Pain Management after Cardiac Surgery

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dc.contributor.advisorEngelke, Martha K.en_US
dc.contributor.authorLangley, Malinda Elizabeth Pauleyen_US
dc.contributor.departmentNursingen_US
dc.date.accessioned2009-08-19T15:58:20Zen_US
dc.date.accessioned2011-05-17T13:35:13Z
dc.date.available2009-08-19T15:58:20Zen_US
dc.date.available2011-05-17T13:35:13Z
dc.date.issued2009en_US
dc.description.abstractPostoperative pain relief is one of the most important concerns for patients undergoing cardiac surgery and is one of the most clinically challenging problems for nurses. It is widely recognized that postoperative pain can negatively impact cardiac surgery outcomes, yet recent surveys report only modest success in pain management as patients continue to describe poorly controlled pain and studies report pain as underestimated, undermedicated, and underrelieved. Research in basic and clinical science has advanced the knowledge of pain management following cardiac surgery. However the emergence of fast-track cardiac surgery programs, which includes tracheal extubation within 6 hours of surgery, early ambulation, a shortened intensive care length of stay and hospital discharge within 3 to 5 days presents a challenge to conventional methods of pain management.en_US
dc.description.degreePh.D.en_US
dc.format.extent106 p.en_US
dc.format.mediumdissertations, academicen_US
dc.identifier.urihttp://hdl.handle.net/10342/1866en_US
dc.language.isoen_USen_US
dc.publisherEast Carolina Universityen_US
dc.subjectHealth Sciences, Nursingen_US
dc.subjectHealth Sciences, Medicine and Surgeryen_US
dc.subjectCardiac surgeryen_US
dc.subjectClinical decision-makingen_US
dc.subjectHealth-related quality of lifeen_US
dc.subjectLocal anesthetic infusionen_US
dc.subjectMechanical ventilationen_US
dc.subjectPain Managementen_US
dc.subject.meshPain, Postoperative--prevention & controlen_US
dc.subject.meshThoracic Surgeryen_US
dc.subject.meshPostoperative Care--nursingen_US
dc.titlePain Management after Cardiac Surgeryen_US
dc.typeDoctoral Dissertationen_US

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