Neuropeptides and peripheral sensory processing

NEUROPEPTIDES

AND PERIPHERAL

SENSORY

PROCESSING

I

Chairman:

P.J. Snow, Dept. of Anatomy, Univ. of Queensland, Brisbane, QLD Australia

922

Topical

Fri

4:00

ACC

Room 3

1 I 1

Participants:

I

IVGibbi& Dept. of Anatomy! Flinders Med. Ctr, Bedford Park, SA, Australia S. S&K&$ Dept. of Cell Brology and Neuroanatomy, Univ. of Minnesota, Minneapolis, MD USA S.N. Lawson, Dept. of Physiology, Univ. of Bristol, Bristol, UK M.B. Plenderleith, Dept. of Anatomy, Univ. of Queensland, Brisbane, QLD Australia Few neurones have been shown to exhibit a neurochemical profile more varied and complex that the primary sensory neurone of the mammal. A significant proportion of these neurones contain at least one (and often many)of an ever-increasing number of neuroactive peptides. Peptides have been located in both the peripheral and central processes of these neurones and to be associated with nociceptors as well as other classes of receptor. The aim of this workshop will be to review recent advances in our knowledge of the peptides associated with primary sensory neurones. Four aspects of peptide containing primary sensory neurones will be dealt with by the speakers: 1. Peptides in the peripheral processes of primary sensory neurones: their distribution and pattern of coexistence. (Dr. I. Gibbins) 2. Peptides in the somata of primary sensory neurones: multiple peptide coexistence. (Dr. V.S. Seybold) 3. Peptides in physiologically identified cell types. (Dr. S.N. Lawson) 4. Peptides in the central terminals of primary sensory neurones: coexistence and regulators of transmis sion. (Dr. M.B. Plenderleith) The function of peptide release from both the peripheral and central processes of primary sensory as well as the consequences of peptide coexistence will be considered during the course of the discussion.

MONITORING

ANAL4XSIA

AT THE BEDSIDE:

THE NURSE’S

ROLE

Chairman: J. Beyer, School of N ursing, Univ. of Colorado, Denver, CO USA Participants:

923

Topical

Fri

4:00

ACC

Room 4

1 / I 1

i

M. Donovan Dept. of Med. Nursing, Rush Univ., Chicago, IL USA R. Foster, School of Nursing, Univ. of Colorado, Denver, CO USA M.E. Jeans, School of Nursing, McGill Univ., Montreal, PQ, Canada

Nurses play a key role in identifying the presence of, and assessing the intensity and impact of, pain on hospitalized patients. They are also instrumental in judging the necessity for and implementing comfort measures, either administering analgesics in conjunction with PRN prescriptions by physicians or using a wide range of nonpharmacological nursing care measures, such as heat and cold, turning, positioning, splinting, relaxation, distraction, and imagery. Collaboration with the patient, family, physician and other members of the health team is essential for the effective monitoring of pain relief at the bedside. The presentations included in this seminar are: 1. 2. 3. 4.

The expanding Constraints on Constraints on New directions

roles and responsibilities of nurses in pain assessment/management. nursing management of pain in adults. (M. Donovan) nursing management of pain in children. (R. Foster) for nursing management of pain. (M.E. Jeans)

(J. Beyer)

The focus of this discussion is on the research and clinical practice relevant to nursing care of the patient in pain.