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Informationen zum Autor Eloise Carr is Associate Dean Postgraduate Students, School of Health & Social Care, Bournemouth University. She serves on Council for the British Pain Society and Chairs a Special Interest Group in Pain Education. Mandy Layzell is lecturer practitioner, Acute Pain Service, Poole Hospital NHS Foundation Trust, and the School of Health & Social Care, Bournemouth University. Dr Martin Christensen is Senior Lecturer, School of Health & Social Care, Bournemouth University and clinical educator in a general intensive care unit. Klappentext This book showcases the development and evaluation of innovative examples of pain management initiatives by advanced practitioners. It considers each service development or community initiative both in terms of advanced practice nursing and pain management. There is a wide range of examples of innovation in pain management included - from the introduction of ketamine use in one trust, to much wider issues, such as meeting the needs of pain management in the community. The book considers issues such as utilisation of research, education and interprofessional working in the advanced practitioner role. Each chapter looks at development of the service, challenges of implementation, evaluation of the service's success and justifying the importance of the advanced nurse in the service's achievements. Underlying theory is considered but the focus of each chapter is the translation of knowledge and skills into practice Written by expert advanced nurse practitioners with a wealth of experience in pain management Explores pain management in primary and secondary care, both within and outside the NHS Zusammenfassung This book showcases the development and evaluation of innovative examples of pain management initiatives by advanced practitioners. It considers each service development or community initiative both in terms of advanced practice nursing and pain management. Inhaltsverzeichnis Contributors' biographies xi Foreword 1 - Professor Judy Watt-Watson, University of Toronto, Canada xv Foreword 2 - Professor Kim Manley, Head of Practice Development, Royal College of Nursing xvii Preface xix Acknowledgement xxi 1 Introduction to advancing practice in pain management 1 Eloise Carr and Martin Christensen Introduction 1 Advanced practice 1 The context of pain management: definitions and prevalence 5 Advancing practice in pain management 6 Bringing together advanced practice and pain management 7 Conclusions 8 2 Nurse-led femoral nerve block service for patients with fractured neck of femur 11 Mandy Layzell Introduction 11 Pain control 12 Under-treated pain 13 Pharmacokinetics 13 Pharmacodynamics 13 Changes in pain perception 13 Assessment of pain 14 Analgesic drugs and the elderly 14 Femoral nerve block 15 Benefits of FNB 15 Risks of FNB 16 Rationale for a nurse-led service 16 Developing the service 17 Protocol development and training 17 Patient information sheet 18 Patient group directions 18 Data collection and evaluation of the service 19 Training 19 Problems encountered with the training 19 Challenges in implementing a new service 20 Evaluation of the 1-year pilot study 21 Service feedback from staff 23 Service feedback from patients 23 Justifying the advanced nursing contribution 23 Conclusions 25 Acknowledgements 26 3 New directions in acute pain management: ketamine 29 Gillian Chumbley Introduction 29 Developing the service 33 Challenges in implementing a new service or area of practice development 37 Evaluation of using ketami...
