2.50
Hdl Handle:
http://hdl.handle.net/10755/159458
Type:
Presentation
Title:
Oral Opioid Use in Older Adults following Hip Surgery
Abstract:
Oral Opioid Use in Older Adults following Hip Surgery
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2004
Author:Decker, Sheila, PhD, RN, CS
Title:Assistant Professor
Contact Address:SON, Nursing Building 462, Iowa City, IA, 52242, USA
Co-Authors:Barbara Reed, MN, ARNP, BC, GNP, Pain Consultant; Elizabeth Capezuti, PhD, RN, FAAN, Associate Professor
Postoperative pain management is often inadequate and involves the administration of oral opioids not recommended for older adults. A descriptive design was used to examine the use of oral opioids in older adults following hip surgery, to describe the correlation between selected oral opioids, and to compare the use of oral opioids to current practice guidelines. The sample included 56 older adults from 60 to 85 years of age following elective hip surgery. Data were collected using the Pain Assessment Tool in Confused Older Adults (PATCOA), the Visual Analogue Scale (VAS), and the NEECHAM Confusion Scale. Data were analyzed using descriptive statistics, independent t-tests, and Pearson produce-moment correlations. The mean NEECHAM Confusion Scale score was 27.9 indicating normal cognitive function. The most frequent types of oral opioids included oxycodone (59%), hydrocodone (34%), and propoxyphene (7%). There were no differences in the pain assessment scores for patients taking oxycodone or hydrocodone. With only four patients receiving propoxyphene further analysis was not possible. Although the patients reported adequate pain management, current professional guidelines suggest that special attention is warranted in prescribing and administering oral opioids due to the age-related changes affecting the pharmacokinetics and pharmacodynamics. This study highlights the need for the appropriate selection of oral opioids, including dose and duration of action, as critical elements that must be considered in postoperative pain management for older adults.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleOral Opioid Use in Older Adults following Hip Surgeryen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159458-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Oral Opioid Use in Older Adults following Hip Surgery</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Decker, Sheila, PhD, RN, CS</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">SON, Nursing Building 462, Iowa City, IA, 52242, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Barbara Reed, MN, ARNP, BC, GNP, Pain Consultant; Elizabeth Capezuti, PhD, RN, FAAN, Associate Professor</td></tr><tr><td colspan="2" class="item-abstract">Postoperative pain management is often inadequate and involves the administration of oral opioids not recommended for older adults. A descriptive design was used to examine the use of oral opioids in older adults following hip surgery, to describe the correlation between selected oral opioids, and to compare the use of oral opioids to current practice guidelines. The sample included 56 older adults from 60 to 85 years of age following elective hip surgery. Data were collected using the Pain Assessment Tool in Confused Older Adults (PATCOA), the Visual Analogue Scale (VAS), and the NEECHAM Confusion Scale. Data were analyzed using descriptive statistics, independent t-tests, and Pearson produce-moment correlations. The mean NEECHAM Confusion Scale score was 27.9 indicating normal cognitive function. The most frequent types of oral opioids included oxycodone (59%), hydrocodone (34%), and propoxyphene (7%). There were no differences in the pain assessment scores for patients taking oxycodone or hydrocodone. With only four patients receiving propoxyphene further analysis was not possible. Although the patients reported adequate pain management, current professional guidelines suggest that special attention is warranted in prescribing and administering oral opioids due to the age-related changes affecting the pharmacokinetics and pharmacodynamics. This study highlights the need for the appropriate selection of oral opioids, including dose and duration of action, as critical elements that must be considered in postoperative pain management for older adults.</td></tr></table>en_GB
dc.date.available2011-10-26T22:02:07Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:02:07Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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