Pain

Latest Issue of OR Manager
February 2019

Surgical intern education decreases postop opioid prescribing

Editor's Note Education of surgical interns on postoperative analgesia was effective in preparing them for judicious opioid prescribing, this study finds. An education session on postoperative analgesia prescribing was presented to 31 incoming surgical interns by surgical residents. Before the education session was started, few interns felt comfortable prescribing opioids…

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By: Judy Mathias
January 14, 2019
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Follow pain management standards to ensure survey success

Postoperative pain management has always been a major focus of patient care. However, the opioid crisis is increasing the challenges healthcare leaders face because of the call for a national change in modalities of pain management. Regulatory bodies, specifically, are executing control to confront the opioid epidemic head on, making…

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By: Judith M. Mathias, MA, RN
January 14, 2019
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Joint Commission: New R3 Report goes in-depth on pain assessment, management standards

Editor's Note The Joint Commission announced on January 9 the publication of a new R3 Report to help organizations better understand the new and revised pain assessment and management standards that will be effective July 1, 2019. The R3 Report, which is for behavioral healthcare organizations, nursing care centers, and…

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By: Judy Mathias
January 10, 2019
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How should you manage patients using marijuana?

What is the current state of marijuana research? Russell: Marijuana research is unlike any other drug research. Researchers have to jump through a lot of hoops with the federal government to study it. As a result, people are using marijuana before there is enough science to prove safety and efficacy.…

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By: Catherine Spader, RN
December 13, 2018
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Ultrarestrictive opioid prescription strategy results in fewer pills dispensed, no increase in pain

Editor's Note In this study, an ultrarestrictive opioid prescribing strategy was associated with a reduction in the number of pills dispensed without changes in postoperative pain, complications, or increases in prescription refill requests. In this case-control 2-year analysis of 1,231 women having surgery for gynecologic cancer, those having ambulatory or…

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By: Judy Mathias
December 11, 2018
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Statewide comparison of postop opioid prescribing in teaching vs nonteaching hospitals

Editor's Note In this study, patients in teaching hospitals in Michigan received significantly larger postoperative opioid prescriptions and had higher rates of high-risk prescribing compared with nonteaching hospitals in the state. The amount of opioid prescribed in initial opioid prescriptions varied 4.7-fold across hospitals, from 130 to 616 oral morphine…

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By: Judy Mathias
December 4, 2018
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Opioid prescribing linked to postop opioid consumption

Editor's Note Excessive opioid prescribing was associated with higher postoperative opioid consumption in this study. In this analysis of 2,392 surgical patients, the quantity of opioids prescribed was significantly higher than opioid consumption, with patients reporting using only 27% of the opioids prescribed to them. Prescription size had the strongest…

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By: Judy Mathias
November 7, 2018
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Becoming more sensitive to knee pain increases risk of persistent pain

Editor's Note Becoming more sensitive to pain (ie, pain sensitization) is an important risk factor for developing persistent knee pain in osteoarthritis, this study finds. Researchers followed 852 patients over 2 years who had or were at risk of knee osteoarthritis but were free of persistent pain at the beginning…

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By: Judy Mathias
November 1, 2018
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Multimodal pain control minimizes need for postop opioids after outpatient mastectomy

Editor's Note Mastectomy patients treated with a new long-acting pain medication were able to be discharged the same day of surgery with a reduced need for opioids in this study presented October 23 at the American College of Surgeons 2018 Clinical Congress in Boston. A total of 100 mastectomy patients…

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By: Judy Mathias
October 24, 2018
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Patients having major surgery without opioids have shorter LOS

Editor's Note A treatment protocol that sends patients home after colorectal surgery without any opioids, resulted in shorter hospital length of stay (LOS) in this study presented October 22 at the American College of Surgeons 2018 Clinical Congress in Boston. The Enhanced Recovery After Surgery protocol included: patient education about…

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By: Judy Mathias
October 23, 2018
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