Around-the-Clock (ATC) Dosing of Analgesics

Pasero, Chris

doi:10.1016/j.jopan.2009.12.003

Cited by 15 publications

(12 citation statements)

References 20 publications

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“…The recommended pain management regimen is to take pain medication at scheduled times and not only as needed (Pasero, 2010). As described by Older et al (2010), many patients prefer to take medication when needed and to wait until the pain is severe.…”

Section: Discussionmentioning

confidence: 99%

The effects of a psycho‐educational intervention to improve pain management after day surgery: A randomised clinical trial

Valeberg

Dihle

Småstuen

et al. 2021

Journal of Clinical Nursing

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Aims and objectives To evaluate the effectiveness of a psycho‐educational intervention for shoulder and breast day surgery patients in decreasing pain intensity and pain interference with function and strengthening adherence with the analgesic regimen; and further to identify factors that influence average pain intensity and pain interference with function. Background Pain is one of the most prevalent symptoms after day surgery. However, pain management is left to the patients and family, and interventions to help patients are needed. Design Randomised clinical trial with an intervention (n = 101) and a usual care group (n = 119) using multiple measurements during 6 months postoperatively. The CONSORT checklist is used. Methods Patients in the intervention group received a booklet about pain and pain management and coaching by research nurses on postoperative days 2, 3 and 7. Differences between groups were identified using the chi‐squared analysis and t tests. Changes with time were identified using a linear mixed model with repeated measures. Results After controlling for covariates, group differences at any time in average pain intensity and pain interference with function were not statistically significant. Changes over time within any one group in average pain intensity and pain interference with function were statistically significant and decreased with time. Higher levels of average pain intensity and pain interference over time were associated with shoulder surgery, female, younger, pain expectation, preoperative pain and poorer adherence. Conclusions No group differences related to the intervention were revealed, and preoperative teaching together with a pain management booklet and coaching may help to strengthen the intervention's effects. Further research on interventions directed towards pain management is needed. Relevance to clinical practice Day surgery patients’ postoperative pain and pain management is not satisfactorily handled. To encourage and educate patients to use the prescribed analgesics in the immediate postoperative days may be necessary to enhance pain management. Clinical trial registration ClinicalTrials.gov (NCT01595035).

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Section: Discussionmentioning

confidence: 99%

The effects of a psycho‐educational intervention to improve pain management after day surgery: A randomised clinical trial

Valeberg

Dihle

Småstuen

et al. 2021

Journal of Clinical Nursing

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“…Patients should take analgesics on a regular basis while pain is constant (Pasero 2010), provided there are no contraindications to the medications. Guidelines on postoperative pain management recommend that healthcare professionals 'provide patient and familycentred, individually tailored education to the patient (and/or responsible caregiver), including information on treatment options for management of postoperative pain, and document the plan and goals for postoperative pain management' (Chou et al 2016).…”

Section: Introductionmentioning

confidence: 99%

Role of patient education in postoperative pain management

Ingadóttir

Zoëga

2017

Nursing Standard

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Postoperative pain continues to be a significant issue in healthcare, with a considerable proportion of patients experiencing severe pain after surgery and finding pain management at home challenging. There are several barriers to effective pain management, involving both patients and healthcare professionals. Patient education may be a useful way to overcome many of these barriers. This article outlines the four stages of the education process, which can be used to provide patient education: assessing the patient's educational needs and potential barriers to learning; setting educational objectives; teaching; and evaluating the patient's learning. This article discusses the issue of postoperative pain and how structured patient education, from admission to discharge, provided by skilled healthcare professionals, may improve postoperative recovery.

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“…These guidelines state that the principle for treating pain at regular intervals is to administer analgesics 'around the clock' (ATC) rather than on an 'as required' (termed 'pro re nata' or PRN) basis. It has also been suggested that ATC dosing should be used when pain itself is continuous or present for 12 hours or more each day, since postoperative pain will most likely be continuous for at least 24 hours following surgery (Pasero 2010). However, there is a need to understand the risks and benefits of time-contingent (ATC) dosing because of fears of over-medication or unwanted adverse e ects .…”

Section: Description Of the Conditionmentioning

confidence: 99%