Joshi, G., & Kehlet, H. (2013). Procedure-specific Pain Management: The Road to Improve Postsurgical Pain Management?. Anesthesiology, 118(4), 780-782.
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This article explained that good pain management is known to produce many benefits for the postoperative patient. However, the article goes on to explain that treating postoperative pain is still a major issue with inadequate postoperative patient pain relief remaining high. The article discussed how the Joint Commission declared pain the “fifth vital sign”. And that the Joint Commission has determined not all pain could be eliminated, but that goal-related therapy may be suitable. The article concluded by explaining that there was a need for evidence-based procedure specific pain management guidelines. I found this to be an interesting concept that the article presented. In summary the authors believed we could better manage pain based on knowing the type and amount of pain usually caused based on the type of surgery.
Zuccaro, S., Vellucci, R., Sarzi-Puttini, P., Cherubino, P., Labianca, R., & Fornasari, D. (2012). Barriers to Pain Management. Clinical Drug Investigation, 32(S1), 11-19. This article started by showing that although there are many techniques to alleviate pain there are even more barriers to effective pain management. With these many barriers leading to a large number of patients not receiving the best pain control. The abstract went on to give examples of the different types of barriers for patients, physicians, and health care institutions. The author believed that identifying and acknowledging these barriers was the beginning to overcoming them. The abstract concluded that health care providers need to be more aware of their patient’s as well as their own cognitive, emotional, and behavioral barriers in order to achieve optimal pain management.
Sinatra, R. (2010). Causes and Consequences of Inadequate Management of Acute Pain. Pain Medicine, 11(12), 1859-1871.
References: Joshi, G., & Kehlet, H. (2013). Procedure-specific Pain Management: The Road to Improve Postsurgical Pain Management?. Anesthesiology, 118(4), 780-782. Loder, E., Witkower, A., McAlary, P., Huhta, M., & Matarrazzo, J. (2003). Rehabilitation hospital staff knowledge and attitudes regarding pain. American Journal Of Physical Medicine & Rehabilitation / Association Of Academic Niruban, A., Biswas, S., Willicombe, S., & Myint, P. (2010). An audit on assessment and management of pain at the time of acute hospital admission in older people. International Journal Of Clinical Practice, 64(10), 1453-1457. Schatman, M. E. (2011). The Role of the Health Insurance Industry in Perpetuating Suboptimal Pain Management. Pain Medicine, 12(3), 415-426. Sinatra, R. (2010). Causes and Consequences of Inadequate Management of Acute Pain. Pain Medicine, 11(12), 1859-1871. Zuccaro, S., Vellucci, R., Sarzi-Puttini, P., Cherubino, P., Labianca, R., & Fornasari, D. (2012). Barriers to Pain Management. Clinical Drug Investigation, 32(S1), 11-19. .