PA Medical News about Analgesia, Patient-Controlled Cognitive Science

Become a Member Today!
Register

Most Viewed Abstracts

1. Report Shows Shift in Starting Salaries for Physicians

2. Recommendations on the use of 18F-FDG PET in oncology

3. Use of Antiemetic Agents in Acute Gastroenteritis

4. Gene expression signatures, clinicopathological features, and individualized therapy in breast cancer

5. AHA Guidelines on Cardiac CT for Assessing Coronary Artery Disease

Your Article Summary

See Latest Articles

(Click the title below to leave the MDLinx Network and go to the Journal's Website)

Can the cognitively impaired safely use patient-controlled analgesia?
Journal of Opioid Management, 11/03/09

Licht E et al. – The authors reviewed a case series of 10 adults aged 65 years and older admitted to the geriatrics or orthopedic services of an urban tertiary care center in New York City with acute pain and cognitive impairment or dementia who were administered PCA. Four patients from this cohort are presented in detail, demonstrating the challenges of PCA use in this population. A series of clinical pearls follows each case, outlining strategies for improving pain management. The authors’ findings suggest that cognitive evaluations limited to alertness and orientation and failure to perform functional assessments may hinder the identification of patients who are poor candidates for PCA. Once PCA has been initiated, clinicians must regularly review device use and document cognitive function and pain score patterns to identify PCA underuse or misuse. Finally, rapid fluctuations in cognitive or functional status may require adoption of a more flexible pain management strategy. Despite these challenges, a subset of cognitively impaired older adults can successfully understand and operate PCA devices.

Subjective Cognitive Complaints Relate to White Matter Hyperintensities and Future Cognitive Decline in Patients With Cardiovascular Disease
American Journal of Geriatric Psychiatry, 10/27/09 Relevance Score: 68%

Aging Minds and Twisting Attitudes: An fMRI Investigation of Age Differences in Inhibiting Prejudice
Psychology and Aging, 11/11/09 Relevance Score: 67%

Chronic pain-related changes in endogenous opioid analgesia: A case report
Pain, 10/16/09 Relevance Score: 67%

A Conceptual and Empirical Review of 25 Years of Cognitive Assessment Using the Articulated Thoughts in Simulated Situations (ATSS) Think-Aloud Paradigm
Cognitive Therapy and Research, 10/09/09 Relevance Score: 67%

Is Intravenous Patient Controlled Analgesia Enough for Pain Control in Patients Who Underwent Thoracoscopy?
Journal of Korean Medical Science, 10/01/09 Relevance Score: 67%