Acute and chronic pain: a narrative review of the literature

The study objectives were to identify the organic, emotional and psychic prevalent consequences in patients with acute and chronic pain and punctuate the main assessment tools for these pains. A narrative review of the literature was conducted using descriptors related to pain measurement, signs and symptoms, totalizing 184 articles. The electronic databases MEDLINE and LILACS were searched from January 2000 to December 2010. The review pointed out a series of conclusive studies about the organic repercussions more frequent in acute and chronic pain conditions and the use of different rating scales for both situations. It is believed that these findings could be of great values for health teams, could contribute with a better practice and with customer satisfaction in the hospital scenario and at home.

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Beyond Average: Providers' Assessments of Indices for Measuring Pain Intensity in Patients With Chronic Pain

Frontiers in Pain Research ◽

10.3389/fpain.2021.692567 ◽

2021 ◽

Vol 2 ◽

Author(s):

Roberta E. Goldman ◽

Joan E. Broderick ◽

Doerte U. Junghaenel ◽

Alicia Bolton ◽

Marcella May ◽

...

Keyword(s):

Chronic Pain ◽

Pain Intensity ◽

Pain Measurement ◽

Quantitative Methods ◽

Rating Scales ◽

Clinical Care ◽

Healthcare Providers ◽

Qualitative Interview ◽

Importance Rating ◽

Average Pain

Introduction: Effective clinical care for chronic pain requires accurate, comprehensive, meaningful pain assessment. This study investigated healthcare providers' perspectives on seven pain measurement indices for capturing pain intensity.Methods: Semi-structured telephone interviews were conducted with a purposeful sample from four US regions of 20 healthcare providers who treat patients with chronic pain. The qualitative interview guide included open-ended questions to address perspectives on pain measurement, and included quantitative ratings of the importance of seven indices [average pain, worst pain, least pain, time in no/low pain, time in high pain, fluctuating pain, unpredictable pain]. Qualitative interview data were read, coded and analyzed for themes and final interpretation. Standard quantitative methods were used to analyze index importance ratings.Results: Despite concerns regarding 10-point visual analog and numeric rating scales, almost all providers used them. Providers most commonly asked about average pain, although they expressed misgivings about patient reporting and the index's informational value. Some supplemented average with worst and least pain, and most believed pain intensity is best understood within the context of patient functioning. Worst pain received the highest mean importance rating (7.60), average pain the second lowest rating (5.65), and unpredictable pain the lowest rating (5.20).Discussion: Assessing average pain intensity obviates obtaining clinical insight into daily contextual factors relating to pain and functioning. Pain index use, together with timing, functionality and disability, may be most effective for understanding the meaning to patients of high pain, how pain affects their life, how life affects their pain, and how pain changes and responds to treatment.

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Higiene nasal e ambiental: uma orientação imprescindível no tratamento da rinite alérgica / Nasal and environmental hygiene: an essential guide in the allergic rhinitis treatment

Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo ◽

10.26432/1809-3019.2020.65.008 ◽

2020 ◽

Vol 65 (1) ◽

pp. 1

Author(s):

Gabrielly Menezes ◽

Tainá Mosca ◽

Wilma Carvalho Neves Forte

Keyword(s):

Allergic Rhinitis ◽

Tobacco Smoke ◽

Health Professionals ◽

Signs And Symptoms ◽

Narrative Review ◽

Dust Mites ◽

Review Of The Literature ◽

Inclusion Criteria ◽

Environmental Hygiene ◽

Almost All

Introdução: Os aeroalérgenos e os irritantes inespecíficos são os desencadeadores dos sinais e sintomas da rinite alérgica. Os aeroalérgenos da grande maioria das regiões do Brasil são os ácaros da poeira, pelos de animais domésticos e restos de baratas. Entre os agravantes inespecíficos encontram-se fumaça de tabaco, odores, fiapos de tecidos e mudanças de temperatura. A base fundamental para o tratamento de indivíduos com rinite alérgica é diminuir a exposição a aeroalérgenos e agravantes inespecíficos através da higiene nasal e ambiental. Objetivo: O presente estudo tem como objetivo rever os principais métodos que evitam aeroalérgenos e agravantes da rinite alérgica. Métodos: Foi feita uma revisão narrativa da literatura dos últimos vinte anos, pautada nos descritores e nos termos mais utilizados para rinite alérgica, tendo como base LILACS, SciELO e PubMed. Os critérios de inclusão foram métodos para evitar aeroalérgenos e agravantes causadores da rinite alérgica da quase totalidade das regiões do Brasil. Resultados e conclusão: Foram observadas várias condutas a serem adotadas para a remoção de aeroalérgenos e agravantes. Acreditamos que o tratamento da rinite alérgica através da higiene nasal e ambiental deva ser aplicado por profissionais da saúde e, especialmente, por equipes de Enfermagem. Seu conhecimento e aplicação são imprescindíveis para o tratamento da rinite alérgica. Palavras chave: Rinite, Rinite alérgica, AlérgenosABSTRACT:Introduction: Aeroallergens and nonspecific irritants are the triggers for the signs and symptoms of allergic rhinitis. Aeroallergens in the vast majority of regions in Brazil are dust mites, pet hair and the remains of cockroaches. Among the nonspecific aggravating factors are tobacco smoke, odors, lint and changes in temperature. The fundamental basis for the treatment of individuals with allergic rhinitis is to reduce exposure to aeroallergens and nonspecific aggravators through nasal and environmental hygiene. Aim: The present study aims to review the main methods that prevent aeroallergens and aggravating allergic rhinitis. Method: A narrative review of the literature of the last twenty years was carried out, based on the descriptors and terms most used for allergic rhinitis, based on LILACS, SciELO and PubMed. The inclusion criteria were methods to avoid aeroallergens and aggravating factors that cause allergic rhinitis in almost all regions of Brazil. Result and Conclusion: Various conducts to be adopted were observed for the removal of aeroallergens and aggravating agents. We believe that the treatment of allergic rhinitis through nasal and environmental hygiene should be applied by health professionals and, especially, by Nursing teams. Its knowledge and application are essential for the treatment of allergic rhinitis.Keywords: Rhinitis, Allergic rhinitis, Allergens

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Pain

Oxford Handbook of Adult Nursing ◽

10.1093/med/9780198743477.003.0023 ◽

2018 ◽

pp. 463-484

Author(s):

Maria Flynn ◽

Dave Mercer

Keyword(s):

Chronic Pain ◽

Pain Management ◽

Assessment Tools ◽

Acute Injury ◽

Summary Table ◽

Pain Medications ◽

Key Features ◽

The Individual ◽

Chronic Pain Conditions ◽

Dressing Change

It is widely recognized that the experience of pain is unique to the individual, which makes caring for people in pain a challenge. The general hospital nurse is most likely to see people in pain due to an acute injury, an episode of ill health, following surgery, or at a wound dressing change. People living with chronic pain conditions will most often be in the care of community nurses or specialist pain management teams. In both acute and chronic pain conditions, it is important that general nurses can accurately assess, monitor, and treat pain. This chapter identifies the key features of acute and chronic pain and describes pain assessment tools which are in widespread use. It outlines common pharmacological and non-pharmacological approaches to pain management, along with a summary table of frequently prescribed pain medications. Key considerations in nursing practice and decision-making are outlined.

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Laparoscopic treatment of chronic pain following inguinal hernia repair: a narrative review of the literature

Laparoscopic Surgery ◽

10.21037/ls-20-124 ◽

2021 ◽

Vol 0 ◽

pp. 0-0

Author(s):

Kenney Fehrenkamp Pedersen ◽

David M. Krpata ◽

Michael J. Rosen ◽

Thue Bisgaard

Keyword(s):

Chronic Pain ◽

Inguinal Hernia ◽

Hernia Repair ◽

Inguinal Hernia Repair ◽

Narrative Review ◽

Review Of The Literature ◽

Laparoscopic Treatment

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El teletrabajo y el trabajo en casa en tiempos de pandemia y sus implicaciones en la salud y la productividad: una revisión narrativa de la literatura (Teleworking and Working at Home in Times of Pandemic and Its Implications for Health and Productivity: A Narrative Review of the Literature)

SSRN Electronic Journal ◽

10.2139/ssrn.3831621 ◽

2021 ◽

Author(s):

Laura Stefannia Forero Velasco ◽

Pablo Emilio Rodríguez Revilla ◽

Laura Valentina Ruiz Rodríguez ◽

Luis A. Saavedra-Robinson ◽

Francisco Palencia-Sánchez

Keyword(s):

Narrative Review ◽

Review Of The Literature ◽

Working At Home ◽

At Home

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Validation of a new risk assessment tool: The Brief Risk Questionnaire

Journal of Opioid Management ◽

10.5055/jom.2015.0266 ◽

2015 ◽

Vol 11 (2) ◽

pp. 171 ◽

Cited By ~ 17

Author(s):

Ted Jones, PhD ◽

Samantha Lookatch, MA ◽

Todd Moore, PhD

Keyword(s):

Risk Assessment ◽

Chronic Pain ◽

Assessment Tool ◽

Risk Measures ◽

Standard Of Care ◽

Clinical Interview ◽

Assessment Tools ◽

Pain Clinic ◽

Aberrant Behavior ◽

Chronic Pain Conditions

Opioids remain a common method of treating chronic pain conditions despite some controversy. In an effort to address some of the risks of opioid medications, opioid risk assessment has become a standard of care when opioids are used to treat a chronic pain condition. Research to date has found that many currently available patient-completed written questionnaires are relatively poor at identifying which patients will engage in medication aberrant behavior in the future. Clinical interview techniques have been found to provide better prediction, but practitioners often prefer the convenience of patient-completed tools. In this study, a new brief patient-completed risk tool, the Brief Risk Questionnaire (BRQ), was created and compared with a structured clinical interview and two commonly used patient-completed risk assessment tools: the Opioid Risk Tool (ORT) and Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R). The different risk assessment measures were administered to 454 patients at a pain clinic and their prediction of medication aberrant behavior at 6-month follow-up was compared. Results found that the BRQ was able to predict future medication aberrant behavior better than the other two patient-completed risk measures and almost as well overall as a structured clinical interview rating system. This study indicates that the BRQ could be a useful new tool for clinicians in conducting opioid risk assessment.

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