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Query: UMLS:C0008031 (chest pain)
 17,248 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Despite recent advances in the acute management of myocardial infarction (MI), few studies have evaluated self-perceived quality of life in the longer term after MI. We mailed a questionnaire incorporating the short form 12 (SF-12) and seeking information on symptoms, drug therapy, recent investigations and employment status, to 149 patients who had a first MI 2 years previously. The response rate was 82%. Mean physical and mental summary scores were significantly lower in patients than "normative" controls (physical summary score: 37.0+/-11.5 vs. 50.9+/-9.4; p<0.001 and mental summary score: 46.2+/-12.8 vs. 52.1+/-8.7; p<0.001, respectively). Physical and mental summary scores were closely associated with continuing chest pain at 2 years, level of limitation on daily activities and employment status. We found the SF-12 to be a useful tool for monitoring health status and believe it could be used to evaluate the impact of interventions on quality of life after acute MI. Self-perceived health status 2 years after a first MI remains poor despite advances in management.
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PMID:Impact of first myocardial infarction on self-perceived health status. 1116 Nov 31

Current research suggests that pain is a relatively common phenomenon with 60-90% of patients presenting to emergency departments reporting pain (e.g., chest pain, trauma, extremity fractures and migraine headache) that require treatment [Hogan, S.L., 2005. Patient satisfaction with pain management in the emergency department. Advanced Emergency Nursing Journal 27(4), 284-294]. This article explores the use of conceptual theoretical empirical (C-T-E) framework to guide a senior nursing student in a case study of patient with chest pain. The Middle Range Theory of Pain described by Good [Good, M., 1998. A middle-range theory of acute pain management: use in research. Nursing Outlook 46(3), 120-124] and Melzack's [Melzack, R., 1987. The short-form McGill pain questionnaire. Pain, 30, 191-197] short form McGill pain questionnaire were applied along with the Prince Edward Island conceptual model (PEICM) for nursing. Results indicate that the nursing student increased her ability to work in partnership, assess relevant and specific information, and identify a number of strategies to help the patient achieve pain control by using a complement of pharmacological and non-pharmacological interventions. Moreover, the C-T-E approach provided an organized and systematic theoretical approach for the nursing student to assist a patient in pain control.
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PMID:Nursing patients with acute chest pain: practice guided by the Prince Edward Island conceptual model for nursing. 1939 96