Bedarfsanalgesie

English translation: analgesics / analgesia as needed

GLOSSARY ENTRY (DERIVED FROM QUESTION BELOW)
German term or phrase:Bedarfsanalgesie
English translation:analgesics / analgesia as needed
Entered by: Trudy Peters

00:51 Dec 26, 2011
German to English translations [PRO]
Medical - Medical: Pharmaceuticals
German term or phrase: Bedarfsanalgesie
Hallo,

aus einer Krankenakte.

Umstellung von PCA-Pumpe auf orale*Bedarfsanalgesie*.

Danke!
E. D.
Germany
Local time: 07:27
analgesics as needed
Explanation:
or on an as-needed basis
Selected response from:

Trudy Peters
United States
Local time: 01:27
Grading comment
Thanks to you all!
3 KudoZ points were awarded for this answer



Summary of answers provided
4analgesics as needed
Trudy Peters
4p.r.n. analgesia
Merry Foxworth
4analgesia P.R.N.
Sanni Kruger (X)
4rescue analgesia
Matthew Fisher (X)
3analgesia as required
Marga Shaw
1analgesic drug on demand / on demand analgesia
andres-larsen


  

Answers


38 mins   confidence: Answerer confidence 4/5Answerer confidence 4/5
analgesics as needed


Explanation:
or on an as-needed basis

Trudy Peters
United States
Local time: 01:27
Specializes in field
Native speaker of: Native in GermanGerman, Native in EnglishEnglish
PRO pts in category: 77
Grading comment
Thanks to you all!
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1 hr   confidence: Answerer confidence 4/5Answerer confidence 4/5
p.r.n. analgesia


Explanation:
pro re nata
as needed

Merry Foxworth
United States
Local time: 01:27
Works in field
Native speaker of: English
PRO pts in category: 21
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8 hrs   confidence: Answerer confidence 3/5Answerer confidence 3/5
analgesia as required


Explanation:
oral analgesia as required

Of the 21 patients who did not get PCA, 11/21(52.3%) had regular oral analgesia whilst 10/21 (47.6%) had oral analgesia as required.
http://www.ncri.org.uk/ncriconference/2010abstracts/abstract...

Terminal care

Options

A. Bulk laxative F. Oral corticostreroid
B. Centrally acting anti-emetic G. Prokinetic anti emetic (motility agent)
C. Opiate analgesia infusion H. Rehydration
D. Oral analgesia as required I. Stimulant laxative.
E. Oral bisphosphonate
http://www.aippg.net/forum/f14/terminal-care-10713/

Of the 21 patients who did not get PCA, 11/21(52.3%) had regular oral analgesia whilst 10/21 (47.6%) had oral analgesia as required.
http://www.ncri.org.uk/ncriconference/2010abstracts/abstract...

Day-case hip arthroscopic surgery is frequently carried out using an intra-articular depot of local anaesthetic as post-operative analgesia plus additional opiate or oral analgesia as required.
http://poznaisebya.com/light/beauty/news_2009-06-09-18-24-02...


Marga Shaw
United Kingdom
Local time: 06:27
Specializes in field
Native speaker of: German
PRO pts in category: 154
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10 hrs   confidence: Answerer confidence 4/5Answerer confidence 4/5
analgesia P.R.N.


Explanation:
Wenn dies in einer Krankenakte geschrieben ist, würde man in einer englschen Karnkenakte wahrschienlich schreiben " ... changed from PCA pump to *analgesia P.R.N." Es wird normalerweise mit grossbuchstaben geschrieben.

Sanni Kruger (X)
United Kingdom
Local time: 06:27
Specializes in field
Native speaker of: English
PRO pts in category: 8

Peer comments on this answer (and responses from the answerer)
neutral  Marga Shaw: It is "pro re nata (prn/p.r.n.) analgesia" and not analgesia P.R.N. Also, the answer "p.r.n. analgesia" has already been given by Merry Foxworth (please see above).
3 hrs
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2 hrs   confidence: Answerer confidence 1/5Answerer confidence 1/5
analgesic drug on demand / on demand analgesia


Explanation:
Switch from Patient Controlled Analgesia Pump to ***analgesic drug on demand / on demand analgesia***

sources:

Patient-Controlled Analgesia - Anesthesia & Analgesia
www.anesthesia-analgesia.org/content/101/5S_Suppl/S44.full
JA Grass - 2005 -
***Patient-controlled analgesia (PCA) is commonly assumed to imply ... is based on the use of a sophisticated microprocessor-controlled infusion pump that delivers a preprogrammed dose of opioid when the patient pushes a demand button***. .... ( 18) suggested that the rate of drug distribution (flux) between plasma and brain is ...

Patient-Controlled Analgesia - recovery, blood, tube, pain, adults ...
www.surgeryencyclopedia.com › La-Pa
29 Sep 2008 – Patient-controlled analgesia (PCA) is a means for the patient to ... pump, which is controlled by the patient through a hand-held button that is connected ... The pump may be set to deliver a larger initial dose of the prescribed drug. ... pump to deliver a specified dose, determined by the physician, on demand ...

Patient-Controlled Analgesia (Encyclopedia of Nursing & Allied ...
www.enotes.com › Health › Patient-Controlled Analgesia
Patient-controlled analgesia (PCA) is a system of providing pain medication that ... not patient-controlled analgesic at all, but the same pump can deliver the drug in these two ... The patient presses a button when medication is desired. ... dose on demand with a lock-out time (for example, 1 mg of morphine on demand, but ...

Adverse Events Involving Intravenous Patient-controlled Analgesia ...
www.medscape.com/viewarticle/559957_appendix1
Failure to deliver drug on demand; Faulty alarm ... Confusion regarding operating demand button ... Human error and patient-controlled analgesia pumps. ...

Keep your patient safe during PCA
www.nursingcenter.com/prodev/ce_article.asp?tid=762689
Go beyond the push-button approach to patient-controlled analgesia and learn ... Patient-controlled analgesia pumps are computerized systems programmed for individual patient use. ... and orders the dose, demand (bolus) dose interval, and lockout interval. ... What can we do to ensure safer drug administration via PCA? ...

Safety and efficacy of patient‐controlled analgesia
bja.oxfordjournals.org/content/87/1/36.full
PE Macintyre - 2001 -
the PCA 'prescription'—including programmable variables and drugs used. ... However, it is possible, if analgesia can truly be given 'on demand', with doses ...

Patient-Controlled Analgesia: A Method for the Controlled Self ...
ptjournal.apta.org/content/75/5/374.full.pdf
PDF/Adobe Acrobat - Quick View
MF Nolan - 1995 -
Patient-controlled analgesia is a relatively new technique for managing pain in which patients .... depressing a button. Pain medications ... The PCA pump ... drug. Demand dose is a prograrnmable variable that can be changed dur- ing the ...

Patient Controlled Analgesia (PCA) Guidelines of Care
www.chpso.org/meds/pcatoolkit.pdf
PDF/Adobe Acrobat - Quick View
standardization of intravenous Patient Controlled Analgesia (PCA) medication administration in the care of the opioid naïve ..... checking of the drug, pump setting, and dosage. ..... dose by pushing the PCA button, or simulating this action if a ..... PCA. Bolus Dose. Patient. Dose. Demand. Dose. Amount of Time That Must ...

self-administered postoperative pain relief
www.ncbi.nlm.nih.gov/pmc/articles/.../pdf/annrcse01517-0024...
PDF/Adobe Acrobat - Quick View
PJ Slattery - 1983 -
were compared with those obtained by 39 similar patients involved in clinical trials who have used the CardiffPalliator. (7) to obtain analgesic drugs on demand ...

Intramuscular on demand analgesia: double blind controlled trial of ...
www.ncbi.nlm.nih.gov › ... › v.286(6366); Feb 26, 1983
M Harmer - 1983 -
26 Feb 1983 – Patterns of analgesic consumption were the same as with intravenous on demand systems, but larger amounts of drug were generally used. ...

for Management of AcutePain
jama.ama-assn.org/content/259/2/243.full.pdf
PF White - 1988 -
This "on-demand" analgesia system provided improved pain relief with smaller total drug dosages. Nevertheless, repeated administration of small. IV-bolus ...

Goals and Objectives History of the PCA
www.aspmn.org/Conference/.../PatientControlledAnalgesiaFina...
PDF/Adobe Acrobat - Quick View
15 Sep 2009 – and the role of nursing and pharmacy in ... with PCA use and adequacy of analgesia. • Identify the ... Forrest 1970 – Demand Dropmaster ...


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Note added at 2 hrs (2011-12-26 03:19:05 GMT)
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the treating physician or surgeon determines and preprograms the bolus dose with a lockout time of the ***analgesic drug on demand / on demand analgesia*** which the patient then administers with the pump:

Model 6100 and 6101 Ambulatory Infusion Pumps
www.nehealth.com/.../CADD_Prizm_VIP_Pump_PCA_Patient_Infor....
PDF/Adobe Acrobat
your physician's specific orders. ... constant rate and/or to allow delivery of a bolus dose at a specified ... Volume or Given to determine if under-delivery is occur- ...

Patient Controlled Analgesia Attorney | PCA Malpractice Lawyer ...
www.bem-law.com/.../Patient-Controlled-Analgesia-PCA.asp
The nurse or doctor sets the pump to deliver a specified dose, determined by the physician, on demand with a lockout time. The pump should generate a record ...

Patient-Controlled Analgesia (Encyclopedia of Nursing & Allied ...
www.enotes.com › Health › Patient-Controlled Analgesia
A health care provider programs the device both with the specific dosage to deliver ... provider sets the pump to deliver a specified dose on demand with a lock-out .... programed have been determined by their physician to be safe for them and ...


--------------------------------------------------
Note added at 13 hrs (2011-12-26 14:02:41 GMT)
--------------------------------------------------

small correction (inadvertently left out "orally administered"):

Switch from Patient Controlled Analgesia Pump to orally administered ***analgesic drug on demand / on demand analgesia***:

WHO | WHO's pain ladder
www.who.int/cancer/palliative/painladder/en/
WHO's pain ladder. WHO has developed a three-step "ladder" for cancer pain relief. If pain occurs, there should be prompt oral administration of drugs in the ...

GUIDELINEs ON PAIN MANAGEMENT IN UROLOGY
www.uroweb.org/gls/.../18 Pain Management Urology.pd...
PDF/Adobe Acrobat - Quick View
Adjuvant analgesics are drugs with other primary indications .... Analgesics should be given on demand during and .... parenteral and oral administration of ...

USE OF ANALGESIC DRUGS IN INDIVIDUALS WITH SPINAL ...
www.thomaslundeberg.com/.../ ...
PDF/Adobe Acrobat - Quick View
CN Budh - 2005 -
associated with or predictive for the use of analgesic drugs in patients with spinal cord ... Systematic controlled studies of orally administered analgesic agents in SCI are limited ..... be that the patients demand relief. This is supported by Turk ...

Patient-Controlled Analgesia
www.anesthesia-analgesia.org/content/101/5S_Suppl/S44.full
JA Grass - 2005 -
Any analgesic given by any route of delivery (i.e., oral, subcutaneous, epidural, .... However, if the demand dose is too large, plasma drug concentration may ...


andres-larsen
Venezuela
Local time: 01:27
Native speaker of: Native in EnglishEnglish
PRO pts in category: 56
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1 hr   confidence: Answerer confidence 4/5Answerer confidence 4/5
rescue analgesia


Explanation:
Rescue-Analgesie occurs in German as a synonym for Bedarfsanalgesie. This is obviously borrowed from the English term "rescue analgesia". For example:

Ein orales Behandlungskonzept, das aus einer planmäßig verabreichten Basisanalgesie (Nonopioid-Analgetikum + Opioid) und einer vorher festgelegten Bedarfsanalgesie (Rescue-Analgesie bei Überschreiten definierter Interventionsgrenzen) besteht, ermöglicht eine suffiziente und zeitnahe postoperative Schmerztherapie.

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Note added at 13 hrs (2011-12-26 14:28:17 GMT)
--------------------------------------------------

I'm persuaded that other answers such as "analgesia PRN" are more appropriate for this context. The term "rescue analgesia" is more likely to occur in a medical journal article, than in a medical record.


    Reference: http://books.google.com/books?id=znz8b4WfJIIC&pg=PA265&lpg=P...
    Reference: http://www.google.com/search?q=rescue+analgesia
Matthew Fisher (X)
Local time: 01:27
Native speaker of: English
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