Implementation Of Pain Management Research Articles

Application Of Pbm-Nir Therapy For Postpartum Mother's Discomfort In Maternity Nursing Care

Normal post partum is post partum discomfort due to uterine involution. Uterine involution in patients can cause pain in the uterus called afterpains. Discomfort caused by uterine involution requires various treatments to minimize the pain felt by the mother so that the mother's comfort can return. This can be overcome with non-pharmacological pain management strategies through innovative near infrared phototherapy or near infrared photobiomodulation (PBM NIR). The aim of this research is to analyze the results of implementing pain management with non-pharmacological PBM NIR therapy in normal post-partum mothers with post-partum discomfort nursing problems. Case study that focuses on the implementation of non-pharmacological nursing pain management techniques with PBM NIR therapy. The case study subjects were 3 normal post-partum maternal patients with the same problem, namely post-partum discomfort in the obstetrics room at the Muhammadiyah Hospital in Palembang. The results of the study showed that the implementation of non-pharmacological pain management techniques with PBM NIR therapy had an effective effect on dealing with post-partum discomfort with complaints of decreased discomfort, decreased moaning, and strong uterine contractions. Implementation of pain management can improve the comfort status of normal postpartum mothers. This study makes an important contribution to understanding of the role of nonpharmacological techniques in postpartum pain management, as well as highlighting the importance of implementing innovative therapies for labor, as well as highlighting the importance of implementing innovative therapies to improve the quality of care in postpartum mothers.

Promotion of Neonatal Pain Management in Neonatal Intensive Care Unit: A participatory Action Research

Introduction: Pain management is especially important for infants who are not able to verbally express their pain. The objective of this study was to promote pain management in Neonatal Intensive Care Unit (NICU). Methods: The present study was conducted using an action research based on Kemmis and McTaggart’s action research cycle on 35 participants including nurses, physicians, and center managers involved in the care of neonates. Four qualitative methods including interviews, focus group discussions, strategic meetings, and field notes were used for data collection. The content analysis approach was also used to analyze the data. Two action cycles were designed, with four stages of “identification, planning, implementation, and observation and reflection”. Results: Based on the results of this study, the source of the challenges was categorized into four areas of human resources management, pain control policy, workplace conditions, and management factors. The steps for the follow-up and implementation of the proposed solutions and strategies included training workshops, preparation of pain control policy, provision of facilities and equipment, and participation of senior managers in the implementation of neonatal pain management. The results of data analysis in the final evaluation revealed two themes of “comfort” and “improvement” in pain management in the NICU. Conclusion: The results of this study showed positive experiences of the participants on implementation of pain management in the NICU. The results also demonstrated that pain management problems in NICU can be reduced, without imposing high costs, by forming multidisciplinary teams and engaging various disciplines in the process of neonatal pain management.

Effect of Individualized Pain Management on Perioperative Pain Control of Traumatic Orthopedic Patients

It is important to take active and effective nursing management initiatives for perioperative pain control of traumatic orthopedic patients. In this study, individualized pain management program was applied to perioperative pain control of traumatic orthopedic patients and the application effect was observed. In this study, 1200 traumatic patients treated in orthopedics department of our hospital from June 2012 to June 2016 were selected as research objects. All patients were given the right to know and randomized. Conventional pain management initiatives were applied to 600 patients in the reference group, while individualized pain management was applied to 600 patients in the study group. After pain management in different ways, effect of perioperative pain control of the two groups was observed and compared. There was no significant difference in visual analogue scale scores of the two groups before implementation of pain management, i.e, p value is greater than 0.05. After implementation of different pain management, visual analogue scale score of the study group with individualized pain management is significantly superior to the reference group with conventional pain management, the difference is statistically significant (p<0.05). In comparison of pain control satisfaction of the two groups, the results show that overall satisfaction degree of the reference group (86.33 %) is significantly lower than that of the study group (98.33 %), the difference is statistically significant (p<0.05). Individualized pain management of traumatic orthopedic patients can significantly improve and control degree of pain during perioperative period and promote patients rehabilitation process by improving their comfort. Moreover, it can provide patients with high quality management services, receive broad satisfaction, improve harmony between nurse and patient. Therefore, individualized pain management initiatives are worthy of wide popularization and application in clinical practice.

The Effect of Parent Distraction Coaching Used The Toy on Pain Intensity of 1-5 Year-Old Children During Iv (Intravenous) Insertion

intravenous insertion is the cause of pain that the children most commonly experience when children are being hospitalised. Repeated and insurmountable in early childhood, it will impact trauma to the child, so that pain management is a main priority for nurses. However, nurses have barrier to implement pain management effectively. Therefore, involvement of the parents in pain management was so important. One of the non-pharmacological pain management involving parents is distraction by the parent (Parent Distraction Coaching). The purpose of this research was to examined the difference intensity of pain children from ages 1-5 years old between intervention group and control group during intravenous insertion. This research uses quasi experimental methode by applying the pre-experimental design which is called the intact group comparison. Through the consecutive sampling, the data has been collected from 17 children in each group, both control and intervention groups. Respondents in the intervention group were the children undergoing the intravenous insertion and they were accompanied by their parents' distraction after the parents got the parental distraction coaching, while respondents in the control group were the children undergoing the intravenous insertion in accordance with the hospital procedures but they were not accompanied by their parents' distraction. The assessment of pain intensity was done by using FLACC instruments (Face, Legs, Activity, Cry, and Consolability). The data were analyzed descriptively and tested by using inferential t test-independent where the value of p &lt; 0.05. From the results of the statistical tests using t test-independent test, the value of p obtained is 0.005 (p value &lt;0.05). This value indicates that there is a significant difference between the intensity of pain experienced by children in the control group and in the intervention group during the intravenous insertion. Based on these results, nurses are expected to be aware of the importance of parents or family involvement in reducing the pain experienced by children during intravenous insertion, so that the implementation of pain management in children becomes more effective.

KSA-Self Assessment of Pain Management Medication Safety for Hospitals

<p style="text-align: justify;">Pain management program is essential and required the program to prevent the adverse event, drug misadventure, and pain killer medications related death at health care institutions. One of the tools to evaluate the performance and drug safety of the pain management program. It is the assessment of ten directions of medication safety including patient information, medication information, communication process of medicines, drug packaging and labeling, drug devices, work environment and staffing management, competency and education, patient or family education, and quality and risk management. The new tools as self-assessment of pain management medication safety and modified of former the United States of America and Canada Institution Safe Medication Practice (ISMP) ten elements with additional to the health care institution demographic information and according to the pharmacy law and regulations in Saudi Arabia. This new method can assess the hospital's pain management implementation and detect the gap problems implementation, risk of the patient safety level of pain management. The tool had a scoring scale system of acceptable or risk level or need improvement with the annual application. The tool is first self-assessment tool of pain management medication in Saudi Arabia. The tool is highly recommended to apply at all government and private hospitals in Kingdom of Saudi Arabia. <p style="text-align: justify;"><strong>Key words:</strong> Pain Management, Safety, Medications, Self-Assessment, Ministry of Health, Saudi Arabia.

Pain Coping Strategies for Children with Arthritis

Objective. To present information on pain management strategies for children with juvenile idiopathic arthritis (JIA). Methods. The second author developed a manual to present pain management strategies to children. The use of the manual was pilot-tested with a group of children with JIA. Telephone interviews were used to gather information on implementation of pain management strategies. Results. Children were able to implement the pain management strategies. Children reported a reduction in daily pain experiences related to JIA when using the pain management strategies. Conclusions. The pain management strategies were successful as an adjunctive intervention for short-term pain management. Pain symptoms related to JIA can severely limit children's participation in daily activities. Further study on how children use pain management strategies to improve their involvement in daily activities will provide useful clinical information.