Advancing nursing practice in pain management / / edited by Eloise Carr, Mandy Layzell, Martin Christensen

• Record Nr.: UNINA9910814154103321
• Pubbl/distr/stampa: Chichester, West Sussex ; ; Ames, IA, : Blackwell Pub., 2010
• ISBN: 1-282-45665-2; 9786612456657; 1-4443-1872-1; 1-4443-1873-X
• Edizione: [1st ed.]
• Descrizione fisica: 1 online resource (234 p.)
• Altri autori (Persone): CarrEloise C. J; ChristensenMartin; LayzellMandy
• Disciplina: 610.73; 616.0472
• Soggetti: Pain - Nursing; Nursing
• Lingua di pubblicazione: Inglese
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Note generali: Description based upon print version of record.
• Nota di bibliografia: Includes bibliographical references and index.
• Nota di contenuto: Advancing Nursing Practice inPain Management; Contents; Contributors' biographies; Foreword 1; Foreword 2; Preface; Acknowledgement; 1 Introduction to advancing practice in pain management; Introduction; Advanced practice; The context of pain management: definitions and prevalence; Advancing practice in pain management; Bringing together advanced practice and pain management; Conclusions; 2 Nurse-led femoral nerve block service for patients with fractured neck of femur; Introduction; Pain control; Under-treated pain; Pharmacokinetics; Pharmacodynamics; Changes in pain perception; Assessment of painAnalgesic drugs and the elderly; Femoral nerve block; Benefits of FNB; Risks of FNB; Rationale for a nurse-led service; Developing the service; Protocol development and training; Patient information sheet; Patient group directions; Data collection and evaluation of the service; Training; Problems encountered with the training; Challenges in implementing a new service; Evaluation of the ; 1-year pilot study; Service feedback from staff; Service feedback from patients; Justifying the advanced nursing contribution; Conclusions; Acknowledgements; 3 New directions in acute pain management: ketamineIntroduction; Developing the service; Challenges in implementing a new service or area of practice development; Evaluation of using ketamine for pain relief; Justifying the advanced nursing contribution; Conclusions; 4 Developing a nurse-led clinic for the treatment of neuropathic pain; Introduction; Definitions and causes of neuropathic pain; Prevalence of neuropathic pain; A proposal and rationale for a nurse-led clinic for sufferers of neuropathic pain; Identifying stakeholders; Developing a business plan; Assessment tools; The challenges and realityEvaluation of the service; Justifying the advanced nursing contribution; Conclusions; Appendix 1: Original business plan; Appendix 2: Text of an open letter to all local general practitioners informing them of the proposal to commence a nurse-led clinic for painful diabetic neuropathy; Appendix 3: Example of a typical letter to a general practitioner, at the time pregabalin was not available for prescription; 5 Nurse-led strategies to improve patient safety in acute pain management; Introduction; Media exposure; Injectable medicines; Intravenous opioid PCA; Epidural analgesiaAnalgesic medicines and risk; Nursing contribution to medicines management; New role; Blurring of roles; Developing the service; Oral and PCA analgesia; Challenges in implementing the changes in practice; Ongoing evaluation and audit; Justifying the advanced nursing contribution; Conclusions; 6 Developing an acupuncture service for chronic pain; Introduction; Rationale for setting up an acupuncture clinic for pain management; Staff development: education and maintaining competencies; Clinical governance; Conclusions; Editors' note; 7 The advanced nurse practitioner: developing alliances
• Sommario/riassunto: This book showcases the development and evaluation of innovative examples of pain management initiatives by advanced practitioners. It considers each service development or community initiative both in terms of advanced practice nursing and pain management. There is a wide range of examples of innovation in pain management included - from the introduction of ketamine use in one trust, to wider issues around meeting the needs of pain management in the community. The book considers issues including use of research, education and interprofessional working in the advanced practitioner