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"The biology of pain is never really straightforward, even when it appears to be."
Lorimer Moseley

 

Pain – here’s the evidence?

Do you need access to the latest evidence on pain? Would readily available summary information and critical appraisals assist your clinical practice and save you valuable time? KSR Pain Evidence provides access to systematically produced critical appraisals of all the best available evidence in pain management. It provides bottom line conclusions and clinically relevant implications for all systematic reviews and clinical practice guidelines published on the topic of pain since 2010.

Source: KSR Pain Evidence

Further reading

An examination of the prevalence of acute pain for hospitalised adult patients: a systematic review
Pain is a significant aspect of hospitalisation with up to 35% of patients reporting severe pain. This review investigated the amount of severe or unacceptable pain reported for adults in hospital, and examined the prevalence of acute pain within medical units. "Higher prevalence of pain was found for surgical patients compared to medical patients, although up to 55% of medical patients' reported pain."  Improved awareness of the extent of pain as a problem for patients in all areas of the hospital will assist in improving clinical practice.

Source: Journal of Clinical Nursing 2016; 25(5-6): 583-598

 

Electronic health record - improving patient communication

Based on a literature review and the experience from 2 initiatives at the Brigham and Women's Hospital, Harvard Medical School, Boston, authors outline "strategies to improve 'care team' identification in the electronic health record and discuss potential implications for patient-centered communication".

Source: Journal of Hospital Medicine 2016; online first: 13 January
Full text available for Austin staff via document delivery

 

Indigenous Australian women and maternity care

"Aboriginal and Torres Strait Islander women can experience a lack of understanding of their cultural needs when accessing maternity care in the standard hospital care system." The research identified a variety of cultural needs to improve understanding of the lived experiences of Indigenous women. The authors' recommendations to improve practice include: the extension of current care planners to include cultural needs; Aboriginal Maternal Infant Care (AMIC) workers on call to assist the women and midwives; increased education, employment and retention of Indigenous midwives; removal of signs on the door restricting visitors in the birth suite; and flexibility in the application of hospital rules and regulations.

Source: Women and Birth 2016; online first: 3 February
Full text available for Austin staff via document delivery

Further reading

Resting heart rate in Indigenous Australians
"Lower socioeconomic status has been linked to long-term stress, which can manifest in individuals as physiological stress.” The authors explored the relationship between low socioeconomic status and physiological stress in Aboriginal and Torres Strait Islander Australians and concluded that “an elevated resting heart rate was associated with demographic, socioeconomic and biomedical characteristics in Indigenous Australians."

Source: BMC Cardiovascular Disorders 2016; 16(1): 36

Indigenous cultural awareness in the teaching space
This literature review seeks to “provide an overview of current understandings and discourse about culturally responsive teaching and cultural awareness in education in Australia; covering the following topics:

  • The importance of cultural awareness for Indigenous students; Cultural responsiveness in the teaching space;
  • The benefits of culturally responsive teaching for students;
  • Examples of effective culturally responsive practices in education; and,
  • Cultural awareness for the next generation

Source: Australian Council for Educational Research 2016

Aboriginal Health resources on the Hub

 

New COPD therapies – ANZ Guidelines update

Chronic Obstructive Pulmonary Disease (COPD) affects 14.4% or 1/7 Australians 40 or older and is the 5th leading cause of death. “Over the last few years we have seen the advent of many new therapies for COPD which only highlights the need for health professionals to be across the evidence to ensure effective management of their patients,” Dr Dabscheck (Lung Foundation Australia).

Summary of major changes December 2015

The following documents are also available on the COPD-X website:

 

High performing hospitals – qualitative systematic review

The objective of this review was to identify: methods used in high performing hospitals, the factors associated with high performers, and practical strategies for improvement. The review screened more than 11,000 studies before focusing on 19. From the analysis the authors report that "seven themes (and 25 sub-themes) representing factors associated with high performance emerged: positive organisational culture, senior management support, effective performance monitoring, building and maintaining a proficient workforce, effective leaders across the organisation, expertise-driven practice, and interdisciplinary teamwork."

Source: BMC Health Services Research 2015; 15:244

 

Transforming care at the bedside

Transforming care at the bedside (TCAB) focuses on engaging frontline health workers to report on their experiences of implementing a process improvement model. Over a 15-month period the American Organization of Nurse Executives collaborative involved frontline medical/surgical staff from 67 hospitals. "TCAB was evaluated to assess whether participating units successfully implemented recommended change processes, engaged staff, implemented innovations, and generated support from hospital leadership and staff. The authors report strong engagement in the program by staff at all units and a "high volume of innovations tested, implemented, and sustained", which leads them to conclude that "TCAB appears to be a productive model for organizing and implementing a program of frontline-led improvement."

Source: Joint Commission Journal on Quality and Patient Safety 2016; 42(2): 61-74
Full text available for Austin staff via document delivery

 

Austin Health Research Online - recent submissions

Mycoplasma infection alters cancer stem cell properties in vitro. Gedye C, Cardwell T, Dimopoulous N, Tan BS, Jackson H, Svobodova S, Anaka M, Behren A, Maher C, Hoffmann O, Hide W, Caballero O, David ID, Cebon J. Stem Cell Reviews and Reports 2016; 12(1): 156-161

Endoscopic investigation in non-iron deficiency anemia: a cost to the health system without patient benefit. Mogilevski T, Smith R, Johnson D. Endoscopy International Open 2016; 4(2): E198-E201  

Accuracy of QT interval measurement on electrocardiographs displayed on electronic ‘smart’ devices. Rotella J, Taylor D, Wong, A. Emergency Medicine Australasia 2016; online first: 2 February

Review of 3-year outcomes of a very-low-energy diet-based outpatient obesity treatment programme. Sumithran P, Prendergast, L.A., Haywood, C.J. Clinical Obesity 2016; online first: 3 Februrary
Full text available for Austin staff via document delivery

Neuroimaging biomarkers in Alzheimer's disease and other dementias. Villemagne VL, Chételat G.  Ageing Research Reviews 2016; online first: 28 January
(Due to a technical issue, this link directs you to the online journal - once open, you will need to navigate to "articles in press" to access the full text.)

Uncovering the etiology of conversion disorder: Insights from functional neuroimaging. Ejareh D, Kanaan RA.  Neuropsychiatric Disease and Treatment 2016; 12: 143-153

Impact of androgen deprivation therapy on high-level physical performance. Grossmann M, Cheung AS. European Urology 2016; online first: 27 January
(Due to a technical issue, this link directs you to the online journal - once open, you will need to navigate to "articles in press" to access the full text.)

Amyloid imaging: Past, present and future perspectives. Villemagne, V.  A.  Ageing Research Reviews 2016; online first: 28 January
(Due to a technical issue, this link directs you to the online journal - once open, you will need to navigate to "articles in press" to access the full text.)

See more at AHRO, Austin Health Research Online

 

eBooks spotlight

Braddom's physical medicine and rehabilitation / edited by David X. Cifu - 5th ed. - Elsevier, 2016.
The new edition of this text provides the latest injection techniques, speech/swallowing disorders, head injury rehabilitation, and the rehabilitation of chronic diseases.  There are new chapters on pelvic floor disorders and sensory impairments.

Orthotics & prosthetics in rehabilitation / edited by Michelle M. Lusardi, Milagros Jorge, Caroline Nielsen - 3rd ed. - Elsevier Sunders, 2013.
This text offers an up-to-date, evidence-based approach to rehabilitation for people with prosthetic and orthotic issues, with a focus on interdisciplinary model of care.  For clinicians, the book reinforces the importance of ongoing evaluation of assessment tools and provides treatment strategies for orthotic and prosthetic rehabilitation.  Students will find it a valuable resource for assessment, treatment planning and outcome evaluations.

Practical management of pain / edited by Honorio T. Benzon ... et al. - 5th ed. - Elsevier Mosby, 2014.
Intended for a diverse range of pain clinicians looking for applications in their daily practice and seeking background information on relevant topics. This edition covers new chapters on disability assessment, central post-stroke pain, chronic widespread pain, and burn pain.

 

Journals spotlight

These links provide access to the current table of contents:

AACN Advanced Critical Care

Advances in Skin and Wound care

Anesthesia & Analgesia

Bone & Joint Journal

Breastfeeding Medicine

Emergency Medicine Australasia

European Urology

JAMA Psychiatry

Journal of Pain and Symptom Management

Pain

Patient Education and Counseling

Prosthetics and Orthotics International

Looking for the latest journal issues?

All our journal titles with electronic access are available via the Journal List
(outside the Austin Health network use your Library barcode no. & PIN for access)

If you require an article from a journal that is not in the Journal List, please use our online document delivery form.

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