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1.
Pain Manag Nurs ; 25(3): 209-210, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38653642

RESUMO

The American Society for Pain Management Nursing (ASPMN) has reviewed and updated its position statement on the use of authorized agent controlled analgesia (AACA) for patients who are unable to independently utilize a self-dosing analgesic infusion pump, commonly known as patient-controlled analgesia (PCA). ASPMN continues to support the use of AACA to provide timely and effective pain management while promoting equitable care for vulnerable patient populations who are unable to use PCA. ASPMN does not support the use of "PCA by Proxy" in which unauthorized individuals activate PCA for a patient. This position statement includes an updated review of the evidence related to AACA. Clinical practice recommendations for authorized agents, nurses, prescribers, and organizations are provided with an emphasis on the importance of appropriate authorized agent selection, education, diligent patient assessment and medication management.


Assuntos
Analgesia Controlada pelo Paciente , Sociedades de Enfermagem , Humanos , Analgesia Controlada pelo Paciente/métodos , Analgesia Controlada pelo Paciente/normas , Analgesia Controlada pelo Paciente/enfermagem , Sociedades de Enfermagem/normas , Manejo da Dor/métodos , Manejo da Dor/normas , Analgésicos Opioides/uso terapêutico , Analgésicos Opioides/administração & dosagem , Estados Unidos
2.
Pain Manag Nurs ; 14(3): 176-81, 2013 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-23972869

RESUMO

The American Society for Pain Management Nursing (ASPMN) has updated its 2007 position statement on the use of authorized agent controlled analgesia (AACA) for patients who are unable to independently utilize patient-controlled analgesia (PCA). ASPMN continues to support the use of AACA to provide timely and effective pain management while promoting equitable care for vulnerable patient populations who are unable to utilize PCA. ASPMN does not support the use of "PCA by Proxy" in which unauthorized individuals activate PCA for a patient. The background of the development of the position statement, definitions related to AACA, and application of ethical principles to the use of AACA are presented in the document. This position statement includes an updated review of the evidence related to AACA and a call for further research. Clinical practice recommendations for authorized agents, nurses, prescribers, and organizations are provided with an emphasis on the importance of appropriate authorized agent selection, education, diligent patient assessment and medication management.


Assuntos
Analgesia Controlada pelo Paciente/normas , Manejo da Dor/normas , Dor/tratamento farmacológico , Dor/enfermagem , Guias de Prática Clínica como Assunto , Sociedades de Enfermagem , Analgésicos/uso terapêutico , Humanos , Manejo da Dor/enfermagem
3.
Int J Palliat Nurs ; 18(9): 426-8, 430-3, 2012 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-23124052

RESUMO

For the majority of patients, cancer pain can be treated using the World Health Organization cancer pain guidelines; however, for 10-20% of patients with advanced cancer, adequate pain control cannot be achieved using these methods owing to disease pathophysiology preventing administration/absorption of pain medications or intolerance due to opioid toxicities. The need to expand analgesic treatment when oral, transdermal, and intravenous therapies fail requires exploration of interventional pain management techniques such as neuraxial (e.g. epidural and intrathecal) infusion therapies and neurolytic interventions. Nurses caring for patients with cancer pain should develop their knowledge of these multimodal approaches to cancer pain management.


Assuntos
Manejo da Dor/métodos , Cuidados Paliativos , Humanos , Reino Unido , Organização Mundial da Saúde
4.
Pain Manag Nurs ; 12(4): 225-9, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22117754

RESUMO

The American Society for Pain Management Nursing (ASPMN) holds the position that a placebo should not be used by any method to assess and/or manage an individual's pain regardless of their age or diagnosis. The only justifiable use of placebos is for participants enrolled in a blinded clinical trial. These clinical trials must be Institutional Review Board (or equivalent) approved with participants clearly informed that they may receive a placebo before they consent to participate and actually have the sham treatment administered.


Assuntos
Ensaios Clínicos como Assunto/normas , Manejo da Dor/normas , Placebos/normas , Guias de Prática Clínica como Assunto/normas , Especialidades de Enfermagem/normas , Humanos , Manejo da Dor/enfermagem , Direitos do Paciente/normas , Sociedades de Enfermagem/normas
5.
J Perianesth Nurs ; 26(5): 305-9, 2011 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-21939882

RESUMO

Ephedrine, a well-known sympathomimetic agent, is used in the perioperative setting to treat acute hypotension, especially hypotension related to anesthetic events. Ephedrine's unlabeled use as an antiemetic agent is less well known despite its efficacy and safety profile for short-term and/or prophylactic treatment. The following case report describes the benefits of using ephedrine to mitigate postoperative nausea and vomiting and associated dizziness while waiting for longer lasting therapy to take effect and/or use as a secondary agent.


Assuntos
Antieméticos/uso terapêutico , Efedrina/uso terapêutico , Náusea e Vômito Pós-Operatórios/tratamento farmacológico , Vômito/tratamento farmacológico , Humanos , Náusea e Vômito Pós-Operatórios/enfermagem , Vômito/etiologia , Vômito/enfermagem
7.
Pain Manag Nurs ; 8(1): 4-11, 2007 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-17336864

RESUMO

The American Society for Pain Management Nursing (ASPMN), in order to address sentinel alerts issued by JCAHO in 2004 and ISMP in 2005 concerning "PCA by Proxy", has developed a position statement and clinical practice recommendations on Authorized and Unauthorized (PCA by Proxy) Dosing of Analgesic Infusion Pumps, approved by the Board of Directors in June of 2006. In short, ASPMN does not support the use of "PCA by Proxy". ASPMN does, however, support the practice of Authorized Agent Controlled Analgesia in a variety of patient care settings when the agency has in place clear guidelines outlining the conditions under which this practice shall be implemented and outlining monitoring procedures that will insure safe use of the therapy. In addition to outlining this position, the paper clarifies and distinguishes between the unsafe practice of "PCA by Proxy", in which unauthorized individuals activate the dosing button of an analgesic infusion pump for a patient receiving Patient Controlled Analgesia, and the safe practice of Authorized Agent Controlled Analgesia (AACA). Furthermore, the paper examines the ethical and safety issues and outlines the necessary screening and patient/family education needed to implement AACA. The position statement describes criteria for the use of AACA, guidelines for selection and education of the authorized agent, key prescription and monitoring recommendations during therapy, and quality improvement activities to insure safety and effectiveness.


Assuntos
Analgesia Controlada pelo Paciente/normas , Cuidadores , Procurador , Analgesia Controlada pelo Paciente/ética , Analgesia Controlada pelo Paciente/enfermagem , Cuidadores/educação , Cuidadores/ética , Monitoramento de Medicamentos/enfermagem , Monitoramento de Medicamentos/normas , Família/psicologia , Humanos , Dor/tratamento farmacológico , Dor/enfermagem , Educação de Pacientes como Assunto/normas , Seleção de Pacientes , Ética Baseada em Princípios , Gestão da Segurança/normas , Gestão da Qualidade Total/normas
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