Biomedical subjects
C Pasero
Publications and source records attributed to C Pasero.
The lidocaine patch.
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Selective COX-2 inhibitors.
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Stigmatizing patients as addicts.
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Assessment and treatment of patients with mental illness.
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Circumcision requires anesthesia and analgesia.
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Appropriate pain control.
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Nurses' personal opinions about patients' pain and their effect on recorded assessments and titration of opioid doses.
In many clinical settings, nurses have a vital role in pain assessment and titration of opioid doses. Surveys of nurses have revealed knowledge deficits in these areas that are thought to contribute to under-treatment of pain. The present study surveys nurses' decisions about assessment and treatment of pain in 2 patient situations and confirms that nurses continue to undertreat severe pain. As shown in previous studies, nurses may be more influenced by the patient's behavior than the patient's self-report of pain, especially in relation to decisions about opioid titration. Nurses are less likely to increase a previously safe but ineffective dose of opioid for a smiling patient than a grimacing patient. Survey results reveal a tendency for nurses' personal opinions about the patients' pain, rather than their recorded assessments, to influence choice of opioid dose and to contribute to undertreatment of pain.
How to choose the best route for an opioid.
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Reversing respiratory depression with naloxone.
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Educating staff about pain management.
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Oral patient-controlled analgesia.
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JCAHO standards in long-term care.
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No justified use of placebos for pain.
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Continuous local anesthetics.
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When patients can't report pain. Assessing patients with communication difficulties.
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