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Basic Nursing Procedures: Managing Stress and Fear
Several strategies have been evaluated in evidence-based practice that can reduce anxiety levels in surgical patients. These strategies include the use of music therapy, aromatherapy using essential oils, and relaxation techniques. Unfortunately, a fast-paced and high-turnover unit, such as the perioperative area, may not be the ideal place to employ these strategies. Alternatively, research has indicated that basic strategies, including effective communication and appropriate humor, can also reduce anxiety and can be used with patients having surgery-even those not exhibiting signs of anxiety.
Travelling Nurses: Increasing Demand and Expanding Opportunities
An improved national economy and millions of people gaining health coverage under the Patient Protection and Affordable Care Act has led to an increased demand for travel nurses, according to Kaiser Health News. The demand for experienced, temporary nursing staff is at a 20-year high, according to industry analysts. The demand for travel nursing is expected to increase by 10 per cent in 2015. That’s because of declining unemployment “which raises demand by increasing commercial admissions to hospitals,” Staffing Industry Analysts, a research firm, said, according to the report. Medicaid expansion may also drive the demand for travel nursing. According to the report, analysts said improved profits, especially in states that have expanded Medicaid under the PPACA, have made hospitals more apt to look for travel nurses to help them keep up with rising admissions.
Effects of Music Therapy in Pain Relief on Children During Phlebotomy
This study was a prospective, randomized, controlled trial. The sample consisted of children aged 7 to 12years who required blood tests. The children were randomized into four groups, distraction cards, music, distraction cards + music, and controls. Data were obtained through face-to-face interviews with the children, their parents, and the observer before and after the procedure. The children’s pain levels were assessed and reported by the parents and observers, and the children themselves who self-reported using Wong-Baker FACES. The children’s anxiety levels were also assessed using the Children’s Fear Scale.
Pain and Anxiety Relief in Children
Two hundred children (mean age: 9.01±2.35years) were included. No difference was found between the groups in the self, parent, and observer reported procedural pain levels. Furthermore, no significant differences were observed between groups in procedural child anxiety levels according to the parents and observer.
Pain and anxiety relief was seen in all three methods during phlebotomy; however, no statistically significant difference was observed.
How has PBRN (Primary Based Research Networks) Changed Primary Care and Dissemination?
The Central Appalachia Inter-Professional Pain Education Collaborative was developed to work with PBRN clinics using quality improvement methods, deliver statewide continuing education activities to address the issue of opioid use in patients with chronic pain, and develop a multimodal mechanism to disseminate project results to clinics and participating providers.
Successful change in the delivery of chronic pain care was dependent on the clinic’s commitment to a team-based, patient-centered approach. Statistically, significant improvements were shown in 10 of 16 process measures, and 80% of the participants agreed that the quality improvement process activity increased their knowledge and would improve their performance in managing patients with chronic pain, as well as patient outcomes in their practice.
Disruptive Mood Dysregulation Disorder in Children
This article outlines diagnostic criteria and features of the newly established diagnosis of disruptive mood dysregulation disorder (DMDD), and discusses how this disorder differs from bipolar disorder in childhood. The chronic, severe, nonepisodic irritability seen in patients with DMDD contrasts with the characteristic episodic mood swing symptoms of bipolar disorder. Differentiating between the two diagnoses is important in regard to prognostic and treatment considerations, as children with DMDD are more likely to develop a mood disorder later in life rather than to develop a classic bipolar disorder. Research is needed to establish clear treatment guidelines for DMDD.
Psychology of Sexual Orientation and Diversity
Many issues include a major article or set of articles on a specific theme of importance to theory, research, and/or practice in the psychology of sexual orientation and gender diversity. In addition, articles address professional issues, methodological and theoretical issues, and comments on previous publications in the journal as well as such topics that advance the psychological knowledge of lesbian, gay, bisexual, and transgender individuals and their families, couples and marriage, health and health care, aging, work, and careers.
The journal includes all areas of psychological research, especially developmental, social, clinical, community, counseling, family, gender roles and gender nonconformity, lifespan and ageing, cultural diversity including race and ethnicity, and international issues.
Behavior Analysis in Pediatric Primary Care
Behavior Consultation and Therapy addresses clinical and applied behavior analysis with diverse settings and populations.
We are particularly interested in submissions that address the application of behavior analysis in primary care in relation to supervision and training in primary care paediatrics. What is applied behavior analysis in pediatric primary care? Evidence-based procedures in primary care. Ethical issues and professional conduct related to behavior analysis in pediatric primary care. Behavioral assessment methods in pediatric primary care. Single-case design and data collection in primary care. The scope of practice in pediatric primary care. Extending behavior analysis to other primary care settings.
Effective Palliative /End Life Care Interventions
Homeless individuals have a high prevalence of multiple chronic comorbidities and early mortality compared to the general population. They also experience significant barriers to access and stigmatization in the healthcare system. Providing advance care planning, palliative care, and end-of-life care for this underserved population is an important health issue.
Peer-reviewed studies that implemented advance care planning, palliative care, and end-of-life care interventions for homeless populations were included. Data from studies were independently extracted by two investigators using pre-specified criteria, and quality was assessed using modified Cochrane and Critical Appraisal Skills Programme tools.
Six articles met inclusion criteria. Two studies were randomized controlled trials involving advance directive completion. Two cohort studies investigated the costs of a shelter-based palliative care intervention and predictors for completing advance directives. These studies were rated low to fair quality. Two qualitative studies explored the interface between harm-reduction services and end-of-life care and the conditions for providing palliative care for homeless persons in a supportive home.
The effectiveness of advance care planning, palliative care, and end-of-life care interventions for homeless individuals is uncertain. High-quality studies of interventions that reflect the unique and complex circumstances of homeless populations and investigate patient-related outcomes, caregiver burden, and cost-effectiveness are needed.
Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research.
In the United States, this report ushered in the current “impact era” of pain as a public health problem. Relieving Pain in America described the individual experience of pain as complex, multifactorial, and often difficult to effectively manage. The report also indicated that there is a systemic lack of understanding of pain among researchers and healthcare providers. Five years later, this lack of understanding continues to have a major impact on relief for patients with pain.
Globally, musculoskeletal conditions are one of the most common sources of prolonged pain and disability. With the increasing prevalence of chronic pain, the use of opioids as a first line of treatment has contributed to the current opioid epidemic in the United States. In response to the opioid epidemic, the Centers for Disease Control and Prevention published the CDC Guideline for Prescribing Opioids for Chronic Pain.2 The first Guideline recommendation highlighted nonpharmacological treatment options, including physical therapist interventions, as frontline strategies.
PTJ is developing a Pain Management Special Issue to transform the understanding of pain and promote the implementation of best practice strategies among rehabilitation scientists and clinicians.
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