Is there evidence of pain management in cancer patients due to specific opioid restrictions?

Dynamed presents an overview on current evidence in an entry for Opioids for Chronic Cancer Pain.
More information is provided for specific opioids, recommendations, and guidelines; also included are links to specific review articles.

See Joanna Briggs Institute EBI Database evidence summaries:

Cancer Patients: Pain Control (Management Principles). Susan Slade. [Evidence Summaries]. AN: JBI1758. 2016

Pain management (older individuals): Intermittent Subcutaneous Analgesics. Dao Le, Long Khanh. [Evidence Summaries]. AN: JBI1142. 2017

Cancer Patients: Pain Control (Treatment with Opioid drugs). Obeid, Stephanie. [Evidence Summaries]. AN: JBI1759. 2016

Updated links for entries in Joanna Briggs, 10/16/2017 ldt

Is there evidence-based research to support using ice packs for postoperative pain management?

Adie S, Kwan A, Naylor JM, Harris IA, Mittal R.  Cyrotherapy following total knee rcplacement.  Cochrane Database Syst Rev. 2012 Sep 12;9:CD007911
Bottom Line:  In regard to postoperative pain following total knee replacement,this Cochrane Systematic Review  had 11 randomized controlled trials  and one controlled trial with  a  total of 809 participants which met its inclusive criteria.  The author found that potential benefits of cryotherapy  on blood loss, postoperative pain and range of motion was too small to justify its use and the quality of evidence was low or very low for all main outcomes. Additionally another Cochrane Systemic Review,  Bala, MM, Riemsma, RP, Woff, R,  Kleijnen  J.  Cryotherapy for liver metastases. Cochrane Database for Syst. Rev. 2013 June 5;6 , stated there is  insufficient evidence that cyotherapy benefited patients with liver metastases from various primary sites in terms of survival or recurrence compared with conventional surgery.

The databases searched were PubMed, CINAHL and Joanna Briggs.   My search stratedy was the following: (ice packs OR cyrotherapy)  AND postoperative pain limited from 2000-present and human and English language.

Eight randomized controlled trials  results saw benefits from cold therapy relieving postoperative pain from different parts of the body.    Lastly another randomized controlled trial, Modabber A, Rana M, Ghassemi A,  Gerressen M,  Gellrich NC, Holzle  F, Rana M.  Three-dimensional evaluation of postoperative swelling in treatment of zygomatic bone fractures using two different cooling therapy methods:  a randomized observer-blind prospective study.  Trials. 2013 Jul 29;14:238,  found that hilotherapy was a more efficient cooling method than conventional cooling in relieving postoperative pain and swelling.


Reviewed by John Nemeth 4/14

Guidelines for Continuous Pulse Oximetry

Jeffrey J. Pretto, Teanau Roebuck, Lutz Beckert and Garun Hamilton. Clinical use of pulse oximetry: Official guidelines from the Thoracic Society of Australia and New Zealand. Respirology. 2014 Jan;19(1):38-46. doi: 10.1111/resp.12204. Epub 2013 Nov 20.

Pulse Oximetry. [Recommended Practices], 2016.

Dao Le, Long Khanh,. Pulse Oximetry: Clinician Information. {Evidence Summaries]. 2016.

Practice guidelines for the prevention, detection, and management of respiratory depression associated with neuraxial opioid administration: An updated report by the American Society of Anesthesiologists Task Force on Neuraxial Opioids and the American Society of Regional Anesthesia and Pain Medicine. Anesthesiology. 2016 Mar;124(3):535-52. doi: 10.1097/ALN.0000000000000975.

Pedersen T1, Nicholson A, Hovhannisyan K, Møller AM, Smith AF, Lewis SR. Pulse oximetry for perioperative monitoring. Cochrane Database Syst Rev. 2014 Mar 17;(3):CD002013. doi: 10.1002/14651858.CD002013.pub3. PubMed PMID: 24638894 .

I searched PubMed, CINAHL AND Joanna Briggs.   Keywords:  Continuous Pulse Oximetry Guidelines.

Updated Joanna Briggs and Cochrane links, 10/16/2017 ldt

Have professional practice models in nursing increased nursing engagement?

A search in PubMed and CINAHL  using search terms professional development models AND nursing engagement produced these results:

Carter, Matthew R, and Ann ETourangeau. “Staying in nursing: what factors determine whether nurses intend to remain employed?.” Journal of advanced nursing 68.7 (2012):1589-1600

Bargagliotti, L A. “Work engagement in nursing: a concept analysis.” Journal of advanced nursing 68.6 (2012):1414-1428.

Spence Laschinger, Heather K, et al. “Predictors of new graduate nurses’ workplace well-being: testing the job demands-resources model.” Health care management review 37.2 (2012):175-186.

Adams, Jeffrey M, DebraDenham, and Irene RNeumeister. “Applying the Model of the Interrelationship of Leadership Environments and Outcomes for Nurse Executives: a community hospital’s exemplar in developing staff nurse engagement through documentation improvement initiatives.” Nursing administration quarterly 34.3 (2010):201-207
Lai, Hui-Ling, et al. “Intensive care unit staff nurses: predicting factors for career decisions.” Journal of clinical nursing 17.14 (2008):1886-1896.

More PubMed Results

Reviewed 4/22/14 AA

What evidence exists that compares skin creams for treating/managing pressure ulcers in hospitalized patients?

Searched Dynamed, PubMed and Joanna Briggs  using search terms  skin cream AND pressure ulcer.

DynaMed Plus, an EBM  resource compares several topicals in regard to the healing of pressure ulcers based on randomized and non-randomized controlled trials – Search for pressure ulcers and go to that entry. Then click on  “Treatment” and scroll down to find “topical treatments”. The entry also contains links to the studies it references.

Joann Briggs Institute:  Pressure Area Care. [Recommended Practices] 2016.

PubMed search results for your review:

Noda, Yasuhiro, et al. Physicochemical properties of macrogol ointment and emulsion ointment blend developed for regulation of water absorption. International journal of pharmaceutics 419.1-2 (2011):131-136.

Saleh, Mohammad, DenisAnthony, and SamParboteeah. The impact of pressure ulcer risk assessment on patient outcomes among hospitalised patients. Journal of clinical nursing 18.13 (2009):1923-1929. 

Shahin, Eman S M, TheoDassen, and Ruud J GHalfens. Pressure ulcer prevention in intensive care patients: guidelines and practice. Journal of evaluation in clinical practice 15.2 (2009):370-374.

More PubMed search results

Reviewed 4/20/14  AA

Updated link for entry in Joanna Briggs, 10/16/2017

What are the evidence-based recommendations for orientation time for new graduate nurses in terms of safety and readiness to practice?

Search was done in PubMed and Joanna Briggs using these search terms: new graduate nurses AND (transition OR residency OR internship).

Bottom Line: Literature search revealed very broad time line in nurse residency from 6 weeks to one year  and time by (department or area not discussed).
Park, Mihyun, and Cheryl B Jones. A retention strategy for newly graduated nurses: an integrative review of orientation programs. Journal for nurses in staff development 26.4 (2010):142-149.  See TABLE 1 The Summary of Program Outcomes

Holland, Cindra, and Gail RModdeman. Transforming the journey for newly licensed registered nurses. The Journal of Continuing Education in Nursing 43.7 (2012):330-336.

Kramer, Marlene, et al. The organizational transformative power of nurse residency programs. Nursing administration quarterly 36.2 (2012):155-168.

Purling, Amy, and LindyKing. A literature review: Graduate nurses’ preparedness for recognising and responding to the deteriorating patient. Journal of clinical nursing 21.23-24 (2012):3451-3465.

The effectiveness of strategies and interventions that aim to assist the transition from student to newly qualified nurse. (Systematic Review). The JBI Library of Systematic Reviews & Implementation Reports. 9(53):2215-2323, 2011.

More references from PubMed

What evidence supports the use of mild hypothermia after cardiac arrest?

A  search of PubMed retrieved these references using the search strategy:((“Heart Arrest”[Mesh])) AND (“Hypothermia, Induced”[Mesh]) AND (systematic[sb] AND hasabstract[text] AND “last 5 years”[PDat] AND English[lang])   TO SEE MORE

Arrich J, Holzer M, Havel C, Müllner M, Herkner H.
Hypothermia for neuroprotection in adults after cardiopulmonary resuscitation
Cochrane Database Syst Rev. 2012 Sep 12;9:CD004128. doi: 10.1002/14651858.CD004128.pub3.

Delhaye C, Mahmoudi M, Waksman R. Hypothermia therapy: neurological and
cardiac benefits. J Am Coll Cardiol. 2012 Jan 17;59(3):197-210. doi: 10.1016/j.jacc.2011.06.077. Review. PubMed PMID: 22240124.

Cullen D, Augenstine D, Kaper L, Tinkham S, Utz D.
Therapeutic hypothermia initiated in the pre-hospital setting: a meta-analysis.
Adv Emerg Nurs J. 2011 Oct-Dec;33(4):314-21. doi: 10.1097/TME.0b013e3182343cb6.