06 Nov filled out matrix? Picot powerpoint for reference on picot question (My picot question used is ‘Can pain management among surgical patients that employ both pharmacological and non-pharmacol
filled out matrix
Picot powerpoint for reference on picot question (My picot question used is "Can pain management among surgical patients that employ both pharmacological and non-pharmacological interventions compared to approaches using only medication produce improved perception of pain control over one year?")
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Advanced Levels of Clinical Inquiry and Systematic Reviews
Cesar R. Barboza
Walden University
10-02-2022
Clinical Issue of Interest: postoperative pain management
Pain management post-surgery is one of the most important rehabilitation phases that impact patient outcomes.
It helps patients to recover to their normal function and prevents severe physiologic and psychological effects linked with acute, uncontrolled pain.
Post-operative pain is experienced by majority of patients who undergo surgical procedures.
Most of the techniques of post operative pain management involve only pharmacological (medication) treatment which has not been as effective as it should be.
This has prompted the research on the use of both pharmacological and non-pharmacological treatments for better results.
PICO(T) Question
My PICO(T) focused on the use of both pharmacological and non-pharmacological pain management methods to treat surgical patients.
(P) Population: Can pain management among surgical patients
(I) Intervention: that employ both pharmacological and non-pharmacological interventions
(C) Comparison: compared to approaches using only medication
(O) Outcome: produce improved perception of pain control
(T) Time: Over one year
CINAHL Plus
The search words and modes used: Boolean/phrase “pain management”, “post-operative” and “patient”.
The filters set: 2018-2022
Article #1
Levy, N., Mills, P., & Rockett, M. (2019). Post-surgical pain management: time for a paradigm shift. British journal of anaesthesia, 123(2), e182-e186.
The article is a level VI evidence, from a single descriptive or qualitative study.
The articles constitutes information from secondary sources on the topic of post-operative pain management.
The strength of the evidence is that it provides previous data and information on the topic, exposing the gaps in knowledge informing which areas to focus on in future studies.
ProQuest
Search keywords included “pain management”, “post-operative”, “pharmacological” and “patient”
The filters set: 2018-2022
Article #2
Mark, J., Argentieri, D. M., Gutierrez, C. A., Morrell, K., Eng, K., Hutson, A. D., … & Zsiros, E. (2018). Ultrarestrictive opioid prescription protocol for pain management after gynecologic and abdominal surgery. JAMA network open, 1(8), e185452-e185452.
The article has level IV which involves case-control cohort study.
The strength of the evidence is that it is fast and cheap to achieve compared to other methods.
Science Direct
Search keywords included “non-pharmacological” “medication”, “post surgery”, and “pain management”.
The filters set: 2018-2022.
Article #3
Simpson, J. C., Bao, X., & Agarwala, A. (2019). Pain management in enhanced recovery after surgery (ERAS) protocols. Clinics in colon and rectal surgery, 32(02), 121-128.
The article has level VI evidence, from a single descriptive or qualitative study.
The strength of the study involved the use of several multimodal therapies to determine the impact on postoperative analgesia, opioid use.
MEDLINE
Search keywords: Boolean/Phrase; “pain management”, “postoperative care”, and “acute pain”.
The filters set: 2018-2022.
Article #4
Small, C., & Laycock, H. (2020). Acute postoperative pain management. Journal of British Surgery, 107(2), e70-e80.
The article is a level VI with information obtained from the Cochrane Library, PubMed and Google Scholar databases for the review.
The strength of the study involved analysis of numerous studies which provided a vast information of the topic of study from previous studies.
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References
Levy, N., Mills, P., & Rockett, M. (2019). Post-surgical pain management: time for a paradigm shift. British journal of anaesthesia, 123(2), e182-e186.
Mark, J., Argentieri, D. M., Gutierrez, C. A., Morrell, K., Eng, K., Hutson, A. D., … & Zsiros, E. (2018). Ultrarestrictive opioid prescription protocol for pain management after gynecologic and abdominal surgery. JAMA network open, 1(8), e185452-e185452.
Simpson, J. C., Bao, X., & Agarwala, A. (2019). Pain management in enhanced recovery after surgery (ERAS) protocols. Clinics in colon and rectal surgery, 32(02), 121-128.
Small, C., & Laycock, H. (2020). Acute postoperative pain management. Journal of British Surgery, 107(2), e70-e80.
