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    Pain Management Nursing: Scope and Standards of Practice, 2nd Edition
    Pain Management Nursing: Scope and Standards of Practice, 2nd Edition
    Pain Management Nursing: Scope and Standards of Practice, 2nd Edition
    Ebook233 pages1 hour

    Pain Management Nursing: Scope and Standards of Practice, 2nd Edition

    By American Nurses Association and Association of Pain Management Nursing

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    About this ebook

    Assessing and managing pain—the primary symptom for those seeking health care—is imperative in every RN’s daily practice. Pain management nursing takes this further with its specific focus to alleviate pain, improve pain relief, optimize function, and maintain quality of life of patients across the life span and in every practice setting.
    The premier resource for today’s pain management nurse, Pain Management Nursing: Scope and Standards of Practice, 2nd Edition is informed by ongoing advances in nursing, patient care, and the understanding of pain in its many dimensions. It addresses what every RN in this evidence-based practice specialty needs to know, including practice roles, tenets and principles, essential knowledge and skills, ethical considerations, and trends in care, education, public policy, and technology.
    This new edition’s 17 competency-based standards provide a framework for evaluating practice outcomes and goals and for delineating what is expected of all pain management nurses. Its scope of practice—which establishes the who, what, where, when, why, and how of their practice—is the context for applying these standards.
    Among the pain management and pain care topics covered:
    -Pathophysiology of pain in the context of each patient’s safety, pain perception and response, and biopsychosocial–spiritual needs
    -How each of the nine provisions of the Code of Ethics for Nurses with Interpretive Statements can be applied in practice
    -Multimodal pain management options to achieve best treatment outcomes
    -Emerging insights from genetics and genomics into such areas as opioid metabolism and pain perception, and response to opioid analgesics
    -Networking, partnering and collaborating
    -Patient care and guidance using data from digital prescription monitoring programs and patient apps
    Pain Management Nursing: Scope and Standards of Practice, 2nd Edition is a must-have for practicing or aspiring pain management nurse, and a useful resource for interprofessional practitioners and stakeholders involved in pain care.
    LanguageEnglish
    PublisherNursesbooks
    Release dateSep 1, 2016
    ISBN9781558106611
    Pain Management Nursing: Scope and Standards of Practice, 2nd Edition
    Author

    American Nurses Association

    The American Nurses Association (ANA) is the premier organization representing the interests of the nation's 4 million registered nurses. ANA is at the forefront of improving the quality of health care for all. Founded in 1896, and with members in all 50 states and U.S. territories, ANA is the strongest voice for the profession

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      Book preview

      Pain Management Nursing - American Nurses Association

      American Nurses Association

      8515 Georgia Avenue, Suite 400

      Silver Spring, MD 20910-3492

      1-800-274-4ANA

      http://www.Nursingworld.org

      The American Nurses Association (ANA) is the premier organization representing the interests of the nation’s 3.6 million registered nurses. ANA advances the nursing profession by fostering high standards of nursing practice, promoting a safe and ethical work environment, bolstering the health and wellness of nurses, and advocating on health care issues that affect nurses and the public. ANA is at the forefront of improving the quality of health care for all.

      The American Nurses Association (ANA) and the American Society for Pain Management Nursing (ASPMN®) are national professional association. This ANA– ASPMN publication, Pain Management Nursing: Scope and Standards of Practice, 2nd Edition, reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Pain Management: Scope and Standards of Practice, 2nd Edition guides nurses in the application of their professional knowledge, skills, and responsibilities.

      Cataloging-in-Publication Data available upon request.

      Copyright ©2016 American Nurses Association and American Society for Pain Management Nursing. All rights reserved. Reproduction or transmission in any form is not permitted without written permission of the American Nurses Association (ANA). This publication may not be translated without written permission of ANA. For inquiries, or to report unauthorized use, email copyright@ana.org.

      ISBN-13: 978-1-55810-661-1     SAN: 851-3481     09/2016

      First printing: September 2016

      Contributors

      Preface

      Scope of Pain Management Nursing Practice

      Principles and Tenets that Guide Pain Management Nursing Practice

      Historical Perspective of Pain Management Nursing

      The Development of Pain Care and Pain Management Nursing Practice, 1974–2014

      Current State of Pain Management Nursing

      Prevalence of Pain Management Nursing

      Educational Preparation in Pain Management Nursing

      Roles and Practice of Pain Management Nursing

      Pain Management as a Specialty for Registered Nurses

      Pain Resource Nurse Programs

      Specialty Certification in Pain Management Nursing

      Pain Management APRNs

      Advanced Practice Recognition Program

      Essential Knowledge and Skills in Pain Management Nursing

      Pain Management Models and Theories

      Basic Mechanisms of Pain Perception

      Provision of Pain Management

      Health Promotion

      Preservation of Safety

      Care Coordination

      Ethics in Pain Management Nursing

      Trends in Pain Management Nursing

      Trends in Care: Multimodal Approaches

      The Emerging Role of Genetics and Genomics

      Trends in Education: Competency-Based Interprofessional Team Synchronization

      Trends in Technology

      Integrated Information Systems and Decisional Support

      Prescription Monitoring Program and Self-Management Apps

      Trends in Public Policy

      Nursing Responsibilities and Current Trends

      Summary of the Scope of Pain Management Nursing Practice

      Standards of Pain Management Nursing Practice

      Significance of Standards

      Standards of Practice for Pain Management Nursing

      Standard 1. Assessment

      Standard 2. Diagnosis

      Standard 3. Outcomes Identification

      Standard 4. Planning

      Standard 5. Implementation

      Standard 5A. Coordination of Care

      Standard 5B. Health Teaching and Health Promotion

      Standard 6. Evaluation

      Standards of Professional Performance for Pain Management Nursing

      Standard 7. Ethics

      Standard 8. Culturally Congruent Practice

      Standard 9. Communication

      Standard 10. Collaboration

      Standard 11. Leadership

      Standard 12. Education

      Standard 13. Evidence-Based Practice and Research

      Standard 14. Quality of Practice

      Standard 15. Professional Practice Evaluation

      Standard 16. Resource Utilization

      Standard 17. Environmental Health

      Glossary and Acronyms

      References

      Appendix A. Pain Management Nursing: Scope and Standards of Nursing Practice (2005)

      Contributing Members

      Joan Beard, MSN, RN-BC*

      Jan Elliott, MSN, AOCN, CNS, RN-BC*

      Theresa Grimes, PhDc, RN-BC, FNP-BC, CCRN

      Cynthia R. Heck, MA, LCPC, RN-BC*, CCM, NBCC

      Ann Schreier, PhD, RN

      Barbara St. Marie, PhD, ANP, GNP, ACHPN, RN-BC*

      Holly Swenson, MSN, APRN, NP-C

      Joyce Willens, PhD, RN-BC*

      Sharon Wrona, DNP, RN-BC*, PNP, PMHS, AP-PMN**

      2015 Workgroup Members

      Patricia Bruckenthal, PhD, APRN-BC, ANP, FAAN

      Susan O’Conner-Von, PhD, RN-BC*, CHPPN, CNE

      Chris Peltier, DNP, RN-BC*, FNP-BC

      Helen N. Turner, DNP, APRN, PCNS-BC, AP-PMN**, FAAN

      *Pain Management Certification

      **Advanced Practice–Pain Management Nursing

      American Society for Pain Management Nursing Staff

      JerrieLynn Kind—Executive Director

      American Nurses Association Staff

      Carol J. Bickford, PhD, RN-BC, CPHIMS, FAAN—Content editor

      Maureen Cones, JD—Legal counsel

      Yvonne Humes, MSA—Project coordinator

      Eric Wurzbacher—Project editor

      ANA Committee on Nursing Practice Standards

      Richard Henker, PhD, RN, CRNA, FAAN—Co-chair (03/2014–12/2015)

      Tresha (Terry) L. Lucas, MSN, RN—Co-chair (07/2011–12/2014)

      Tom Blodget, PhD, MSN, RN-BC

      Danette Culver, MSN, APRN, ACNS-BC, CCRN

      Deborah Finnell, DNS, PMHNP-BC, CARN-AP, FAAN

      Renee Gecsedi, MS, RN

      Deedra Harrington, DNP, MSN, APRN, ACNP-BC

      Maria Jurlano, MS, BSN, RN, NEA-BC, CCRN

      Carla A. B. Lee, PhD, APRN-BC, CNAA, FAAN, FIBA

      Verna Sitzer, PhD, RN, CNS

      About the American Society for Pain Management Nursing

      The mission of the American Society for Pain Management Nursing (ASPMN®) is to advance and promote optimal nursing care for people affected by pain by promoting best nursing practices. This is accomplished through education, standards, advocacy, and research. ASPMN’s goals are: access to quality pain management care, public awareness of self-advocacy skills essential to pain care needs, member access to professional resources, pain management education for healthcare professionals and their patients, and professional recognition for the expertise of pain management nurses as members of healthcare teams.

      About the American Nurses Association

      The American Nurses Association (ANA) is the premier organization representing the interests of the nation’s 3.6 million registered nurses. ANA advances the nursing profession by fostering high standards of nursing practice, promoting a safe and ethical work environment, bolstering the health and wellness of nurses, and advocating on health care issues that affect nurses and the public. ANA is at the forefront of improving the quality of health care for all.

      About ANA’s Specialty Nursing Standards

      Since the late 1990s, ANA has partnered with other nursing organizations to establish a formal process for recognition of specialty areas of nursing practice. This includes the criteria for approving the specialty itself and the scope statement, and an acknowledgment by ANA of the standards of practice for that specialty. Because of the significant changes in the evolving nursing and healthcare environments, ANA’s approval of specialty nursing scope statements and its acknowledgment of specialty standards of practice remain valid for five years, starting from the publication date of the documents.

      In 2015, a workgroup of American Society for Pain Management Nursing (ASPMN) nurse leaders convened to revise the Pain Management Nursing: Scope and Standards of Nursing Practice [ASPMN & American Nurses Association (ANA), 2005]. The first edition was revised to reflect current principles and evolving perspectives while encompassing the breadth and depth of pain management nursing.

      The workgroup used the Code of Ethics for Nurses with Interpretive Statements (ANA, 2015b) and the Nursing: Scope and Standards of Practice, Third Edition (ANA, 2015a) as fundamental resources and completed the revision via telephone conference calls, electronic mail communications, and face-to-face writing sessions.

      In 2016, a draft document was posted on ASPMN’s web site (www.ASPMN.org) and ANA’s web site (www.nursingworld.org) for a 21-day public comment period. The workgroup reviewed all comments and further revised the draft as appropriate.

      The ANA Committee on Nursing Practice Standards then completed its review of the draft Pain Management Nursing: Scope and Standards of Nursing Practice, Second Edition against established review criteria. Recommended revisions were completed before the ANA’s Board of Directors conducted a final review and approved this nursing specialty scope of practice statement and acknowledged the standards of pain management nursing practice.

      Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations [American Nurses Association (ANA), 2015a, p. 1].

      Nursing is a science and an art, the

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