential for further integration of XR into pharmacy practice and pharmacy education to ultimately improve patient care and education as well as pharmacy education.

Download Full-text