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CE: Managing Postoperative Pain.

Renee C B Manworren1, Debra B Gordon, Robert Montgomery

  • 1Renee C.B. Manworren is director of nursing research and professional practice at the Ann and Robert H. Lurie Children's Hospital of Chicago and associate professor of pediatrics at Northwestern University's Feinberg School of Medicine. Debra B. Gordon is co-coordinator of the Harborview Integrated Pain Care Program, University of Washington, Seattle. Robert Montgomery is clinical coordinator of the Acute Pain Service, University of Colorado Hospital, University of Colorado Denver School of Medicine, Aurora. Contact author: Renee C.B. Manworren, AJNPOP@luriechildrens.org. Debra B. Gordon is a member of the health economic advisory board of Pacira Pharmaceuticals. The authors and planners have disclosed no other potential conflicts of interest, financial or otherwise.

The American Journal of Nursing
|December 19, 2017
PubMed
Summary

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This summary is machine-generated.

Effective postoperative pain management is crucial for preventing chronic pain. This article guides nurses in implementing the 2016 American Pain Society guidelines for optimal pain relief.

Area of Science:

  • Pain Management
  • Evidence-Based Medicine
  • Nursing Practice

Background:

  • Acute postoperative pain is often undertreated, despite increased opioid use.
  • Inadequate pain relief can lead to persistent pain, chronic pain, and disability.
  • The American Pain Society (APS) released guidelines in 2016 to address these issues.

Purpose of the Study:

  • To assist nurses in translating APS 2016 guideline recommendations into clinical practice.
  • To provide historical context for the development of pain management guidelines.
  • To discuss current factors influencing guideline implementation.

Main Methods:

  • Review of the 2016 American Pain Society postoperative pain management guideline.
  • Analysis of 32 evidence-based recommendations for multimodal pain management.

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  • Discussion of historical and contemporary factors impacting guideline adoption.

    • Main Results:

    • The APS guidelines offer stratified recommendations based on risk, benefit, and evidence levels.
    • Multimodal and interdisciplinary approaches are emphasized for optimal pain management.
    • Nurses play a key role in implementing these evidence-based strategies.

    Conclusions:

    • Translating APS guidelines into practice is essential for improving postoperative pain management.
    • Understanding the context and challenges is vital for successful implementation.
    • Enhanced nursing practice can mitigate risks associated with undertreated postoperative pain.