Дисертації з теми "Pain management medication interventions"
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Reed, Sydney Lain, and Sydney Lain Reed. "Evidence based practice recommendation: non-pharmacological pain management interventions during labor." Thesis, The University of Arizona, 2017. http://hdl.handle.net/10150/626738.
Повний текст джерелаBraddock, Kaylee. "Nonpharmacological interventions for the management of procedural pain in the neonate." Honors in the Major Thesis, University of Central Florida, 2010. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/1365.
Повний текст джерелаBachelors
Nursing
Nursing
O'Connor, Seán Richard. "Walking-based physical activity interventions for the management of chronic musculoskeletal pain." Thesis, Ulster University, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.702475.
Повний текст джерелаStilwell, George Thomas. "Pain evaluation and control after routine interventions in cattle." Doctoral thesis, Universidade Técnica de Lisboa. Faculdade de Medicina Veterinária, 2009. http://hdl.handle.net/10400.5/1326.
Повний текст джерелаDisbudding and castration are two routine interventions in cattle practice. Both can cause severe pain and cause poor welfare. Through plasma cortisol levels and behaviour evaluation we measured pain caused by different disbudding and castration methods. We also studied the efficacy of several anaesthesia and analgesia protocols. The main conclusions are: - Cortisol together with behaviour assessment is very useful in detecting calves in pain. - Certain behaviours are only shown by very young calves. - Vocalization should not be used as a sign of pain in calves. - Scoop disbudding causes long term pain and local anaesthesia is not efficient. - Hot-iron disbudding causes severe pain during the procedure but does not differ from paste disbudding in the next hours. Local anaesthesia plus analgesia does reduce pain cause by these methods. - Xylazine causes an increase in cortisol even if pain is not induced. - Pain caused by clamp-castration lasts for at least 48 hours and is only controlled by long acting analgesics. - Surgical castration causes intense pain but shorter if two incisions are made instead of just one.
RESUMO - Avaliação e controlo da dor causada por intervenções de rotina em bovinos - A descorna e a castração de bovinos jovens são duas intervenções de rotina nas explorações. Ambas intervenções têm o potencial de causar dor e, portanto, de afectar gravemente o bem-estar animal. Através da medição do cortisol plasmático e avaliação do comportamento medimos a dor causada por diversos métodos de descorna e castração. Testámos ainda diversos protocolos de anestesia e analgesia. Principais conclusões: - O cortisol associado à observação do comportamento é eficaz na detecção de vitelos em dor. - Certos comportamentos de dor apenas são exibidos por animais muito novos. - A vocalização não é um sinal útil na identificação da dor em vitelos. - A descorna por amputação causa dor prolongada e a anestesia local não é eficaz. - O procedimento de descorna por ferro causa dor elevada, mas nas horas seguintes a dor não difere da descorna com pasta. A anestesia local associada a um analgésico controla a dor nestes dois métodos. - A xilazina causa elevação de cortisol mesmo quando não há dor. - Dor causada pela castração por esmagamento dura pelo menos 48 horas e só é controlada por analgésicos com acção prolongada. - Castração cirúrgica causa dor intensa mas menos prolongada quando feita através de duas incisões do que através de uma incisão.
Centro de Investigação Interdisciplinar em Sanidade Animal - Projecto de Investigação: CIISA/73.Dor Bovinos
Sindhu, Fahera. "Are non-pharmacological nursing interventions for the management of pain effective? : a meta-analysis." Thesis, University of Oxford, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.240403.
Повний текст джерелаCostello, Verona. "An examination of the efficacy of specific nursing interventions to the management of pain in cancer patients." Thesis, Queensland University of Technology, 2003. https://eprints.qut.edu.au/15792/1/Verona_Costello_Thesis.pdf.
Повний текст джерелаCostello, Verona. "An Examination of the Efficacy of Specific Nursing Interventions to the Management of Pain in Cancer Patients." Queensland University of Technology, 2003. http://eprints.qut.edu.au/15792/.
Повний текст джерелаRobb, Karen Anne. "Non-pharmacological interventions in the management of chronic pain associated with breast cancer treatment." Thesis, King's College London (University of London), 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.404611.
Повний текст джерелаGoodwin, Amy Lee. "Health Literacy Associated with Parental Management of Dental Pain in the Child." The Ohio State University, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=osu1274767956.
Повний текст джерелаKutumbuka, Benjamin Kukatula. "A systematic review of the effectiveness of lifestyle and medication: interventions in the management of hypertension in pregnancy." University of the Western Cape, 2017. http://hdl.handle.net/11394/6314.
Повний текст джерелаPregnancy induced hypertension is one of the causes of maternal, fetus and neonatal morbidity and mortality. It is the condition in which a pregnant woman develops hypertension because of physiological changes that result during pregnancy and both mother and fetus can be affected. According to the World Health Organization (WHO), the first target of the third United Nations Sustainable Development Goals (SDG-3) is to reduce the maternal mortality rate (MMR) to less than 10 per 100.000 live births by 2030 (WHO, 2017). This is because globally, about 350 000 women die every year from pregnancy related causes (Hogan, Foreman, & Naghavi, 2010). According to the WHO (2015), these conditions namely post-partum hemorrhage, hypertension in pregnancy, infections, unsafe abortion and other delivery-related complications cause three quarters of all maternal deaths in the World. Hence the needs to prevent or successfully treat conditions that contribute to this scourge (WHO, 2011). The two main interventions that are used to prevent or treat hypertension in pregnancy are medication and lifestyle adjustment. However, it is important to understand the intervention that is most suited to a context and its patient and compare the effects of these interventions on management of hypertension in pregnant women as a patient outcome.
Mikhail, Christine. "Physiotherapists' use of interventions with high evidence of effectiveness in the management of low back pain." Thesis, McGill University, 2004. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=80333.
Повний текст джерелаReynolds-Wilcox, Wendy Lee. "The impact of child life non-pharmacologic pain interventions on pediatric patient's pain perception in the emergency department." CSUSB ScholarWorks, 2004. https://scholarworks.lib.csusb.edu/etd-project/2645.
Повний текст джерелаMathis, Taylor. "Beating Diabetes: The Use of a Novel Nutrition and Medication Adherence Measure to Improve the Outcomes of Patients with Diabetes." University of Cincinnati / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=ucin153570253467365.
Повний текст джерелаArmstrong, Dometrives. "Educational Module Toolkit to Assist Adult Patients with Type II Diabetes Mellitus." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4498.
Повний текст джерелаChizick, Jarett. "Ankylosing Spondylitis & Chronic Pain Syndrome: Bridging the Gap Between Perpetuated Medicine & Holistic Therapies." ScholarWorks @ UVM, 2015. http://scholarworks.uvm.edu/graddis/329.
Повний текст джерелаHughes, James A. "Person, environment, and health and illness factors influencing time to first analgesia and patient experience of pain management in the adult emergency department." Thesis, Queensland University of Technology, 2018. https://eprints.qut.edu.au/123311/3/James_Hughes_Thesis.pdf.
Повний текст джерелаGranat, Nicklas, and Sofie Malmström. "Internetbaserade interventioners effekter vid långvarig smärta : En begränsad systematisk litteraturöversikt." Thesis, Röda Korsets Högskola, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-2827.
Повний текст джерелаBackground: Chronic pain is one of the primary causes to abiding suffering and disabilities in Sweden and globally. Today’s treatment methods are somewhat considered lacking. In a high technology society, as the one we are living in today, the developing of electronic aids for persons with different disease states increases. Internet-based interventions is considered a part of the future in health care. Aim: The aim of this study was to describe the effects of Internet-based interventions designed for people with chronic pain. Method: A rapid systematic review with eleven quantitative studies. Result: Five studies used CBT, three studies used ACT and three is denominated as self-management. Four effects became clear; mental health, pain management, pain reducing, and quality of life. Pain management showed significant improvement, the other three effects showed improvement, although no significant improvement. At follow-up after post intervention the effects improved, some with significance. Conclusion: To implement internet-based interventions as an addition to clinical care could mean health benefits for the community as well as the individual person. However, this intervention type is not accessible on a larger population. Further Research: There should be focus on gender equality, broader geographic areas and longer follow-ups in future research.
Hasson, Dan. "Stress Management Interventions and Predictors of Long-term Health : Prospectively Controlled Studies on Long-term Pain Patients and a Healthy Sample from IT- and Media Companies." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-5944.
Повний текст джерелаErasmus, Estelle Annette. "The effect of soft tissue mobilization techniques on the symptoms of chronic posterior compartment syndrome in runners a multiple case study approach /." Thesis, Pretoria : [s.n.], 2008. http://upetd.up.ac.za/thesis/available/etd-09252008-113736.
Повний текст джерелаMann, Elizabeth Gayle. "Self-Management of Chronic Pain: Interventions, Strategies, Barriers, and Facilitators." Thesis, 2013. http://hdl.handle.net/1974/8321.
Повний текст джерелаThesis (Ph.D, Nursing) -- Queen's University, 2013-09-25 12:57:58.59
Hadi, M. A., David P. Alldred, M. Briggs, and T. Munyombwe. "Effectiveness of pharmacist-led medication review in pain management: systematic review and meta-analysis." 2014. http://hdl.handle.net/10454/9841.
Повний текст джерелаThe objective of this article was to evaluate the effectiveness of pharmacist-led medication review in chronic pain management. Six electronic databases (Medline, Embase, PsycInfo, CINHAL, CENTRAL, International Pharmaceutical Abstracts) reference lists of retrieved articles and relevant websites were searched for randomized controlled trials published in the English language involving adults with chronic pain. Studies were included if one of the intervention arms had received pharmacist-led medication review independently or as part of a multidisciplinary intervention. Risk of bias was assessed for all the included studies. The search strategy yielded 583 unique articles including 5 randomized controlled trials. Compared with control, meta-analysis showed that participants in the intervention group had: a 0.8-point reduction in pain intensity on a 0 to 10 numerical rating scale at 3 months [95% confidence interval (CI), -1.28 to -0.36] and a 0.7-point reduction (95% CI, -1.19 to -0.20) at 6 months; a 4.84 point (95% CI, -7.38 to -2.29) and -3.82 point (95% CI, -6.49 to -1.14) improvement in physical functioning on a 0- to 68-point function subscale of Western Ontario and McMaster Universities Osteoarthritis Index at 3 and 6 months, respectively; and a significant improvement in patient satisfaction equivalent to a "small to moderate effect." Pharmacist-led medication review reduces pain intensity and improves physical functioning and patient satisfaction. However, the clinical significance of these findings remain uncertain due to small effect size and nature of reported data within clinical trials that limits recommendation of wider clinical role of pharmacist in chronic pain management.
Maddison, Christopher Royce. "A CBT inpatient chronic pain management model: factors impacting treatment outcomes." Thesis, 2015. http://hdl.handle.net/1959.13/1059200.
Повний текст джерелаBiopsychosocial factors are increasingly recognised as important factors in the treatment of chronic pain. This pilot study seeks to identify those psychosocial factors that impact successful treatment outcomes of chronic pain in patients attending a 2 week intensive pain management program. Treatment targeted beliefs, psychological distress (trauma, anxiety and depression), and disability associated with chronic pain. The DASS-21 and Chronic Pain Acceptance questionnaires administered prior to, at completion of, and at 12 weeks post treatment revealed a significant decrease in depression and a significant increase in pain acceptance respectively and maintained over the 12 weeks. The Pain Beliefs Questionnaire results showed significant change in pain beliefs post treatment, however, this was not maintained at 12 weeks post treatment. Outcomes related to biopsychosocial factors, with age positively correlating with gains in acceptance, and number of interventions attempted correlating with poorer reductions in depression. Changes in pain beliefs and maintenance of those changes had a relationship with the distress from previous interventions and surgery. However, of interest in this study were client factors influencing treatment outcomes for example hope, prior beliefs, and acceptance. Both qualitative and quantitative future studies would broaden our understanding of common factors impacting the management of chronic pain.
Edwards, Zoe, L. Ziegler, C. Craigs, Alison Blenkinsopp, and M. I. Bennett. "Pharmacist educational interventions for cancer pain management: a systematic review and meta-analysis." 2018. http://hdl.handle.net/10454/16804.
Повний текст джерелаEducational interventions by pharmacists for patients with cancer pain aim to improve pain management, but little is known about the different components of interventions and their effectiveness. Our aim was to assess the benefit of pharmacist delivered educational interventions for patients with cancer pain. A systematic review and meta‐analysis of experimental trials testing pharmacist delivered educational interventions for cancer pain was carried out to identify the components of interventions and effectiveness at improving pain‐related outcomes for patients with cancer. A literature review was conducted in EMBASE, MEDLINE, CINAHL, PsycINFO, ASSIA, Web of Science and CENTRAL from inception until January 2018 searching for educational interventions involving a pharmacist for patients with cancer pain. Four studies were included involving 944 patients. Meta‐analysis was carried out where possible. Meta‐analysis of three of the four studies found that mean pain intensity in the intervention group was reduced by 0.76 on a 0–10 scale (95% confidence interval), although only two of the studies used validated measures of pain. Improvements in knowledge, side effects and patient satisfaction were seen although with less reliable measures. Pharmacist educational interventions for patients with cancer pain have been found to show promise in reducing pain intensity. Studies were few and of varying quality. Further, good quality studies should be carried out in this area and these should be comprehensively reported. Trials measuring patient self‐efficacy and patient satisfaction are needed before the impact of the pharmacist delivered interventions on these outcomes can be established.
Anderson, Colleen McDavid. "Parents' attitudes toward pain medication, parents' perception of children's pain and parents' management of children's pain at home following day surgery or short-stay surgery /." 2002.
Знайти повний текст джерелаTomlinson, Justine, V.-L. Cheong, Beth Fylan, Jonathan Silcock, H. Smith, Kate Karban, and Alison Blenkinsopp. "Successful care transitions for older people: a systematic review and meta-analysis of the effects of interventions that support medication continuity." 2019. http://hdl.handle.net/10454/17703.
Повний текст джерелаBackground: medication-related problems occur frequently when older patients are discharged from hospital. Interventions to support medication use have been developed; however, their effectiveness in older populations are unknown. This review evaluates interventions that support successful transitions of care through enhanced medication continuity. Methods: a database search for randomised controlled trials was conducted. Selection criteria included mean participant age of 65 years and older, intervention delivered during hospital stay or following recent discharge and including activities that support medication continuity. Primary outcome of interest was hospital readmission. Secondary outcomes related to the safe use of medication and quality of life. Outcomes were pooled by random-effects meta-analysis where possible. Results: twenty-four studies (total participants=17,664) describing activities delivered at multiple time points were included. Interventions that bridged the transition for up to 90 days were more likely to support successful transitions. The meta-analysis, stratified by intervention component, demonstrated that self-management activities (RR 0.81 [0.74, 0.89]), telephone followup (RR 0.84 [0.73, 0.97]) and medication reconciliation (RR 0.88 [0.81, 0.96]) were statistically associated with reduced hospital readmissions. Conclusion: our results suggest that interventions that best support older patients’ medication continuity are those that bridge transitions; these also have the greatest impact on reducing hospital readmission. Interventions that included self management, telephone follow-up and medication reconciliation activities were most likely to be effective; however, further research needs to identify how to meaningfully engage with patients and caregivers to best support post-discharge medication continuity. Limitations included high subjectivity of intervention coding, study heterogeneity and resource restrictions.
National Institute for Health Research (NIHR) under its Research for Patient Benefit (RfPB) Programme (Grant PB-PG-0317-20010).
Modesto, Gonçalo Miguel Xavier. "Integration of Mobile Health Apps and Web-Based Interventions in the Self-Management of Low Back Pain: A Systematic Review." Master's thesis, 2018. http://hdl.handle.net/10316/81892.
Повний текст джерелаConhecimento prévio: A dor lombar (LBP) é um problema de saúde pública com um impacto substancial na capacidade funcional do indivíduo e nas suas atividades de vida diária. O tratamento da LBP é desafiador e complexo e, por isso, requer novas abordagens que promovam uma reabilitação de qualidade, segura e de baixo custo.Objetivo: O objetivo deste estudo é fornecer uma visão geral da evidência disponível e avaliar se os estudos incluídos seguem uma estrutura comum e homogénea que permita avaliar o impacto da utilização de apps e intervenções baseadas na web na auto gestão da dor lombar.Materiais e Métodos: As bases de dados eletrónicas PubMed/Medline, PubMed Central (PMC), PubMed Health, Cochrane CENTRAL e PEDro foram pesquisadas de 2007 até dezembro de 2017. A estratégia de pesquisa incluiu o uso de termos MESH e termos de texto livre, combinando 3 conceitos: LBP, aplicações móveis e autocuidado/autogestão. Foram incluídos ensaios de controlo randomizado (RCTs) e protocolos de RCTs, que usam apps ou intervenções baseadas na web como parte do tratamento para doentes com LBP. Resultados: Um total de 17 artigos relativos a 14 estudos diferentes - 9 ensaios de controlo randomizado e 8 protocolos de RCTs - cumpriram os critérios de inclusão. Os nove RCTs incluíram um total de 1659 participantes, variando de 51 a 398 participantes por estudo. A maioria dos participantes eram mulheres com níveis educacionais elevados (faculdade parcial ou superior). Nenhum estudo analisou a utilização dos cuidados de saúde. Três estudos utilizaram uma app, acessível a partir de vários dispositivos. Elementos interativos foram relatados em todos os estudos.Conclusões: Foi fornecida uma visão geral da evidencia disponível relativamente à integração de apps e intervenções baseadas na web na auto gestão da dor lombar. Os estudos incluídos não seguiram uma estrutura homogénea e apresentaram inúmeros resultados e dados heterogéneos. Desta forma, não foi possível estabelecer uma ideia clara do seu verdadeiro impacto. Os protocolos de RCTs parecem avaliar resultados mais homogéneos e provavelmente fornecerão dados úteis no futuro. A utilização dos cuidados de saúde e períodos de seguimento mais longos devem ser avaliados em ensaios futuros. Os aplicativos e as intervenções baseadas na web podem ser a solução para superar barreiras atuais e aumentar o acesso a uma reabilitação de qualidade, segura e de baixo custo.
Background: Low back pain (LBP) is a highly prevalent public health related problem with a substantial impact on the individual's disability and daily functioning. The challenging and complex treatment of LBP requires new motivational, time and cost-effective approaches. Objective: The aim of this study is to provide an overview of the available evidence and to determine if the included studies follow a well-structured and homogenous design that allow an effective assessment of the impact of mobile health apps and web-based interventions in the self-management of LBP.Methods: Electronic databases such as PubMed/Medline, PubMed Central (PMC), PubMed Health, Cochrane CENTRAL and PEDro were searched from 2007 until December 2017. The search strategy included the use of MESH terms and free-text terms, combining 3 concepts: low back pain, mobile applications and self-care. Randomized control trials (RCTs) and RCT protocols using mobile health apps or web-based interventions as part of the treatment for patients with LBP were included.Results: A total of 17 articles concerning 14 different studies - 9 randomized control trials and 8 RCT protocols - met the inclusion criteria. The nine completed RCTs included a total of 1659 participants, ranging from 51 to 398 participants per study. The majority of the participants were females and reported educational levels as partial college or higher. A wide range of outcome measures were used, although none of the studies reported on health care utilization. There was a significant variation in the reported results, even though some studies indicated improvement in certain outcomes favouring the intervention group. Three studies delivered the content through an app, accessible from multiple devices. Interactive elements were reported in every study.Conclusions: An overview of the available evidence, concerning the integration of mobile health apps and web-based interventions in the self-management of LBP was provided. The included studies did not follow a homogenous design, reporting numerous outcomes and heterogenous data. Therefore, it was not possible to establish a clear idea of its true impact. The protocols for future trials seem to evaluate more homogenous outcomes and are likely to provide future useful data. Health care utilization and longer follow-up periods should be assessed in future trials. Apps and web-based interventions may be the solution to overcome current barriers and increase access to a quality, safe and cost-effective rehabilitation for LBP.
Knisely, Mitchell R. "Understanding exposure to pharmacogenetically actionable opioids in primary care." Diss., 2016. http://hdl.handle.net/1805/10479.
Повний текст джерелаPharmacogenetic testing has the potential to improve pain management through addressing wide interindividual variations in responses to pharmacogenetically actionable opioids, ultimately decreasing costly adverse drug effects and improving responses to these medications. A recent review of pharmacogenomics in the nursing literature highlighted the need for nurses to more fully embrace the burgeoning field of pharmacogenomics in nursing research, clinical practice, and education. Despite the promise of pharmacogenetic testing, significant challenges exist for evaluating outcomes related to its implementation, including oversimplification of medication exposure, the complexity of patients' clinical profiles, and the characteristics of healthcare contexts in which medications are prescribed. A better understanding of these challenges could enhance the assessment and documentation of the benefits of pharmacogenetic testing in guiding opioid therapies. This dissertation is intended to address the challenges of evaluating outcomes of pharmacogenetic testing implementation and the need for nurses to lead pharmacogenomic-related research. The dissertation purpose was to advance the sciences of nursing, pain management, and pharmacogenomics through the development of a typology of common patterns of medication exposure to known pharmacogenetically actionable opioids (codeine & tramadol). A qualitative, person-oriented approach was used to retrospectively analyze six months of electronic health record and pharmacogenotype data in 30 underserved adult patients. An overarching typology with eight groups of patients that had one of five opioid prescription patterns (singular, episodic, switching, sustained, or multiplex) and one of three types of medical emphasis of care (pain, comorbidities, or both) were identified. This typology consisted of a description of multiple common patterns that compare and contrast salient factors of exposure and the emphasis of why individuals were seeking care. Furthermore, in an aggregate descriptive analysis evaluating key clinical profile factors, these patients had complex medical histories, extensive healthcare utilization, and experienced significant polypharmacy. These findings can aid in addressing challenges related to the implementation of pharmacogenetic testing in clinical practice and point to ways in which nurses can take the lead in pharmacogenomics research. Findings also provide a foundation for future studies aimed at developing medication exposure measures to capture its dynamic nature and identifying and tailoring interventions in this population.