Case Analysis : Perioperative Pain Management

I have obtained invaluable insights as to what the daily work of a nurse anesthetist entails. I felt a lighting bolt go off within me, if you will. I felt a renewed excitement for the route that I aim to take in my life. The shadowing experience was confirmation to me that I was on the right path to a future that I dream of daily. By observing and getting involved with regional and general anesthesia in the operating room setting, I discovered that my distinguished passion lies within the great challenges involved in clinical pharmacology and critical monitoring skills.

The Indicated Review had 80 studies involving 11,337 students (Weissberg, Taylor, Schellinger, Payton, Pachan, Dymicki and Durlak,

The purpose of this paper is to present an analysis of a quantitative article using Melnyk & Fineout-Overholt’s (2015) rapid critical appraisal (RCA) for a randomized clinical trial. Topics included are the validity of the research, results of the research and how the information can be applied to the clinical care of my own patient population.

Certified Registered Nurse Anesthetists (CRNAs) are one of the most advanced types of nurses. They are responsible for providing quality anesthesia and anesthesia-related care in order to facilitate diagnostic, therapeutic and surgical procedures (America Association of Nurse Anesthetists, 2010). While their services are mainly used in the surgical setting, CRNAs can also provide assistance for pain management associated with obstetrical labor and delivery or for chronic and acute pain. Although they typically work under the supervision of Anesthesiologists, based on states regulations and by laws, they may also work independently (Kansas University Medical Center, 2014).

What type of research did you use to determine what evidence-based outcome measure to select?

Despite recent advances in information regarding perioperative care, postoperative pain continues to go undermanaged. Postoperative pain is the pain patients experience after a surgical procedure. According to Gan, 80% of all people who undergo surgeries experience postoperative pain, and 75% of them rate their pain at a moderate, severe, or extreme level (as cited by Cooney, 2016). Furthermore, inadequately managed pain can lead to patient dissatisfaction, decreased patient outcomes, and overall higher cost of care (Penprase, Brunetto, Dahmani, Forthoffer & Kapoor, 2015). In order to provide higher quality pain management,

Chronic, acute, somatic and oncologic are all types pain - each with their own symptoms, reliefs, and evaluations. As pain has been explored, we have learned more about it; however, it remains an anomaly. In the postoperative setting, nurses are the first line of pain management. Their assessments of the patient’s pain, including questions and scaling is imperative when dosing medications and evaluating the patient. Studies continue to determine that healthcare providers undertreat and mismanage pain control and assessment. According, to the American Society of Interventional Pain Physicians, “80% to 90% of physicians have had no formal training in prescribing controlled substances, and only five out of one hundred thirty-three medical schools in the U.S. have required courses on pain management” (Glowacki, p. 37). The American Nurse Credentialing Center reported that “as of 2013, only one thousand six hundred seventy two registered nurses in the U.S. were certified in pain management” (Glowacki, p. 37). According to the CDC, about 50% of postoperative patients report unrelieved pain (Centers for Disease Control and Prevention, 2013). Effective postoperative pain control is necessary for successful care and treatment. Inadequate relief of postoperative pain can contribute to postoperative complications such as atelectasis, deep vein thrombosis, and delayed wound healing (Francis &

There are many professions which involve caring for people, but one that really intrigues me is anesthesiology. The primary job of an anesthesiologist is to give anesthesia to the patient as well as monitor the patient’s vitals. This monitoring does not just occur before and after the surgery, but the anesthesiologist should be present during the surgery to ensure the health and comfort of the patient (“General Information on Anesthesiologists”). Although this jobs seems simple at first glance, there is much more beyond the surface of an anesthesiologist.

when pain scores were greater than 5 on a 0-10 pain scale scoring system. In addition to

Pain is formally identified as a problem of global proportions by WHO and postoperative pain is one of the most common types of pain that has raised a public health concern by various societies in Australia, USA and Europe. It affects roughly 40% of surgical patients who experiencing a moderate to severe pain. It is important that graduate RNs have the knowledge and clinical skills to care for these patients as management of acute post-op pain has posed a significant challenge in surgical specialities for the past 50 years.

Study Design: This is a case study, but in particular, it is a multiple-baseline across participants design. Blinding was used with the rater who was doing the probe assessments. Furthermore, it is worth noting that the “participants were allocated either three, four, five or six twice-weekly baseline sessions” (p. 656).

Nurses have played an important role in medicine throughout the years. When people hear the word “nurse” they often think of the ones in the hospital given care and educating. Many people don’t think about the other branches of nursing like the nurse Anesthetist. A nurse Anesthetist has contributed a great deal in administering anesthetics for about 150 years. Nurse anesthetist have struggled with autonomy and being able to practice without being supervised by an Anesthesiologist. They also were limited to work in specific areas but now they work in many hospital and outpatient settings. Nurse anesthetists have come a long way and are conducting research and are helping improve

Different types of anesthetics can be used for different scenarios and part of an anesthesiologist’s job is to identify

As I compared the British Medical Journal and the guardian, all relative information must be relayed throughout the document. All research shown in the BMJ was fully factual evidence based upon the experiment. The

Most of my exposure to anesthesiology occurred in the course of various clinical clerkships. Reservations over anesthesia were not uncommon for patients. During Obstetrics and Gynecology clerkship, some of the women in labor were dubious about possible side effects of anesthesia. One of them, patient SM, initially declined anesthesia. As her pain grew more agonizing, she asked how anesthesia