Pain Management Commons^™

Outpatient Fall Prevention In Ambulatory Adults 65 Years Old And Over, Dorothy L. Osborne-White

Doctor of Nursing Practice (DNP) Scholarly Projects

Abstract

Background: In the United States (U.S.), falls are the leading cause of injury among adults 65 and over, resulting in 36 million falls yearly (Moreland et al., 2020). According to the Centers for Disease Control and Prevention (CDC, 2023), one in four older adults experiences a fall each year. Falls are the world's second most prominent cause of accidental deaths (World Health Organization [WHO], 2021). Falls are the leading cause of both fatal and non-fatal injuries among older adults (Moreland et al., 2020).

Methods: A quality improvement project that included a fall bundle was implemented in a primary clinic. …

Mindfulness And Pain Regulation: The Role Of Acceptance And Commitment Therapy For Individuals With Chronic Pain, Ariana C. White

Honors Theses and Capstones

Chronic pain is a significant and widely prevalent health condition which requires comprehensive care to address the many facets contributing to symptomatology. In 2016, 20% of American adults (about 50 million) reported experiencing chronic pain, of which 7.4% indicated that chronic pain frequently limited their life and participation in activities within the past 3 months (CDC, 2018). As a result, many individuals with chronic pain turn to opioid-based medication for pain relief, but long-term use of opioids actually increases pain sensation (Tobin, 2019). Moreover, opioid medication is unable to target underlying mental health components which emerge as part of chronic …

Volunteer Studies In Pain Research — Opportunities And Challenges To Replace Animal Experiments: The Report And Recommendations Of A Focus On Alternatives Workshop, C. K. Langley, Q. Aziz, C. Bountra, N. Gordon, P. Hawkins, A. Jones, G. Langley, T. Nurmikko, I. Tracey

Gill Langley, PhD

Despite considerable research, effective and safe treatments for human pain disorders remain elusive. Understanding the biology of different human pain conditions and researching effective treatments continue to be dominated by animal models, some of which are of limited value. British and European legislation demands that non-animal approaches should be considered before embarking on research using experimental animals. Recent scientific and technical developments, particularly in human neuroimaging, offer the potential to replace some animal procedures in the study of human pain. A group of pain research experts from academia and industry met with the aim of exploring creatively the tools, strategies …

The Application Of Dialectical Behavior Therapy To Chronic Pain Management, Jacob S. Iwaszewski

Loma Linda University Electronic Theses, Dissertations & Projects

Pain affects more than 50 million Americans annually, costs over 150 billion dollars each year in healthcare and legal expenses, and results in decreased work productivity and missed work days (Ballantyne, 2006; Boll, Raczynski, & Leviton, 2004; Thom, 2004). It is estimated that chronic pain negatively impacts 15% to 33% of the US population (Bokarius et al., 2008). Third-wave acceptance-based therapies, such as Dialectical Behavior Therapy (DBT), have demonstrated significant improvements in mental health functioning for a variety of populations (Carmody & Baer, 2008; Cusens, Duggan, Thome, & Burch, 2010). DBT, one of the primary treatment modalities for Borderline Personality …

Clinically Relevant Aspects Of Chronic Pain: Normal Personality Predictors, Stephen Ray Nitch

Loma Linda University Electronic Theses, Dissertations & Projects

This study examined the normal personality characteristics of chronic pain patients using cluster analysis. To date, much of the research involving chronic pain and personality has assumed that signs of psychopathology are likely to be present (Jay, Grove, and Grove, 1987; Love and Peck, 1987). There have been some exceptions to this trend by researchers who sought to measure the normal personality structure of individuals with chronic pain (see Wade, Dougherty, Hart, and Cook, 1992). One of central aims of the current study was to further refine the psychosocial taxonomy of chronic pain patients by paying more attention to individual …

The Relationship Of Instructions During Labor And Relaxation, Frances Josephine Hume Lopez

Loma Linda University Electronic Theses, Dissertations & Projects

A causal-comparative study was done in a county hospital using twenty subjects to determine if the ''unprepared" primigravida patient in active labor will experience less pain if given instructions to aid relaxation. It was hypothesized that the "unprepared" primigravida patients receiving continuous nurse attendance plus instructions to aid relaxation by (1) breathing techniques, and (2) body positions would show less evidences of pain, tension and anxiety during the first and second stages of labor than the group of patients which received only the continuous nurse attendance.

Two devices, (1) a structured observation, (2) a questionnaire with fixed-alternative questions, were used …

A Comparative Study Of Discomfort Experienced By Surgical Patients On Three Selected Postoperative Days, Lillian Barker Bartlett

Loma Linda University Electronic Theses, Dissertations & Projects

A descriptive survey was conducted to compare the discomfort experienced on three selected postoperative days to determine if there is one day identified by the patient as the most uncomfortable and to assess the symptoms of which he might complain. A checklist of twelve symptoms common to postsurgical patients was administered on the evenings of the second, third and fourth postoperative days by the researcher. Findings indicated that nineteen or 56 per cent of the thirty-four patients interviewed stated that the second day was most uncomfortable, nine or 27 per cent the third and six or 17 per cent the …