Advanced Levels Of Clinical Inquiry And Systematic Re 675351
Advanced Levels Of Clinical Inquiry And Systematic Reviewscesar R Bar
Advanced Levels of Clinical Inquiry and Systematic Reviews Cesar R. Barboza Walden University 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 managementâ€, “post-operative†and “patientâ€. The filters set: 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 managementâ€, “post-operativeâ€, “pharmacological†and “patientâ€. The filters set: 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†“medicationâ€, “post surgeryâ€, and “pain managementâ€. The filters set: .
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), . 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 managementâ€, “postoperative careâ€, and “acute painâ€. The filters set: . 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. 7 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), . Small, C., & Laycock, H. (2020). Acute postoperative pain management. Journal of British Surgery, 107(2), e70-e80. Unit6 SWK5006 DUE NOV15 UNIT6DISC1(1 PAGE) Centralized Versus Decentralized Service Delivery How does a centralized service delivery model differ from a decentralized service delivery model?
Examine three differences in your response, using specific examples. Identify how these differences would affect agency clients. In other words, how do these models each empower or disempower clients? Use this unit's readings to inform your discussion. UNIT6DISC2 (1 PAGE) Integration and Specification How do the concepts of integration and specification contrast and interact?
Provide and explore at least two specific examples. Your analysis should point out how an agency could best try to utilize both concepts. image2.png image1.png [removed]