Pain Management Strategies for Achieving Quality Patient Outcomes and JCAHO Standards

2.50
Hdl Handle:
http://hdl.handle.net/10755/165591
Category:
Abstract
Type:
Presentation
Title:
Pain Management Strategies for Achieving Quality Patient Outcomes and JCAHO Standards
Author(s):
Zuk, Susan
Author Details:
Susan Zuk, Jennersville Regional Hospital, West Grove, Pennsylvania, USA
Abstract:
Caring for patients with pain in a small community hospital lacked a systematic approach and a method to document outcomes. To meet the goals defined by the JCAHO Standards and provide optimal pain management became a strategic priority. The pain initiative began with the formation of a multidisciplinary team. A needs assessment quickly determined that only a patient controlled analgesia procedure existed. The committee drafted a pain management standard of care which encompassed procedures for assessment, evaluation, education, and alternative methods to pain control. This policy statement became the foundation for all strategic efforts. The committee's review identified the assessment process and documentation measures to be inadequate. Working collaboratively with the Nursing Department, the admission assessment form was modified to incorporate all aspects included in the standard of care. In addition, the daily flow sheet which records all vital signs and assessment data was updated to address the pain response and pain rating (0-10 scale) for each intervention. Educational tools for acute postoperative pain and cancer pain were incorporated into the hospital's education website. Creative tools were developed to better assess and manage pain. A pain rating scale equipped with descriptive words, face rating, and 0-10 scale was created in both English and Spanish. This laminated tool was placed at the patient bedside and mailed to all physician offices and home care providers. Also, a newly created opioid equianalgesic conversion pocket guide and educational literature was distributed to all physicians on staff. The nursing and allied staff received pocket guides in conjunction with valuable information on guide usage and highlights of opioid therapy. Quarterly inservices and physician conferences continue to address critical aspects of pain management. Quality improvement data addressing assessment and education criteria demonstrate significant improvement. An innovative protocol for the prevention of constipation has been recently approved. Also, future initiatives include establishing a pain management team for pain consultation in the acute and outpatient settings. These strategic measures over the past 12 months were successful in meeting the ascribed standards set by the JCAHO. Hospital wide efforts continue to propel pain management forward into the 21st century.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2002
Conference Name:
27th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Washington, D.C., USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titlePain Management Strategies for Achieving Quality Patient Outcomes and JCAHO Standardsen_GB
dc.contributor.authorZuk, Susanen_US
dc.author.detailsSusan Zuk, Jennersville Regional Hospital, West Grove, Pennsylvania, USAen_US
dc.identifier.urihttp://hdl.handle.net/10755/165591-
dc.description.abstractCaring for patients with pain in a small community hospital lacked a systematic approach and a method to document outcomes. To meet the goals defined by the JCAHO Standards and provide optimal pain management became a strategic priority. The pain initiative began with the formation of a multidisciplinary team. A needs assessment quickly determined that only a patient controlled analgesia procedure existed. The committee drafted a pain management standard of care which encompassed procedures for assessment, evaluation, education, and alternative methods to pain control. This policy statement became the foundation for all strategic efforts. The committee's review identified the assessment process and documentation measures to be inadequate. Working collaboratively with the Nursing Department, the admission assessment form was modified to incorporate all aspects included in the standard of care. In addition, the daily flow sheet which records all vital signs and assessment data was updated to address the pain response and pain rating (0-10 scale) for each intervention. Educational tools for acute postoperative pain and cancer pain were incorporated into the hospital's education website. Creative tools were developed to better assess and manage pain. A pain rating scale equipped with descriptive words, face rating, and 0-10 scale was created in both English and Spanish. This laminated tool was placed at the patient bedside and mailed to all physician offices and home care providers. Also, a newly created opioid equianalgesic conversion pocket guide and educational literature was distributed to all physicians on staff. The nursing and allied staff received pocket guides in conjunction with valuable information on guide usage and highlights of opioid therapy. Quarterly inservices and physician conferences continue to address critical aspects of pain management. Quality improvement data addressing assessment and education criteria demonstrate significant improvement. An innovative protocol for the prevention of constipation has been recently approved. Also, future initiatives include establishing a pain management team for pain consultation in the acute and outpatient settings. These strategic measures over the past 12 months were successful in meeting the ascribed standards set by the JCAHO. Hospital wide efforts continue to propel pain management forward into the 21st century.en_GB
dc.date.available2011-10-27T12:21:26Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:21:26Z-
dc.conference.date2002en_US
dc.conference.name27th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationWashington, D.C., USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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