Literature DB >> 29733454

Severe pain during wound care procedures: A cross-sectional study protocol.

Catherine A Fiala1, Linda I Abbott1,2, Cheryl D Carter1, Stephen L Hillis3, Jessica S Wolf1, Meghan Schuster1, Rachel Dulski1, Elizabeth A Grice4, Barbara A Rakel1, Sue E Gardner1.   

Abstract

AIM: The aim of this study is to: (a) develop and evaluate a model to predict severe pain during wound care procedures (WCPs) so that high-risk patients can be targeted for specialized dressings and preventive pain control; and (b) identify biological factors associated with severe pain during WCPs so that novel pain control strategies can be developed.
BACKGROUND: Wound care procedures such as dressing changes can cause moderate to severe pain in 74% of patients, with nearly half (36%) of all patients experiencing severe pain (rated as 8-10 on a 10-point numeric rating scale) during dressing change. Additionally, clinicians have little direction with current guidelines regarding pain control during WCPs including the selection of the appropriate advanced wound dressings and the appropriate use of analgesics.
DESIGN: This is a cross-sectional study.
METHODS: The National Institute of Nursing Research approved and funded the study June of 2015 and the appropriate Institutional Review Board approved all study protocols prior to funding. Study enrolment is underway at the University of Iowa Hospitals and Clinics with a target of 525 participants. Potential participants must be adults (21+ years) and have a nonburn, nondiabetic foot, full-thickness wound. The research team performs a one-time study dressing change on enrolled participants and collects all study data. DISCUSSION: This study will allow the development of a tool for clinicians to use to predict severe pain during WCPs and identify biological factors significantly associated with severe pain during WCPs.
© 2018 John Wiley & Sons Ltd.

Entities:  

Keywords:  cytokines; microbiome; nursing/nurses; wound care; wound pain

Year:  2018        PMID: 29733454      PMCID: PMC6222007          DOI: 10.1111/jan.13699

Source DB:  PubMed          Journal:  J Adv Nurs        ISSN: 0309-2402            Impact factor:   3.187


  44 in total

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3.  Factors associated with high pain intensity during wound care procedures: A model.

Authors:  Sue E Gardner; Linda I Abbott; Catherine A Fiala; Barbara A Rakel
Journal:  Wound Repair Regen       Date:  2017-08-14       Impact factor: 3.617

4.  Tumour necrosis factor-alpha induces ectopic activity in nociceptive primary afferent fibres.

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Authors:  Jerri M Rook; Wohaib Hasan; Kenneth E McCarson
Journal:  Biochem Pharmacol       Date:  2009-03-14       Impact factor: 5.858

8.  Dressing-related pain in patients with chronic wounds: an international patient perspective.

Authors:  Patricia E Price; Hilde Fagervik-Morton; Elizabeth J Mudge; Hilde Beele; Jose Contreras Ruiz; Theis Huldt Nystrøm; Christina Lindholm; Sylvie Maume; Britta Melby-Østergaard; Yolanda Peter; Marco Romanelli; Salla Seppänen; Thomas E Serena; Gary Sibbald; Jose Verdú Soriano; Wendy White; Uwe Wollina; Kevin Y Woo; Carolyn Wyndham-White; Keith G Harding
Journal:  Int Wound J       Date:  2008-06       Impact factor: 3.315

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Journal:  Nat Methods       Date:  2010-04-11       Impact factor: 28.547

Review 10.  CDC Guideline for Prescribing Opioids for Chronic Pain--United States, 2016.

Authors:  Deborah Dowell; Tamara M Haegerich; Roger Chou
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Authors:  Biresaw Ayen Tegegne; Girmay Fitiwi Lema; Demeke Yilkal Fentie; Yosef Belay Bizuneh
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