Related Experiment Video
Updated: Feb 24, 2026

14:56
An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
Published on: January 27, 2010
22.1K
Two Studies Suggest Fewer Opioids Could Be Prescribed After Cesarean Sections
1Carol Potera.
The American Journal of Nursing
|August 25, 2017
Summary
Shared decision making in healthcare reduces the number of prescribed medications. This patient-centered approach optimizes treatment plans and potentially lowers pill burden.
Area of Science:
- Health Services Research
- Patient-Centered Care
- Pharmacotherapy
Background:
- Traditional prescribing models often lack patient input, potentially leading to suboptimal medication regimens.
- The increasing complexity of pharmacotherapy necessitates approaches that actively involve patients in treatment choices.
Discussion:
- Shared decision making (SDM) empowers patients by integrating their values and preferences into clinical decisions.
- Implementing SDM can lead to more appropriate medication selection, reducing polypharmacy and associated risks.
Key Insights:
- Studies indicate that SDM significantly decreases the quantity of prescribed pills.
- This approach enhances patient adherence and satisfaction by aligning treatments with individual needs.
Outlook:
- Further research should explore the long-term impact of SDM on health outcomes and healthcare costs.
- Integrating SDM into routine clinical practice requires effective training for healthcare providers and accessible patient resources.
Related Concept Videos
Opioid Analgesics: Synthetic and Semisynthetic Opioids
1.2K
Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
1.2K
Local Anesthetics: Clinical Application as Epidural Anesthesia
859
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
859
Opioid Analgesics: Morphine and Other Natural Cogeners
1.2K
Opioids are a class of drugs that mimic endogenous opioid peptides and act on opioid receptors, and help in pain relief. These compounds are classified as natural, synthetic, or semi-synthetic. Natural opioids, like morphine, codeine, and thebaine, are derived from the opium poppy plant (Papaver somniferum or Papaver album) and are termed opiates. Synthetic opioids are artificial, while semi-synthetic opioids combine natural and synthetic compounds. Morphine, a prototypical opioid, possesses a...
1.2K
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
830
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
830
Local Anesthetics: Clinical Application as Spinal Anesthesia
1.6K
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
1.6K
Parenteral Anesthetics: Overview
805
Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
805

