Home 2009


A catastrophic diagnosis puts nursing care to the test

The complicated case of a retiree with a newly diagnosed lung tumor kicks off our new "Case Study" department.

Air Force recognizes CRNAs’ full scope of practice

The U.S. Air Force releases a new policy on anesthesia delivery.

Aromatherapy for you and your patient

Use fragrant oils to soothe muscles, relieve tension, and more.

Assessing the seven dimensions of pain

Pain affects many aspects of your patient's reality. Learn about the seven dimensions of pain and how to evaluate them.

Attacking anterior-wall myocardial infarction in time

More than 1 million Americans a year suffer a myocardial infarction (MI). This article tells you how - and how quickly - you need to respond to the most dangerous MI.

Be a myth-buster: Stop the misconceptions about fibromyalgia

Fibromyalgia produces many symptoms but no signs, so some clinicians dismiss it as a wastebasket diagnosis. But the pain is very real, and patients with fibromyalgia need you to understand their pain - and try to relieve it.

Caring for a homeless adult with a chronic disease

For homeless people, chronic illnesses can be hard to manage. Here’s what you should know about assessing these patients and developing a practical discharge plan.

CRNAs provide cost-effective anesthesia delivery

According to a study by The Lewin Group, a certified registered nurse anesthetist (CRNA) acting independently to deliver anesthesia is more cost effective than...

Dispelling pain myths

Read up on the latest evidence-based best practices in pain management.

Don’t tolerate disruptive physician behavior

No matter if you like - or fear - a doctor who behaves badly, you must report the incident for the sake of the staff, the patients, the institution.

Drugs Today – April 2009

An update of drug news, including alerts, approvals, and removals.

Drugs Today – February 2009

WEB EXCLUSIVE! An update of drug news, including alerts, approvals, and removals.

Drugs Today – March 2009

Web exclusive! An update of drug news, including alerts, approvals, and removals.

Evidence-based interventions for chemotherapy-induced nausea and vomiting

Learn what you can do to manage this devastating effect of cancer treatment.

FDA allows marketing of first device to prevent migraine headaches

On March 11, the U.S. Food and Drug Administration (FDA) allowed marketing of the first device as a preventative treatment for migraine headaches. This...

FDA announces July 22-23 meeting to discuss extended-release and long-acting opioid analgesics

The U.S. Food and Drug Administration announced a joint meeting of the Anesthetic and Life Support Drugs Advisory Committee and the Drug Safety and...

FDA approves Impavido to treat leishmaniasis

On March 19, the U.S. Food and Drug Administration (FDA) approved Impavido (miltefosine) to treat a tropical disease called leishmaniasis. Read more.

FDA encourages prescribers to seek education on prescribing opioid pain meds

On March 1, 2013, the U.S. Food and Drug Administration (FDA) announced that it is joining health professional organizations in encouraging prescribers to seek...

FDA warns of risk of death from postop codeine use in children

On Aug. 15, the U.S. Food and Drug Administration (FDA) issued a warning about risk of death from postop codeine use in children following...
From our readers…How my bad experiences with call lights formed my nursing practice

From our readers…How my bad experiences with call lights formed my nursing practice

I have been a critical care nurse since 2008. In our unit, patients have call lights, and of course, patients and families want them...

Getting straight on low back pain treatment

Be sure you’re up to date on this common problem.

Gorillas, restraints, and moral blind spots

Leah Curtin discusses a restraint situation.

Herbal facts, herbal fallacies

Many people assume herbs can't cause harm, and neglect to tell healthcare providers they're using them. This article will boost your herbal awareness and help you eradicate herbal ignorance among patients, colleagues, family, and friends.

Hospira widens recall of Liposyn and propofol

Hospira has widened its March 31 recall of Liposyn and propofol to include more lots. The recall was issued because some containers may contain...
veteran soldier care patient comfortable pain care

Improving pain care for combat injured soldiers and veterans

By Rosemary C. Polomano, PhD, RN, FAAN Advances in battlefield trauma management have significantly improved survival among military personnel injured in the current Afghanistan and...

Improving pain management: Call to action

Less pain means a great gain for patients. Learn about ANA's agenda to improve the management of chronic and acute pain.

Joint Commission issues Sentinel Event Alert on opioid use in hospitals

On Aug. 8, The Joint Commission released the Sentinel Event Alert, "Safe use of opioids in hospitals." The Alert warns of opioid-induced respirator depression...

Last Breath: The ethics of pharmacologic paralysis

Should patients receive neuromuscular blockers while mechanical ventilation is withdrawn?

Letters to the Editor – July/August 2009

We welcome your comments!Submit your letters to the editor.

Letters to the Editor – May 2008

Dimensions of pain distraction I read with applause "Assessing the seven dimensions of pain" in the February issue. I work in a large teaching institution...

Managing chronic pain in the elderly

Chronic pain has widespread effects on older adults. This article describes how to help patients manage it.

New resource for pain management in the elderly

Visit a new one-stop resource for managing pain in the elderly at www.geriatricpain.org. Sections of the site include pain assessment, pain management, education, quality...

Nursing research takes aim at chronic pain

The National Institute of Nursing Research is studying ways to promote better outcomes for patients with chronic pain.

Pain assessment and nonpharmacologic management in older adults

Takeaways: Pain assessment in older adults is best guided by a systematic framework, such as the Hierarchy of Pain Assessment. Nonpharmacologic treatment strategies are...
Pediatric pain management

Pediatric pain management

An individualized, multimodal, and interprofessional approach is key for success. Takeaways: Many pediatric patients experience unnecessary pain because of undertreatment and inadequate pain management after...
Managing atrioventricular blocks

Polymyalgia rheumatica: A possible cause of pericardial effusion

Suspect polymyalgia in patients who continue to decline after treatment for pericardial effusion.

Pregestational diabetes associated with congenital anomalies

Pregestational diabetes is associated with congenital anomalies, but obesity alone is not, according to a study in the Obstetrics and Gynecology. However, obesity predisposes...

Preventing complications in patients receiving opioids

Understand the terms opioid tolerant and opioid naïve so you can safely administer opioids and protect patients.
medication errors

Preventing high-alert medication errors in hospital patients

Mistakes involving medications are among the most common healthcare errors. Medication errors lengthen hospital stays, increase inpatient expenses, and lead to more than 7,000...
medication errors

Preventing medication errors by empowering patients

Preventable medication errors cost the U.S. healthcare system more than $21 billion annually, according to the National Priorities Partnership and National Quality Forum. This...

Propoxyphene taken off market

Xanodyne Pharmaceuticals, Inc., which makes Darvon and Darvocet, the brand versions of the prescription pain medication propoxyphene, has agreed to withdraw the medication from...

Putting evidence into practice: Pain

The latest in a series of articles on managing cancer-related symptoms from the Oncology Nursing Society.

Questioning common nursing practices: What does the evidence show?

To improve patient outcomes, nurses need to challenge practice traditions.

Quiz time

Which sedation strategy for ICU patients on mechanical ventilation can help mitigate post-intensive care syndrome? a. Keep the patient heavily sedated. b. Use the lightest level...

Recognizing and easing procedural pain

A procedure may be routine to you, but the pain it produces isn't routine to your patient.

Reiki: Ancent healing art for today’s new healthcare vision

Perhaps you’ve heard of a complementary therapy called Reiki, or maybe you’ve experienced it yourself. Reiki is one of the fastest-growing energy healing practices,...

Reversing opioid-induced respiratory depression

For a patient receiving high-dose opioids, frequent monitoring of the sedation level and quick intervention when that level increases stops respiratory depression from claiming another victim.

Severe pain: What’s the diagnosis?

Read this puzzling case history, and see if you can decide on the correct diagnosis.

Should codeine be phased out?

An editorial in CMAJ, the journal of the Canadian Medical Association, raises concerns about a genetic variation and adverse effects from codeine and suggests...

Some fentanyl transdermal patches recalled

The U.S. Food and Drug Administration announced that Actavis Inc. has recalled 18 lots of Fentanyl Transdermal System 25 mcg/hour C-II patches from wholesale...

Special Report – War on Pain

Nursing Strategies to Improve Pain Care in Veterans and Military Personnel

Special report – War on Pain: Multimodal and multidisciplinary therapy for pain management

By Kevin T. Galloway, BSN, MHA; Chester C. Buckenmaier III, MD; Rollin M. Gallagher, MD, MPH; and Rosemary C. Polomano, PhD, RN, FAAN An important...

Special report – War on Pain: Pain management across the military continuum

By Kevin T. Galloway, BSN, MHA; Chester C. Buckenmaier III, MD; and Rollin M. Gallagher, MD, MPH In the military healthcare system, the need for...

Special report – War on Pain: Understanding pain and pain mechanisms

By Kevin T. Galloway, BSN, MHA; Chester C. Buckenmaier III, MD; and Rosemary C. Polomano, PhD, RN, FAAN Pain is a significant challenge both for...
SWAT nursing specialty

SWAT nursing: A unique specialty

What does SWAT stand for? So Where Are They? Smart, Witty, and Talented? Smiling, Willing, Able, Technical? At the University of Michigan Health System (UMHS),...

Take Note – July/August 2009

A weekly round-up of clinical and practice news and alerts.
exercise child children kid obesity

Take Note – June 2008

Failure to rescue is most common safety mistake in hospitals       HealthGrades’ fifth annual Patient Safety in American Hospitals Study found that failure to rescue and...
breast feeding breastfeeding baby

Take Note – November 2006

American Diabetes Association releases food guidelines for specific medical categories “When you’re talking about diabetes, there is no ‘one size fits all’ diet,” said Ann...
flu shot kids note

Take Note – October 2006

CDC recommends annual flu shots for children ages 2 to 4 For the first time, the Centers for Disease Control and Prevention (CDC) is endorsing...

The US Food and Drug Administration has approved two drugs

Morphine Sulfate Oral Solution, used to relieve moderate to severe pain in patients tolerant to opioids.  liraglutide (Victoza), a once-daily injection for treating type...

Tune into the healing power of music

Music can decrease patients' pain and anxiety, lower their pulse and blood pressure, and reduce their need for sedation.

Understanding pain in patients with intellectual disabilities

Learn how to detect and manage pain in patients who may not respond to pain in expected ways.

Using catheter techniques to deliver analgesia

Make sure you're up-to-date on how to deliver epidural, intrathecal, interpleural, and perineural analgesia and local anesthesia.

Weaning patients from the mechanical ventilator: The nurse’s role

Mechanical ventilation can cause serious complicattions-among them lung injury, pneumonia, and multisystemic disorders. Early weaning reduces these risks.

What Works: Improving documentation of restraints in the neuro ICU

Learn how one unit implemented their project, including outcomes and how to overcome barriers.

What you should know about first-line pain medications

Safe, effective pain control hinges on a multimodal approach that addresses the cause of pain and uses medications and other interventions that relieve the...

Most Recent Content

For Nurse Practitioners

uterine fibroids

Do Vitamins, Plants Help Uterine Fibroid Risk or Treatment?

A research team out of Poland recently undertook a comprehensive examination of published data to determine the role that vitamins and diet might play...