05394nam 2200673Ia 450 99620805240331620230725044859.01-282-45665-297866124566571-4443-1872-11-4443-1873-X(CKB)2550000000001303(EBL)477847(OCoLC)593222451(SSID)ssj0000334412(PQKBManifestationID)11285662(PQKBTitleCode)TC0000334412(PQKBWorkID)10271508(PQKB)11022540(MiAaPQ)EBC477847(Au-PeEL)EBL477847(CaPaEBR)ebr10361187(CaONFJC)MIL245665(EXLCZ)99255000000000130320090728d2010 uy 0engur|n|---|||||txtccrAdvancing nursing practice in pain management[electronic resource] /edited by Eloise Carr, Mandy Layzell, Martin ChristensenChichester, West Sussex ;Ames, IA Blackwell Pub.20101 online resource (234 p.)Description based upon print version of record.1-4051-7699-7 Includes bibliographical references and index.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 perceptionAssessment 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; Acknowledgements3 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 toolsThe 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 PCAEpidural 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' note7 The advanced nurse practitioner: developing alliancesThis 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 practitionerPainNursingNursingPainNursing.Nursing.610.73616.0472Carr Eloise C. J898832Christensen Martin898833Layzell Mandy898834MiAaPQMiAaPQMiAaPQBOOK996208052403316Advancing nursing practice in pain management2008062UNISA