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1.
Pain Manag Nurs ; 25(1): 27-28, 2024 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-37981538

RESUMEN

American Society for Pain Management Nursing (ASPMN) supports safe medication practices and the appropriate use of pro re nata (PRN) range orders for analgesics in the management of pain within the scope of nursing practice. Although range orders may apply to many medications prescribed as PRN, the focus of this ASPMN position statement is on PRN analgesic medication. PRN range orders are commonly used to provide flexibility in dosing to meet the analgesic requirements of an individual patient. There are many patient-specific factors that require professional clinical assessment when administering medications to patients. Unfortunately, several myths persist regarding The Joint Commission's (TJC) standard around the implementation of range orders leading many to assume that range orders are not supported or safe. On the contrary, if utilized in a consistent and appropriate manner, PRN range orders can allow nurses to provide optimal pain management while still providing safe administration (Paquette et al., 2022).


Asunto(s)
Atención de Enfermería , Dolor , Humanos , Dolor/tratamiento farmacológico , Analgésicos/uso terapéutico , Manejo del Dolor , Esquema de Medicación
2.
Pain Manag Nurs ; 19(3): 207-210, 2018 06.
Artículo en Inglés | MEDLINE | ID: mdl-29801596

RESUMEN

Effective pain management requires careful titration of analgesics and evaluation of individual patient's responses to treatment using valid and reliable pain and pain relief assessment tools, and evidence-based patient monitoring for adverse treatment effects. A registered nurse, competent in pain assessment and analgesic administration, can safely interpret and implement properly written ''as-needed'' or ''PRN'' range orders for analgesic medications. The American Society for Pain Management Nursing (ASPMN) and the American Pain Society (APS) support safe medication practices and the appropriate use of PRN range orders for opioid analgesics in the management of pain.


Asunto(s)
Analgésicos Opioides , Dolor Crónico/tratamiento farmacológico , Trastornos Relacionados con Opioides/prevención & control , Pautas de la Práctica en Enfermería , Dolor Crónico/enfermería , Humanos , Prescripción Inadecuada/enfermería , Prescripción Inadecuada/prevención & control , Trastornos Relacionados con Opioides/enfermería , Guías de Práctica Clínica como Asunto , Sociedades de Enfermería
3.
Pain Manag Nurs ; 19(6): 573-579, 2018 12.
Artículo en Inglés | MEDLINE | ID: mdl-30340869

RESUMEN

BACKGROUND: A task force of members of the American Society for Pain Management Nursing (ASPMN) authored a position paper "Prescribing and Administering Opioid Doses Based Solely on Pain Intensity." Some of the authors of this ASPMN position paper presented a concurrent session at the September 2016 ASPMN National Conference discussing the content of the position paper. As a follow-up, the authors designed a research study to identify the impact of the position statement in facilitating change in institutional practice of dosing analgesics based solely on pain intensity. AIMS: Our aim was to ascertain the effect of the American Society for Pain Management Nursing ASPMN position paper "Prescribing and Administering Opioid Doses Based Solely on Pain Intensity" (2016) on changes in institutional practices. DESIGN: The study used an online anonymous questionnaire that included open-ended questions. SETTINGS: An anonymous electronic questionnaire was used to assess the impact across the United States. PARTICIPANTS/SUBJECTS: Participants were members of the American Society for Pain Management Nursing. METHODS: An eight-question anonymous questionnaire created through Survey Monkey was sent to members of the American Society for Pain Management Nursing via an e-mail listserv and the monthly e-newsletter. RESULTS: Of the 142 members who consented to participate in the study, 120 members answered one or more questions. Those who responded to the question about changes in practice, only 13 (11.1%) reported that the position paper had influenced a change in practice at their institution. The majority, 89 (75%), reported that practice had not changed in their institution. CONCLUSIONS: Among those clinicians who participated in this study, the position paper "Prescribing and Administering Opioid Doses Based Solely on Pain Intensity" reportedly had minimal impact on changing institutional practices.


Asunto(s)
Analgésicos Opioides/uso terapéutico , Dolor/tratamiento farmacológico , Pautas de la Práctica en Enfermería , Analgésicos Opioides/administración & dosificación , Humanos , Dolor/enfermería , Manejo del Dolor , Publicaciones Periódicas como Asunto , Sociedades de Enfermería , Encuestas y Cuestionarios
4.
AACN Adv Crit Care ; 22(3): 238-54; quiz 255-6, 2011.
Artículo en Inglés | MEDLINE | ID: mdl-21808159

RESUMEN

Opioid tolerance resulting from long-term opioid consumption for chronic pain or from substance use disorder adds a layer of complexity to managing pain in the critical care setting. This article discusses similarities and differences of these 2 conditions. The phenomenon of tolerance and opioid-induced hyperalgesia are presented. Prevention of opioid withdrawal, when patients are on methadone or buprenorphine, is described. An overview of the neurophysiology of pain and substance use disorder is presented. Practical clinical suggestions are given to assist the critical care nurse in caring for these complex patients.


Asunto(s)
Analgésicos Opioides/efectos adversos , Enfermedad Crítica , Dolor/tratamiento farmacológico , Trastornos Relacionados con Sustancias/fisiopatología , Analgésicos Opioides/uso terapéutico , Enfermedad Crónica , Educación Continua , Humanos , Trastornos Relacionados con Sustancias/complicaciones
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