pain management in the surgical/trauma patient
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Pain Management in the Surgical/Trauma Patient. Antoinette McNeil, BSN, RN, CCRN Analysis of Evidence-Based Practice Professor: Chioma N wachukwu, DNP, RN 2012. Introduction. There are over 77 million people suffering from pain HCAPHS score 63-74% pain controlled - PowerPoint PPT PresentationTRANSCRIPT
Pain Management in the Surgical/Trauma Patient
Antoinette McNeil, BSN, RN, CCRNAnalysis of Evidence-Based Practice
Professor: Chioma Nwachukwu, DNP, RN2012
There are over 77 million people suffering from pain
HCAPHS score 63-74% pain controlled Pain is what the patients states and occurs
where the patient say is does Complications of unmanaged pain Goal of pain management
Introduction
Leininger’s Theory: Culture, Care Diversity and Universality
Care is focus and essence of nursing Culture care expression diverse but has
commonalities that exist Understand patient’s culture Nurses needs to look at their beliefs and values as
they care for patients in other cultures
Nursing Theory/Model
Cost of lost workdays exceeds $100 billion yearly Medicare cost exceeds $124 million yearly for
pain treatment and disability cost for chronic pain Increase risk of morbidity and mortality from
◦ Pneumonia◦ DVT◦ Pulmonary Emboli◦ Myocardial Infarction◦ Confusion◦ Chronic Pain
Impact of Problem
Multidisciplinary Approach
Nursing assessing and reassessing for pain Nurses administering pain medication around the
clock Physicians ensuring that patients pain is managed
properly and assist in improving practice Anesthesiologist responsible for 24 hours for post-
operative pain management Leadership and Administration to provide
administrative and financial support for pain management plan
Use of acetaminophen and or NSAID’s before surgery
Epidural analgesia Bupivacaine collagen sponges Elastomeric pumps Fentanyl iontophoretic transdermal system
Evidence-Based Practice
Patient education Physician education Pharmacist education Physical and Occupational therapy
education Nursing education
Methods to Improve Pain Management
HCAHPS survey Length of stay Complications Working together
Evaluation and Conclusion
Bernhofer, E. (2012, January). Ethics: Ethics and Pain Management in Hostpiralized Patients. The Online Journal of Issues in Nursing, 17. http://dx.doi.org/10.3912/OJIN.Vol17No01EthCol01
Dihle, A., Bjolseth, G., & Helseth, S. (2006). The gap between saying and doing in postoperative pain management. Journal of Clinical Nursing, 15(), 469-479.
Dusek, J. A., Finch, M., Plotnikoff, G., & Knutson, L. (2010, March). The Impact of Integrative Medicine on Pain Management in a Tertiary Care Hosptial. Journal of Patient Safety, 6(1), 48-51.
D’Arcy, Y. (2011). Compact Clinical Guide to Acute Pain Management An Evidence-Based Approach for Nurses. New York, NY: Springer
Goodman, G. R. (2003, April-June). Outcomes Measurement in Pain Management Issues of Disease Complexity and Uncertain Outcomes. Journal of Nursing Care Quality, 18(2), 105-111
Layzell, M. (2008, April 10). Current interventions and approaches to postoperative pain management. British Journal of Nursing, 17(7), 414-419.
Leegaard, M., Watt-Watson, J., McGillion, M., Costello, J., Elgie-Watson, J., & Partridge, K. (2011, July/August). Nurses’ Educational Needs for Pain Management of Post-Cardiac Surgery Patients A Qualitative Study. Journal of Cardiovascular Nursing, 26(4), 312-320.
Reference
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