Chapter 2. Nurse-Led Femoral Nerve Block Service for Patients with Fractured Neck of Femur

  1. Eloise Carr Associate Dean1,
  2. Mandy Layzell Lecturer Practitioner Advanced Specialist Nurse2 and
  3. Martin Christensen PhD member Senior Lecturer3
  1. Mandy Layzell Lecturer Practitioner Advanced Specialist Nurse

Published Online: 21 JAN 2010

DOI: 10.1002/9781444318722.ch2

Advancing Nursing Practice in Pain Management

Advancing Nursing Practice in Pain Management

How to Cite

Layzell, M. (2010) Nurse-Led Femoral Nerve Block Service for Patients with Fractured Neck of Femur, in Advancing Nursing Practice in Pain Management (eds E. Carr, M. Layzell and M. Christensen), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444318722.ch2

Editor Information

  1. 1

    School of Health & Social Care, Bournemouth University, UK

  2. 2

    Acute Pain Team, Poole Hospital NHS Foundation Trust, UK

  3. 3

    School of Health & Social Care, Bournemouth House, Bournemouth University, UK

Author Information

  1. Acute Pain Team, Poole Hospital NHS Foundation Trust, UK

Publication History

  1. Published Online: 21 JAN 2010
  2. Published Print: 19 FEB 2010

ISBN Information

Print ISBN: 9781405176996

Online ISBN: 9781444318722

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Keywords:

  • nurse-led femoral nerve block service for patients with fractured neck of femur;
  • pain, factors triggering injury response;
  • trauma and injury inducing complex ‘stress response’;
  • age-related changes in response to drugs;
  • changes in pain perception;
  • analgesic drugs and the elderly;
  • femoral nerve block;
  • benefits of FNB;
  • patient group directions (PGDs) for drugs

Summary

This chapter contains sections titled:

  • Introduction

  • Pain control

  • Under-treated pain

  • Pharmacokinetics

  • Pharmacodynamics

  • Changes in pain perception

  • Assessment of pain

  • Analgesic drugs and the elderly

  • Femoral nerve block

  • Benefits of FNB

  • Risks of FNB

  • Rationale for a nurse-led service

  • Developing the service

  • Protocol development and training

  • Patient information sheet

  • Patient group directions

  • Data collection and evaluation of the service

  • Training

  • Problems encountered with the training

  • Challenges in implementing a new service

  • Evaluation of the 1-year pilot study

  • Service feedback from staff

  • Service feedback from patients

  • Justifying the advanced nursing contribution

  • Conclusions

  • Acknowledgements

  • References