Substance Users perspective of pain management in the acute care environment

Introduction Over 90% of hip fractures in older adults result from falls, and hospital patients are at especially high risk. Specific types of wearable hip protectors have been shown to reduce hip fracture risk during a fall by up to 80%, but user compliance has averaged less than 50%. We describe the development and evaluation of a “stick-on” hip protector (secured over the hip with a skin-friendly adhesive) for older patients in acute care. Methods An initial version of the product was evaluated with six female patients (aged 76–91) in a hospital ward, who were asked to wear it for one week. We subsequently refined the product through biomechanical testing and solicited feedback from 43 health professionals on a second prototype. Results The first prototype was worn by five of six patients for the full week or duration of their hospital stay. The second prototype (20 mm thick, surface area 19 × 15.5 cm) provided 36% force attenuation, more than common garment-based models (20–21%). Feedback from patients and health professionals highlighted usability, comfort, cost, and appearance. Conclusions Our results from biomechanical and user testing support the need for further work to determine the value of stick-on hip protectors in acute care.

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The Effects of Massage Therapy on Pain Management in the Acute Care Setting

International Journal of Therapeutic Massage & Bodywork Research Education & Practice ◽

10.3822/ijtmb.v3i1.54 ◽

2010 ◽

Vol 3 (1) ◽

Cited By ~ 1

Author(s):

Rose Adams, MHA, BSW, LMT ◽

Barb White, MS, LMT ◽

Cynthia Beckett, PhD, RNC-OB, LCCE

Keyword(s):

Pain Management ◽

Acute Care ◽

Care Setting ◽

Massage Therapy ◽

Acute Care Setting

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Innovations in the En Route Care of Combat Casualties

Annual Review of Nursing Research ◽

10.1891/0739-6686.32.41 ◽

2014 ◽

Vol 32 (1) ◽

pp. 41-62 ◽

Cited By ~ 6

Author(s):

Jennifer J. Hatzfeld ◽

Susan Dukes ◽

Elizabeth Bridges

Keyword(s):

Pain Management ◽

Nursing Care ◽

Closed Loop ◽

Brain Injuries ◽

Traumatic Brain Injuries ◽

Surgical Patients ◽

Close Monitoring ◽

Care Environment ◽

Combat Casualties ◽

Made In

The en route care environment is dynamic and requires constant innovation to ensure appropriate nursing care for combat casualties. Building on experiences in Iraq and Afghanistan, there have been tremendous innovations in the process of transporting patients, including the movement of patients with spinal injuries. Advances have also been made in pain management and noninvasive monitoring, particularly for trauma and surgical patients requiring close monitoring of their hemodynamic and perfusion status. In addition to institutionalizing these innovations, future efforts are needed to eliminate secondary insults to patients with traumatic brain injuries and technologies to provide closed-loop sedation and ventilation.

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Pain management in the acute care setting: Update and debates

Journal of Paediatrics and Child Health ◽

10.1111/jpc.13134 ◽

2016 ◽

Vol 52 (2) ◽

pp. 213-220 ◽

Cited By ~ 7

Author(s):

Greta M Palmer

Keyword(s):

Pain Management ◽

Acute Care ◽

Care Setting ◽

Acute Care Setting

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The Impact of the Technological Care Environment on the Nursing Role

International Journal of Technology Assessment in Health Care ◽

10.1017/s0266462300009685 ◽

1996 ◽

Vol 12 (2) ◽

pp. 358-366 ◽

Cited By ~ 4

Author(s):

Dianne Pelletier ◽

Christine Duffield ◽

Anne Adams ◽

Jackie Crisp ◽

Sue Nagy ◽

...

Keyword(s):

Health Care ◽

Acute Care ◽

Care Environment ◽

Nursing Role ◽

Australian Health ◽

Acute Health Care ◽

Use Of Technology ◽

Care Technology ◽

Impact Of Technology ◽

The Impact

AbstractProliferation of acute health care technology creates problems and benefits for nurses and patients. In this paper the impact of technology on the nursing work role is reviewed through the international literature. The thrust of the nursing literature has, not surprisingly, matured over time as the use of technology has become well established in the acute care environment, and three themes can be identified. The implications for acute care nurse specialists, including their educational needs, are set in context of the Australian health care system, with particular reference to the cardiac care environments.

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