Capstone 2 mar

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CAPSTONE PART 2

TOPIC:  Inadequate pain management in postoperative patients.

STEP 1- ATTENTION: PICOT Question USED IN PART 1: In postoperative patients (P), does the implementation of a multimodal pain management approach (I), compared to traditional unimodal pain management (C), result in improved pain control, reduced opioid consumption, and shorter hospital stays (O), within the first 72 hours after surgery (T)?  PLEASE THIS PICOT QUESTION NEED BE UPDATED PROFESSOR DID NOT ACCEPT IT BECAUSE THIS ONE NEED IRB APPROVAL, I NEED YOU TO MODIFY THIS PICOT QUESTION ACCORDING TO MY TOPIC, TO ONE THAT NOT NEED IRB APPROVAL. ( VERY IMPORTANT STEP)

1. Review of Literature

– Review and discuss literature: Synthesize at least 10 primary research studies and/or systematic reviews; do not include summary articles. This section is all about the scientific evidence rather than someone else’s opinion of the evidence. Do not use secondary sources; you need to get the article, read it, and make your own decision about quality and applicability to your question even if you did find out about the study in a review of the literature. This is a synthesis rather than a study by study review. Address the similarities, differences, and controversies in the body of evidence.

2. Analyze and apply knowledge directly to your PICOT- The studies that you cite in this section must relate directly to your PICOT question. ( REMEMBER PICOT NEED BE FIXED)

3. Provide precise body of evidence for your Practice Change

4. Discuss objectives for your practice change

5. Discuss where the problem exists, why it exists, what is the preposition for change

6. Apply all that is relevant to the problem. For example: Pros vs Cons, current state of problem

NOTE: It should not reflect your opinion, but rather Evidence Based Practice should be applied

-After completing a literature search on interventions addressing your chosen health problem, write a review that evaluates the strengths and weaknesses of all the sources you have found.

-Use appropriate APA 7th Ed. format along with Syllabus outline

-Scholarly, peer-reviewed, and research articles cited should be within the last five years. 

-This section should be 4 pages long (not including the title and reference page).

 -Use proper in-text citations with a properly formatted reference list. 

 -All papers must be written in the 3rd person.

PART 1, IS ATTACHED YOU CAN SEE THERE THE TOPIC AND DO PART 2 ACCORDING INFORMATION IN PART 1, REMEMBER TO UPDATE PICOT QUESTION TO ONE THAT NOT NEED IRB APPROVAL PLEASE OR WILL GET 0

DUE DATE JULY 21, 2023

1- Healthcare Problem: Inadequate pain management in postoperative patients.

PICOT Question: In postoperative patients (P), does the implementation of a multimodal pain

management approach (I), compared to traditional unimodal pain management (C), result in

improved pain control, reduced opioid consumption, and shorter hospital stays (O), within the

first 72 hours after surgery (T)? THIS PICTO NEED IRB APPROVAL, NEED BE MODIFY

IN CAPSTONE PART 2 or WILL GET 0 ( ATTENTION VERY IMPORTANT)

2- Inadequate pain management in postoperative patients can have several impacts:

• Patient Impact: Inadequate pain management can lead to increased suffering, decreased

patient satisfaction, and compromised overall well-being. Patients may experience

prolonged pain, which can impair their ability to perform daily activities, hinder their

recovery, and negatively impact their quality of life.

• Community Impact: Inadequate pain management in postoperative patients can have

broader consequences on the community. Patients who experience uncontrolled pain may

require additional support and resources from family members or caregivers, potentially

affecting their own well-being and daily routines. Moreover, individuals within the

community may become more reluctant to undergo surgery if they perceive inadequate

pain management as a potential consequence.

• Cost of Care: Inadequate pain management can contribute to increased healthcare costs.

Uncontrolled pain may lead to prolonged hospital stays, increased medication

requirements, and additional interventions or procedures to manage pain effectively.

These factors can significantly escalate healthcare expenses, impacting both the patient

and the healthcare system as a whole.

• Quality of Life: Postoperative patients experiencing inadequate pain management may

face limitations in their ability to engage in daily activities, experience disrupted sleep

patterns, and have reduced physical and emotional well-being. Chronic pain can affect

their overall quality of life, including their ability to work, socialize, and participate in

recreational activities.

• Readmissions: Poor pain management can contribute to higher rates of hospital

readmissions. Inadequate pain control during the initial postoperative period can lead to

complications, delayed recovery, and the need for additional medical interventions. This,

in turn, can increase the likelihood of patients being readmitted to the hospital, adding to

the burden on both the patients and the healthcare system.

By addressing inadequate pain management in postoperative patients, it is possible to improve

patient outcomes, enhance community well-being, reduce healthcare costs, enhance quality of

life, and potentially lower readmission rates.

References:

Institute of Medicine . Relieving Pain in America: A Blueprint for Transforming Prevention,

Care, Education, and Research. Washington: National Academies Press; 2017.

Gan TJ, Habib AS, Miller TE, White W, Apfelbaum JL. Incidence, patient satisfaction, and

perceptions of post-surgical pain: results from a US national survey. Curr Med Res Opin.

2018;30(1):149–160.

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