Chronic Pain: Nursing Interventions and Evidence Summary

This presentation discusses nursing interventions for chronic pain management and the best available evidence for nursing interventions. It also covers the responsibilities of enrolled nurses, nursing interventions for acute pain, and strategies for managing acute pain. The presentation cites several research articles on chronic pain management.

Unit Code: CHCPOL003
Unit Title : Research and apply evidence to practice
Assessment Task 3 : Workplace Improvement Plan 2-simulated

Part A Question 1
• The evidence summary retrieved from JBI database is focused
on nursing interventions with reference to chronic pain.
• The evidence summary addresses best available evidence with
regard to effectiveness of nursing interventions specifically for
adult patients experiencing with chronic pain

Part A Question 2
• Nursing interventions are found to be very simple and effective for management of
chronic pain and it is best considered instead of pharmacological treatment.
• Management of acute pain can prevent disorders and often chronic pain set with suffers.
• Some of the treatments that are promising include-Guided imagery, Sensory stimulation,
education, music therapy , magnetic therapy and cognitive behavioural therapy
• The improvement of patient outcomes is enhanced by collaborative efforts of nurse ,
manager ,patients , physician and primary carer.

Part A Question 3
• As an enrolled nurse and part of interdisciplinary team will assist chronic
pain management by giving medications to the patient that give relief
for patient.
• Other approaches include relaxation techniques, acupuncture,
acupressure, massage, exercise, TENS (transcutaneous electrical nerve
stimulation), heat and cold (such as a hot shower or bath, heated pads,
ice packs), visualisation, hypnosis, aromatherapy, reflexology, distraction
and music therapy, support from social networks, support groups,
massage, and cognitive behavioural therapy (CBT). Many of these are
selfhelp methods that patients can try. Nurses may also link with
psychologists and occupational therapists or physiotherapists

Part A Question 4
• As a enrolled nurse some of the responsibilities include-
• Nurses need to know how to assess pain fully, including the use of
pain assessment tools.
• They should also have knowledge and skills in the management of
pain and not assume patients will simply tell them when they are in
pain.
• Changes in sleep patterns, activities and mood may indicate a
problem with pain control.

Part A Question 5

Part B Question 1

Part B Question 2
Title of the research article:
• Nursing Interventions for Patients with Acute Pain

Part B Question 3
• Question:
Identify the nursing interventions performed for patients with acute
pain?

Part B Question 4
• As a enrolled nurse the two actions or strategies recommended
include-
1. Make sure that patient receives appropriate analgesic care and
2. Investigate the factors the worsen the pain in patient.
3. It is required to encourage the patient to monitor pain and
adequately intervene.

References
• Dieu Huong Nguyen, MBBS, MHHSM, MPH.(2019). Evidence Summary. Chronic Pain: Nursing Interventions. The Joanna Briggs Institute EBP Database, JBI@Ovid. ,
JBI4241.
• Cavalheiro, Júlia Torres; Ferreira, Graciane Lafuente; de Souza, Michele Bulhosa; Ferreira, Anali Martegani. (2019).Journal of Nursing UFPE / Revista de Enfermagem
UFPE,Mar, 13(3): 632-639. 8p.
• Song, W., Eaton, L. H., Gordon, D. B., Hoyle, C., & Doorenbos, A. Z. (2015). Evaluation of Evidence-based Nursing Pain Management Practice. Pain management
nursing : official journal of the American Society of Pain Management Nurses, 16(4), 456–463. doi:10.1016/j.pmn.2014.09.001
• Gewandter, J. S., Dworkin, R. H., Turk, D. C., Farrar, J. T., Fillingim, R. B., Gilron, I., … Walco, G. A. (2015). Research design considerations for chronic pain prevention
clinical trials: IMMPACT recommendations. Pain, 156(7), 1184–1197. doi:10.1097/j.pain.0000000000000191
• Griffioen, M. A., Greenspan, J. D., Johantgen, M., Von Rueden, K., O'Toole, R. V., Dorsey, S. G., & Renn, C. L. (2017). Acute Pain Characteristics in Patients with and
without Chronic Pain following Lower Extremity Injury. Pain management nursing : official journal of the American Society of Pain Management Nurses, 18(1), 33–41.
doi:10.1016/j.pmn.2016.10.002
• Zis, P., Daskalaki, A., Bountouni, I., Sykioti, P., Varrassi, G., & Paladini, A. (2017). Depression and chronic pain in the elderly: links and management challenges. Clinical
interventions in aging, 12, 709–720. doi:10.2147/CIA.S113576
• Baumbauer, K. M., Young, E. E., Starkweather, A. R., Guite, J. W., Russell, B. S., & Manworren, R. C. (2016). Managing Chronic Pain in Special Populations with Emphasis
on Pediatric, Geriatric, and Drug Abuser Populations. The Medical clinics of North America, 100(1), 183–197. doi:10.1016/j.mcna.2015.08.013
• van Hecke, O., Hocking, L. J., Torrance, N., Campbell, A., Padmanabhan, S., Porteous, D. J., … Smith, B. H. (2017). Chronic pain, depression and cardiovascular disease
linked through a shared genetic predisposition: Analysis of a family-based cohort and twin study. PloS one, 12(2), e0170653. doi:10.1371/journal.pone.0170653
• Kaplan, C. M., Schrepf, A., Vatansever, D., Larkin, T. E., Mawla, I., Ichesco, E., … Harris, R. E. (2019). Functional and neurochemical disruptions of brain hub topology in
chronic pain. Pain, 160(4), 973–983. doi:10.1097/j.pain.0000000000001480
• Alhalal, E., Ford-Gilboe, M., Wong, C., & AlBuhairan, F. (2018). Factors mediating the impacts of child abuse and intimate partner violence on chronic pain: a cross-
sectional study. BMC women's health, 18(1), 160. doi:10.1186/s12905-018-0642-9
• Breivik, H., Eisenberg, E., O'Brien, T., & OPENMinds (2013). The individual and societal burden of chronic pain in Europe: the case for strategic prioritisation and action to
improve knowledge and availability of appropriate care. BMC public health, 13, 1229. doi:10.1186/1471-2458-13-1229