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Pain in patients with multiple sclerosis
Paulů, Kateřina ; Novotná, Klára (advisor) ; Grosserová, Barbora (referee)
The bachelor thesis deals with the topic of pain in patients with multiple sclerosis. The aim of the thesis is to map the prevalence of pain among patients with multiple sclerosis, its localization, time course, triggering factors, type, character, intensity and some other aspects pain through a shortened Czech form of the standardized questionnaire of McGill University. The thesis consists of theoretical and practical part. The theoretical part deals with the issue of pain in general, but also focuses on the individual types of pain that are characteristic of multiple sclerosis. The practical part relies on data collection by means of a questionnaire survey that focuses on mapping the prevalence of pain, its location, haracter, duration, intensity and other possible related factors. To collect data, I used a shorter form of the Czech version of the standardized McGill University questionnaire. The questionnaire survey was carried out with patients of the Centre for Demyelinating Diseases, Department of Neurology 1. LF UK and VFN in Prague, who were given a paper questionnaire. The information I obtained was processed into graphs and tables. The results showed that pain is present in 60 % of respondents with multiple sclerosis, most often localized in the spine and lower limbs. The intensity of...
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Procedural pain in children in intensive care
Duchoň, Jan ; Javůrková, Alena (advisor) ; Sedlářová, Petra (referee)
Diploma thesis Proecdural pain in children in intensive care 11 ABSTRACT Background: This diploma thesis deals with the effect of the pharmacological approach of the topical anesthetic EMLA and the non-pharmacological approach of visual distract- ion on self-reported procedural pain and fear during the insertion of a peripheral venous catheter (appr. PVC) in children aged up 2 to 8 years in the intensive care environment. Objectives: The aim of the theoretical part of this thesis was to provide a systematic review of relevant studies that dealt with the effects of pharmacological and non-pharma- cological interventions used in the procedural pain and fear management in children aged up 6 to 18 years during the PVC insertion. The objective of the empirical part of the thesis was to determine whether the use of the topical anesthetic EMLA in children aged up 8 to 18 years undergoing PVC insertion is more effective in reducing procedural pain and fear than visual distraction and whether the level of procedural pain in these children with regard on the provided therapy is influenced by sociodemographic and clinical variables. Methods: A systematic search was conducted in five relevant databases on PRISMA parameters. N = 16 randomized trials were included in the systematic review. In the pros- pective,...
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Alternative methods in managing postoperative pain in living donor renal transplantant recipients
Nová, Michaela ; Hocková, Jana (advisor) ; Dynáková, Šárka (referee)
The main criteria for managing good postoperative care include the effective and appropriate choice of pain therapy. Experiencing pain is a purely individual feeling for each of us, so it is very important to have adequate and sufficient analgesia during this period. Modern management of post-operative pain therapy uses preparations of various pharmacological groups that potentiate and thereby more effectively reduce pain. By this mechanism, we can reduce the total dose of analgesics given, and more particularly, reduce the dose of opioids that have a higher risk of side effects. In this project i want to show how the analgesic catheter could be useful as alternative possibility in algorithm therapy of postoperative pain. Analgesic catheter enable continual local anesthetics administration, exactly 0,5% bupivacaine, which is operating in surgical wound. Main goal of the study is to find out and verify if analgesic catheter is method which provides continual analgesia strong enough to results in lower use of opioids. The research data will be determined by quantitative research using a questionnaire survey. Non standardized self-production questionnaire. will be given in a paper form to non-medical healthcare staff, who perform nursing activities The spectrum of patients is very specific; they are...
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Psychological aspects of pain management
Zahradníková, Tereza ; Niederlová, Markéta (advisor) ; Kebza, Vladimír (referee)
Bachelor's thesis deals with pain management from psychological perspective. It covers emotional, cognitive and behavioral factors, pain coping strategies and individual differences in pain management. This work focuses on the time dimension of pain. The aim is to describe psychological aspects of acute and chronic pain management - the differences between acute and chronic pain management and the role of psychological aspects in pain chronification. Psychological aspects of pain, especially pain coping strategies, are evaluated in terms of efficiency and adaptability. The research project is designed as a prospective study investigating if there are any pain coping strategies related to pain chronification and if the coping strategies change during pain chronifiaction. Keywords: pain management, coping strategies, acute and chronic pain, chronification of pain
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History of the pain treatment
Erbenová, Helena ; Mellanová, Alena (advisor) ; Vaňková, Milena (referee)
The thesis focuses on the history of pain treatment from the beginning of humanity to present days. It aims to provide a comprehensive overview of the research development, creation of theories and struggling of a man with the pain, an unpleasant sensory perception, without which the mankind would most probably not survive. From the skeletal remains we learn about pain-killing practices among primitive people who were, besides various potions, charms, spells and rituals, able to use even the trepanation techniques. We find that people in ancient times apparently understood the pain caused by traumatic mechanisms but they could not handle the pain caused by some internal disorder. Early findings about the treatment of pain were thus linked to the nature. People used plants with narcotic and analgetic effects e. g. opium, cannabis, mandrake and physical quantities such as pressure, heat, cold or even shocks generated by electric fish. Over the time they improved this knowledge and reached for new findings. This thesis presents also ideas and creation of theories of pain provided by thinkers and scholars across centuries. Works from antiquity had apparently the biggest and the longest lasting influence on pain and medical problematics. From historical sources we read that new discoveries in medicine...
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Alternative methods in managing postoperative pain in living donor renal transplantant recipients
Nová, Michaela ; Hocková, Jana (advisor) ; Dynáková, Šárka (referee)
The main criteria for managing good postoperative care include the effective and appropriate choice of pain therapy. Experiencing pain is a purely individual feeling for each of us, so it is very important to have adequate and sufficient analgesia during this period. Modern management of post-operative pain therapy uses preparations of various pharmacological groups that potentiate and thereby more effectively reduce pain. By this mechanism, we can reduce the total dose of analgesics given, and more particularly, reduce the dose of opioids that have a higher risk of side effects. In this project i want to show how the analgesic catheter could be useful as alternative possibility in algorithm therapy of postoperative pain. Analgesic catheter enable continual local anesthetics administration, exactly 0,5% bupivacaine, which is operating in surgical wound. Main goal of the study is to find out and verify if analgesic catheter is method which provides continual analgesia strong enough to results in lower use of opioids. The research data will be determined by quantitative research using a questionnaire survey. Non standardized self-production questionnaire. will be given in a paper form to non-medical healthcare staff, who perform nursing activities The spectrum of patients is very specific; they are...
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The perception of pain versus pain management in the nursing profession
BLÁHOVÁ, Kateřina
The thesis deals with a definition of pain management issues, role of nurses working with patients in pain and, particularly, perception of pain of patients by nurses. The objective of the research was to identify and to study pain management procedures and, at the same time, to present how nurses perceive and experience the care of patients in pain. The empirical part of the thesis was performed through qualitative investigation using semi-structured interviews with nurses and patients. The respondents included 12 nurses and 8 patients. Based on results of the investigation covert participatory observation was selected as a complementary method. 6 nurses were observed while taking care of patients during a post-surgery period. Most frequently, nurses rate pain of patients by means of VAS (Visual Analogue Scale), however, they quite often assess the value subjectively. Nurses then record the found values regularly into the patient´s chart. Nurses would also appreciate more cooperation with physicians in order to increase efficiency of pain rating. Nurses are able to respond very well to patient´s verbalization of pain and they perceive differences in communication in such situations. The majority of nurses choose pro-active approach to pain alleviation. Nurses have the basic knowledge about non-pharmacological pain alleviation. Perception of pain by nurses is partly affected by length of their practice and by their own experience with pain. Nurses perceive negatively those situations when pain management interventions are not sufficiently effective, when they cannot contact physicians or when they cannot act based on their own discretion. In such situations nurses demonstrate signs of distress. This problem aggravates when nurses work with patients suffering from chronic pain. Nurses have only limited opportunities to improve their education in pain management and communication with patients in pain. Patients in pain mostly see the care provided by nurses positively but they have also provided numerous recommendations for the nurses. The empirical research has shown that nurses meet with patients in pain nearly every day while performing their nursing practice and that assessment of pain plays an important role in pain alleviation. In most cases the exposure of nurses to patients in pain causes their negative emotional experience, such as sadness or fear of complications. Their experience is affected by several factors. In general, the issues of pain perception by nurses in comparison with pain management techniques are often neglected. Nevertheless, from the viewpoint of mental stress, pain perception is an indisputable factor that deserves more detailed investigation.
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History of the pain treatment
Erbenová, Helena ; Mellanová, Alena (advisor) ; Vaňková, Milena (referee)
The thesis focuses on the history of pain treatment from the beginning of humanity to present days. It aims to provide a comprehensive overview of the research development, creation of theories and struggling of a man with the pain, an unpleasant sensory perception, without which the mankind would most probably not survive. From the skeletal remains we learn about pain-killing practices among primitive people who were, besides various potions, charms, spells and rituals, able to use even the trepanation techniques. We find that people in ancient times apparently understood the pain caused by traumatic mechanisms but they could not handle the pain caused by some internal disorder. Early findings about the treatment of pain were thus linked to the nature. People used plants with narcotic and analgetic effects e. g. opium, cannabis, mandrake and physical quantities such as pressure, heat, cold or even shocks generated by electric fish. Over the time they improved this knowledge and reached for new findings. This thesis presents also ideas and creation of theories of pain provided by thinkers and scholars across centuries. Works from antiquity had apparently the biggest and the longest lasting influence on pain and medical problematics. From historical sources we read that new discoveries in medicine...
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Psychological aspects of pain management
Zahradníková, Tereza ; Niederlová, Markéta (advisor) ; Kebza, Vladimír (referee)
Bachelor's thesis deals with pain management from psychological perspective. It covers emotional, cognitive and behavioral factors, pain coping strategies and individual differences in pain management. This work focuses on the time dimension of pain. The aim is to describe psychological aspects of acute and chronic pain management - the differences between acute and chronic pain management and the role of psychological aspects in pain chronification. Psychological aspects of pain, especially pain coping strategies, are evaluated in terms of efficiency and adaptability. The research project is designed as a prospective study investigating if there are any pain coping strategies related to pain chronification and if the coping strategies change during pain chronifiaction. Keywords: pain management, coping strategies, acute and chronic pain, chronification of pain
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