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The Black Box of Patient Education: An Expert Consultation on Patient Education Interventions and Strategies for the Management of Subacromial Pain Syndrome
CONCLUSION: The consultation confirmed and expanded the knowledge from the literature by adding knowledge that emerged from the experts' practical experience. It resulted in the development of preliminary statements on structured patient education interventions and management strategies for SAPS. These emerging statements are, to our knowledge, the first to inform patient education specifically as it relates to the management of SAPS taking into account psychosocial and contextual factors.PMID:37736407 | PMC:PMC10510546 | DOI:10.3138/ptc-2022-0123
Source: Physiotherapy Canada - September 22, 2023 Category: Physiotherapy Authors: Katherine Montpetit-Tourangeau Abner Saul Diaz-Arenales Joseph-Omer Dyer Annie Rochette Source Type: research

Implementation of coordinated spontaneous awakening and breathing trials using telehealth-enabled, real-time audit and feedback for clinician adherence (TEACH): a type II hybrid effectiveness-implementation cluster-randomized trial
Intensive care unit (ICU) patients on mechanical ventilation often require sedation and analgesia to improve comfort and decrease pain. Prolonged sedation and analgesia, however, may increase time on mechanica...
Source: Implementation Science - September 21, 2023 Category: Health Management Authors: Colin K. Grissom, Richard Holubkov, Lori Carpenter, Bridgett Hanna, Jason R. Jacobs, Christopher Jones, Andrew J. Knighton, Lindsay Leither, Dee Lisonbee, Ithan D. Peltan, Carrie Winberg, Doug Wolfe and Rajendu Srivastava Tags: Study protocol Source Type: research

Do educational interventions improve prescribing skills of medical students compared to no additional learning? A systematic review
Med Educ Online. 2023 Dec;28(1):2259166. doi: 10.1080/10872981.2023.2259166. Epub 2023 Sep 18.ABSTRACTResearch suggests that medical students are not confident and may be ill-prepared to prescribe competently. Therefore, changes to standard education may be required to fortify medical student prescribing skills, confidence, and competence. However, specific education to write a safe and legal prescription is generally lacking. Furthermore, the term prescribe and the skill thereof is not clearly defined. This review compares additional education for medical students to no identified additional education or another education...
Source: Medical Education Online - September 18, 2023 Category: Universities & Medical Training Authors: Sophie M Mokrzecki Andrew Mallett Tarun Sen Gupta Stephen Perks Tilley Pain Source Type: research

Dancing around the hexaflex: Using ACT in practice 5
Acceptance and commitment therapy (ACT) can be slippery to describe. It’s an approach that doesn’t aim to change thought content, but instead to help us shift the way we relate to what our mind tells us. It’s also an approach focused on workability: pragmatic and context-specific analysis of how well a strategy is working to achieve being able to do what matters. Over the next few posts I want to give some examples of how non-psychologists can use ACT in session (remember ACT is open for anyone to use it!). Values: Qualities of living Oh so much has been written about values…Values bring meaning to what w...
Source: HealthSkills Weblog - September 17, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: ACT - Acceptance & Commitment Therapy Chronic pain Coping strategies Occupational therapy Pain conditions Psychology Science in practice acceptance and commitment therapy Clinical reasoning Health pain management Therapeutic approach Source Type: blogs

Enhancing European Management of Analgesia, Sedation, and Delirium: A Multinational, Prospective, Interventional Before-After Trial
ConclusionsIn routine care, many patients were not assessed for PAD. Assessment rates increased significantly 1  year after the intervention.Clinical trial registration ClinicalTrials.gov: NCT03553719.
Source: Neurocritical Care - September 11, 2023 Category: Neurology Source Type: research

Judge for yourself the management of this patient with " NSTEMI, multivessel disease "
DISCUSSION:The administration of opioid analgesia prior to cath in patients with concern for ACS is associated with longer door-to-balloon times, and greater peak troponin levels. The rate of Occlusion MI in those who received pre-cath opioids was double the rate of those without pre-cath opioids, and STEMI(-) OMI patients who received pre-cath opioids waited 10 hours on average longer to get cath than those who did not received opioids. These results add support to our hypothesis that a major mechanism of harm caused by opioid medications in ACS patients involves delays to the cath lab for patients with STEMI(-) OMI.=====...
Source: Dr. Smith's ECG Blog - September 10, 2023 Category: Cardiology Authors: Pendell Source Type: blogs

Does feeling pain help prepare future clinicians to treat pain? A qualitative exploration of a novel experiential approach to teaching health professional students about pain
CONCLUSION: Integrating first-hand pain experiences within entry-level physiotherapy training appears to have novel value in helping students understand pain subjectivity. Future research should use robust and controlled designs to explore how this novel approach can be used to facilitate further understanding and empathy within clinical interactions with people living with pain.PMID:37682624 | DOI:10.1080/09593985.2023.2254367
Source: Physiotherapy Theory and Practice - September 8, 2023 Category: Physiotherapy Authors: Anne Hudon Nathan Augeard Catherine M Tansey Emilie Houston Geoff Bostick Timothy H Wideman Source Type: research

Intra-operative Magnesium Sulphate for Post-operative Pain in Patients Undergoing Total Abdominal Hysterectomy Under General Anesthesia
Condition:   Post-operative Pain Interventions:   Drug: Magnesium sulfate;   Drug: Normal Saline Sponsor:   Tribhuvan University Teaching Hospital, Institute Of Medicine. Not yet recruiting
Source: ClinicalTrials.gov - September 7, 2023 Category: Research Source Type: clinical trials