Category Archives: Uncategorized

Essential knowledge for nurses: Evidence-based non-drug options for pain relief post knee replacement

Chiroresearcher

Drug-Free Interventions to Reduce Pain or Opioid Consumption After Total Knee Arthroplasty: A Systematic Review and Meta-analysis
by Dario Tedesco, MD1,2Davide Gori, MD2Karishma R. Desai, PhD1et al

JAMA Surg. Published online August 16, 2017. doi:10.1001/jamasurg.2017.2872

It’s important for nurses to keep up to date with evidence-based interventions to help their patients with pain management. Many patients continue to experience high levels of pain post-op, so any new options nurses can incorporate into their pain management strategies have the potential to make an important impact on patient suffering.

In this review the authors sought to answer the following question: Which of the nonpharmacological interventions used for postoperative pain after total knee arthroplasty are effective?

If you want to know the ‘answer’, click here!

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Student Nurse? Next placement in a nursing home? Get on the train

Cutting the stigma of nursing home placements
by Abby Farzaneh, 2nd year student nurse (adult), Bournemouth University

Some great advice about how to get the most out of your placement should it be in a nursing home. As  outlined in the article, there are loads of learning opportunities and chances to develop your skills – take the chance.

Well done Abby!

And if I may, I will add two words of advice for this or any other type of placement opportunity: be proactive. If you wait for things to happen, the placement opportunities will pass you by like a train leaving you on the platform, wondering what amazing destination you may have arrived at had you had the courage to board. If you actively seek out chances to learn and develop your skills however, every placement, indeed every encounter in life, can be a rich learning experience. Don’t believe me? Be proactive and you’ll see – get on the train.

 

How to promote healing of ulcers? The pressure’s on…

‘Antibiotics and antiseptics for wounds: evidence and ignorance’

It is sadly not unusual for some of our patients to have a pressure ulcer, and for those of you who already have experience of this, you’ll know it can be challenging to achieve healing of the ulcer. You will of course consider that the ulcer requires an adequate blood supply so that the immune system can get to work in removing debris and starting wound repair. Also, the patient will require an adequate intake of nutrition such that the wound has a supply necessary to facilitate healing. Promoting mobility is also crucial since, of course, a lack of this contributed to the ulcer in the first place. An additional consideration is that ulcers can get infected which will delay healing, so naturally you might assume that antibiotics and antiseptics would have a clear role in healing pressure ulcers – not so. Not according to the latest Cochrane review, the main points from which have been summarised by Sarah Chapman on the Evidently Cochrane blog. There is an obvious research need here, and logically nurses should contribute to this evidence base. This is imperative to promote better patient outcomes. Could this be the topic of your first research project?