Research Critique

Research Critique

 

This paper presents critiques of research articles “The Potential Role for Smartphones among Older Adults with Chronic Noncancer Pain” and “Nurse Practitioner-Administered Chloroprocaine in Children with Postoperative Pain. Pain Management Nursing.” Its central objective is to evaluate the contents within every section of the articles. The critiques are guided by research guidelines in providing information presented in the studies. The first critique outlines Richardson et al. (2017) study on the potential roles for smartphones among older adults with chronic noncancer pain. The second critique addresses Sweet et al. (2018) study on the administration of chloroprocaine in children with postoperative pain.

Article 1

Richardson, J. E., Lee, J. I., Nirenberg, A., & Reid, M. C. (2017). The Potential Role For Smartphones Among Older Adults With Chronic Noncancer Pain: A Qualitative Study. Pain Medicine19(6), 1132-1139.

The main purpose of this study was to determine the role of Smartphone in supporting older adults with chronic noncancerous pain. Chronic noncancer pain has been a costly, common, and a disabling condition that frequently occurs among older adults. This study presents the benefits of information technology in offering adults and their providers with novel ways of communicating and coordinating care. With the potential opportunities presented by technology in meeting the needs of older adults with CNCP, researchers present multiple disciplines that would do well in determining the factors that promote the adoption.

The sample was purposive with community representative older adults of age 60 to 95 from the academic medical center in Manhattan, New York. Using interviews, the researchers interacted with eligible participants who were receiving treatment for CNCP with opioids for at least six months. The participants were recruited through multiple strategies, including telephoning, questioning the practice geriatricians, and in-person recruiting. A descriptive analysis through a three-step process of coding at sentence and phrase level was used. Primary codes, data, and themes were presented throughout the process.

The results of the study show that the interviews carried on 13 participants from outpatient practice averaged 37 minutes in duration. A wide range of pain was reported among the participants who provided their opinions on the impacts of smartphones in communications with their providers and medication management. Three distinct themes relating to the perceptions of older adults on smartphones pain management were identified. The themes include communication with the providers, medication management, and support for the abilities of participants to connect.

According to the results, medication management was important in helping the participants maintain pain control. The interviewee needed adjustments in their pain regimens to optimize control. However, participants reported facing challenges when obtaining medications. They also reported low expectations from health and its improvement to pain management. Patients favored the opportunities presented by technology enhancing in their communication with providers. They also viewed it as an integral part of pain management. Several participants share their experiences on how they felt isolated and misunderstood. Findings from the study indicate that mhealth can offer advantages to older adults who reside in loneliness and isolation by developing connections between caregivers, patients, and healthcare providers. Challenges in recruiting participants and vetting the themes were encountered in the study. This study provides a comprehensive analysis of how mhealth designs can be used to improve the lives of older adults with CNCP.

Article 2

Sweet, E., Shusterman, C. S., Nedeljkovic, M. S., & Solodiuk, J. C. (2018). Nurse Practitioner-Administered Chloroprocaine in Children with Postoperative Pain. Pain Management Nursing19(4), 424-429.

This study aimed to describe the use of chloroprocaine injections for testing catheters; patient response; and how changes to pain management are guided by the patient response. The background of the study presents the main issues discussed in the papers. Because pain is a complete, emotional, and physical experience, assessments require changes in vital signs, self-reports, and behavioral responses.

Current and previous researches were conducted on the topic of study. Several scholars present their arguments on the advantages and use of chloroprocaine by nurse practitioners. Some of the advantages addressed include lowering the toxicity profile and shorter duration of action. It also allows for, observations of emotional, an evaluation of behavioral responses and pain scores changes in critical signs to verify catheter function. More literature on Epidural and peripheral nerve catheters are provided to indicate their usage in managing moderate to severe postoperative pains.

This study presents a comprehensive analysis of the usage of chloroprocaine injections in managing pain and assessing the purpose of epidural catheters and peripheral nerve in a pediatric population. The researchers examined 128 surgical patients from 0-25 years old, who received chloroprocaine injections for examining epidural catheters and peripheral nerve. The inclusion criteria of the study were the administration chloroprocaine injections into the indwelling catheters and age, which were conducted outside the operation rooms after painful surgical processes. The outcomes presented by the participants included: pain intensity scores, blood pressure, heart rate, and respiratory rate. Percentages reductions were calculated to account for age differences in heart rate.

Results from the study indicate that 128 patients of 141 satisfied the inclusion above criteria and received 137 provisions of chloroprocaine to analyze the efficiency of the catheter. The mean age of the participants was 14 ranging from 2 to 25 years. There were no also considerable adverse measures. The injection was used in guiding the intervention by finding out the purpose of local analgesia in the greater part (98.5%) of participants.

The study indicates that it is safer to administer chloroprocaine through epidurals and catheters if the protocols are in place. The findings further indicate that were no predictable signs of local toxicity, besides the expected meteor and sensory loss after the injection of chloroprocaine. In many instances, the injection of chloroprocaine was vital in funneling interventions. Therefore, the utilization of chloroprocaine was effectual among the participants in determining the efficiency of the catheter. It also guided the management of pain among many patients.

 

 

 

 

 

 

 

References

Sweet, E., Shusterman, C. S., Nedeljkovic, M. S., & Solodiuk, J. C. (2018). Nurse Practitioner-Administered Chloroprocaine in Children with Postoperative Pain. Pain Management Nursing19(4), 424-429.

Richardson, J. E., Lee, J. I., Nirenberg, A., & Reid, M. C. (2017). The potential role for smartphones among older adults with chronic noncancer pain: A qualitative study. Pain Medicine19(6), 1132-1139.

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