Pattern of Pain Management Practices of Filipino Surgeons

Oncology ◽  
2008 ◽  
Vol 74 (1) ◽  
pp. 40-45 ◽  
Author(s):  
Jose Rhoel C. de Leon ◽  
Erwin Espinosa
Author(s):  
Abagail M. Raiter ◽  
Chantel C. Burkitt ◽  
Alyssa Merbler ◽  
Lisa Lykken ◽  
Frank J. Symons

2011 ◽  
Vol 58 (4) ◽  
pp. S227 ◽  
Author(s):  
O. Cinar ◽  
J. Blankenship ◽  
D. Fosnocht ◽  
J. White ◽  
L. Rogers ◽  
...  

2015 ◽  
Vol 15 (3) ◽  
pp. 116-123 ◽  
Author(s):  
Denise Harrison ◽  
Jessica Reszel ◽  
Jodi Wilding ◽  
Koowsar Abdulla ◽  
Mariana Bueno ◽  
...  

CJEM ◽  
2018 ◽  
Vol 21 (5) ◽  
Author(s):  
Naveen Poonai ◽  
Victoria Brzozowski ◽  
Antonia S. Stang ◽  
Amy L. Drendel ◽  
Philippe Boisclair ◽  
...  

2021 ◽  
pp. 084456212110477
Author(s):  
Jodi Wilding ◽  
Hailey Scott ◽  
Victoria Suwalska ◽  
Zarina Geddes ◽  
Carolina Lavin Venegas ◽  
...  

To assess and improve pain management practices for hospitalized children in an urban tertiary pediatric teaching hospital. Methods Health Quality Ontario Quality Improvement (QI) framework informed this study. A pre (T1) – post (T2) intervention assessment included chart reviews and children/caregiver surveys to ascertain pain management practices. Information on self-reported pain intensity, painful procedures, pain treatment and satisfaction were obtained from children/caregivers. Documented pain assessment, pain scores, and pharmacological/non-pharmacological pain treatments were collected by chart review. T1 data was fed back to pediatric units to inform their decisions and pain management targets. Results At T1, 51 (58% of eligible participants) children/caregivers participated. At T2, 86 (97%) chart reviews and 51 (54%) children/caregivers surveys were completed. Most children/caregivers at T1 (78%) and T2 (80%) reported moderate to severe pain during their hospitalization. A mean of 2.6 painful procedures were documented in the previous 24 h, with the most common being needle-related procedures at both T1 and T2. Pain management strategies were infrequently used during needle-related procedures at both time points. Conclusion No improvements in pain management as measured by the T1 and T2 data occurred. Findings informed further pain management initiatives in the participating hospital.


2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0033
Author(s):  
Matthew Pate ◽  
Jacob Hall ◽  
John Anderson ◽  
Donald Bohay ◽  
John Maskill ◽  
...  

Category: Ankle, Bunion, Trauma Introduction/Purpose: Chronic opioid abuse is one of the greatest public health challenges in the United States. The most common first exposure to opioids comes from acute care prescriptions, such as those after surgery. Moreover, opioids are often prescribed excessively, with current estimates suggesting ˜75% of the pills prescribed are unused. Ankle fractures are the most common operatively treated fracture in orthopaedic surgery, and management of acute pain following surgery is challenging. The optimal perioperative pain regimen is still a point of controversy, as there is limited data available regarding appropriate amount of opioid to prescribe. This study evaluates opioid prescribing techniques of multiple foot and ankle surgeons, and associated patient outcomes. We aim to help surgeons improve their pain management practices and to limit opioid overprescription. Methods: Chart review and phone survey were performed on forty two adult patients within three to six months of ankle fracture fixation at our institution. These patients were offered to voluntarily participate in a standardized questionnaire regarding pain scores, opioid use, non-opioid analgesic use, pain management satisfaction, and patient prescription education. Results: 57% of patients reported that they were given “more” or ”much more” opioid medication than needed, 38% stated that they were given the “right amount”, and 5% reported that they were given ”less” or “much less” than needed. 40.0% were on opioids prior to operation. 53.5% did not require refill of discharge opioid prescriptions, 30.2% of patients did not fill any posteroperative opioid prescription. 16.3% of patients filled their discharge prescription and at least one additionall refill (mean refill = 2.22). Mean number of reported opioid pills taken after surgery was 17.4. Mean satisfaction with overall pain management at phone follow up was 8.6/10. Conclusion: While postoperative pain and management vary substantially, a majority of patients feel that they are given more opioid medication than necessary following ankle fracture repair, and a majority of opioid prescriptions are not completely used. Going forward, it is likely that a majority of patients could experience the same beneficial results with less prescription opioid pain medication, which would reduce overpresciption and potential misuse.


Head & Neck ◽  
2019 ◽  
Vol 41 (7) ◽  
pp. 2315-2323 ◽  
Author(s):  
Jay K. Ferrell ◽  
Michael C. Singer ◽  
D. Gregory Farwell ◽  
Brendan C. Stack ◽  
Maisie Shindo

2019 ◽  
Vol 97 (Supplement_3) ◽  
pp. 2-2
Author(s):  
Elizabeth C Johnstone ◽  
Johann Coetzee ◽  
Lily Edwards-Callaway ◽  
Pablo Pinedo

Abstract The lack of FDA-approved analgesic drugs for use in cattle in the United States offers limited pain management options to cattle veterinarians and producers. An on-line survey was developed to investigate current use of pain mitigation by cattle veterinarians and producers. The survey was distributed electronically to multiple listservs in Summer 2018 (BEEF Magazine, American Association of Bovine Practitioners, National Milk Producers Federation Farmers Assuring Responsible Management evaluators, Dairy Moms and Dairy Girls Facebook groups; n = 46,577). A total of 1,187 (2.5%) surveys were received; 41.9% of respondents identified as producers, 47.9% as veterinarians, and 10.2% as both. Multivariate logistic regression was used for analysis. Veterinarians [OR (95% CI) = 10.2 (7.21–14.4)] and both veterinarians and producers [OR (95% CI) = 3.30 (2.02–5.39)] had significantly greater odds of using analgesia than producers in all cattle ages. Summary statistics indicate that analgesic use increased with cattle age; 57.6% of respondents used pain management in calves < 2 months of age, while 71.6% of respondents used pain management in adult cattle (>12 months of age). Respondents agreed that “cattle benefit from receiving analgesic drugs” (76.6%) and that “US/USDA/FDA regulations limit my ability to use analgesic drugs in cattle” (64.01%). Fifty-eight percent of respondents indicated their use of pain management had increased in the last 10 years. Data identify impediments to improving pain management practices in cattle. Results indicate the need for education and communication between veterinarians and producers on the necessity of pain management.


Sign in / Sign up

Export Citation Format

Share Document