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Articles Tagged With: pain

  • Pain Control in Older Adults

    Many older adults experience pain, but there are limited guidelines to appropriately manage their pain. Additionally, assessment of pain control in older adult patients can be difficult because of impairments in cognition, hearing, and sight. Increasingly, acute care providers are challenged to manage pain in this unique population. This article will discuss the epidemiology and etiology of pain in the older adult population, the pathophysiology, tools for diagnosing pain in older adults with cognitive impairment, and appropriate multimodal pain management for older adult patients.

  • Buprenorphine May Be an Effective Alternative to Full Opioids for Pain in the ICU

    In a small, single-center, retrospective, propensity-matched cohort study examining enteral oxycodone vs. sublingual buprenorphine in a critically ill population, pain control was equivalent, indicating that sublingual buprenorphine may be an effective and appropriate alternative.

  • Buprenorphine May Be an Effective Alternative to Full Opioids for Pain  in the ICU

    In a small, single-center, retrospective, propensity-matched cohort study examining enteral oxycodone vs. sublingual buprenorphine in a critically ill population, pain control was equivalent, indicating that sublingual buprenorphine may be an effective and appropriate alternative.

  • Empowered Relief vs. CBT vs. Health Education for Low Back Pain

    This randomized clinical trial involving adults with chronic low back pain demonstrates that a single session of a pain management class, when compared to a full course of cognitive behavioral therapy, yields noninferior (clinically on par) outcomes in pain catastrophizing and several other measures at the three-month follow-up.

  • Pain Researchers Are Engaging Patients as Partners

    Pain researchers would benefit by enacting a comprehensive approach to patient engagement, perhaps engaging people with lived experience of chronic pain in developing study recruitment materials.

  • Cannabis Use and Associated Health Conditions in Primary Care: An EHR Review

    This cross-sectional review of 185,565 patients’ medical records revealed documentation of medicinal cannabis use in 2% of the records. Within this subgroup, 44.5% had documentation of one or more health conditions potentially benefitting from treatment with cannabis, 54.4% had documentation of one or more health conditions potentially worsening with cannabis use, and 36.6% had both types of health conditions.

  • Pediatric Procedural Sedation and Analgesia in the Emergency Department

    Children in the acute care setting may require nonpharmacologic and pharmacologic adjuncts for anxiety, pain, or to successfully complete diagnostic testing or therapeutic interventions. The authors review the requirements and pharmacologic agents necessary to complete a successful pediatric procedural sedation and analgesia.

  • Is Metformin a Wonder Drug?

    An analysis of patients taking metformin for diabetes showed they were less likely to report back, knee, neck/shoulder, or multisite musculoskeletal pain.

  • Closed Claims Study Shows Pain Management Risks as COVID-19 Contributes

    An analysis of closed medical malpractice claims related to pain management identifies common areas of risk and reveals the COVID-19 pandemic has created new possibilities for liability. A top contributing factor in 90% of all closed claims was insufficient consent between the physician and the patient or family.

  • Reducing Opioid Prescriptions Following Gynecologic Surgery

    With sufficient institutional buy-in, appropriate patient education, and staff adherence to standardized postoperative prescribing practices, patients undergoing abdominal gynecologic surgery can leave the hospital safely and recover with low doses of opioid medications, or no opioid prescription at all.