Abstract Pain Management and the Postoperative Orthopedic Patient: An Exploration of Evidence to Empower the Patient and Improve Current Pain Management Outcomes, Smith, M. A.; Master of Science in Nursing Problem and Significance Statement: Pain is a serious health problem in the United States. The problem is so significant that it costs $560-635 billion annually; approximately $2,000 per resident. On a local orthopedic unit, patient satisfaction scores related to pain management are lower than targeted, patients are not currently requested to give input to their own pain management regimen, and no distinct plan exists for pain management after surgery. Literature Review: The literature suggests that a patient who receives an educational intervention with consistent postoperative education will be better able to manage pain at time of discharge. Evidence also relates that patients wish to be more involved in the pain management regimen and empowered patients are better able to control pain after discharge when care is delivered in this way. Protocol/Intervention: A form will be developed to supplement a newly implemented educational booklet which is provided to each patient at the preoperative visit for a total joint surgery. The form will allow patients to communicate desired preferences for pain management therapies, including medications and other non-pharmacological modalities. The form also educates the patient about pain goals and how the health care team will help the patient to meet the goals. In summary, the form is utilized to help the healthcare team individualize and standardize the pain management plan of care based on the needs, recommendations, and input of the patient. Outcomes: The intervention will improve patient satisfaction with pain control and increase nurse and provider satisfaction with the pain management process. The intervention will help to decrease pain scale scores post intervention and delineate a more coordinated pain management plan. The intervention will also provide a more consistent pain plan to allow for provision of optimal postoperative care.
- pain plan
Available at: http://works.bepress.com/michelle_smith/1/