Perianesthesia Patient Education for the Promotion of Opioid Stewardship

Odom-Forren, Jan; Brady, Joni M.; Sloan, Paul A.

doi:10.1016/j.jopan.2020.06.012

Cited by 3 publications

(5 citation statements)

References 37 publications

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“… 5 Furthermore, preoperative opioid use is associated with higher healthcare utilization, including longer hospital stay, higher rates of discharge to rehabilitation facilities, and higher rates of readmission. 22 This study is one of the first to explore the complex interplay of factors at the level of the healthcare system, provider, and patient, and examine perspectives and experiences across disciplines that are integrally involved in perioperative care. Qualitative methods are well suited to explore context-sensitive questions such as the diverse ways providers make decisions in care, what best supports these care decisions, and how their efforts to achieve best practices may fail.…”

Section: Discussionmentioning

confidence: 99%

“…New persistent opioid use after surgery is common and is associated with known patient-level predictors 5. Furthermore, preoperative opioid use is associated with higher healthcare utilization, including longer hospital stay, higher rates of discharge to rehabilitation facilities, and higher rates of readmission 22. This study is one of the first to explore the complex interplay of factors at the level of the healthcare system, provider, and patient, and examine perspectives and experiences across disciplines that are integrally involved in perioperative care.…”

Section: Discussionmentioning

confidence: 99%

“…Another best practice identified by providers in this study is an increased focus on patient education. Previous research has shown that patient education, for example, an organized discussion of goals of postoperative pain management, providing information about proper usage and disposal of opioids, and discussion of alternative methods for pain control can lead to reductions in postoperative opioid use 22 27. While this was identified as an area for improvement, setting patient expectations and aligning them with a realistic portrayal of pain control was identified as a challenge by providers across all included specialties.…”

Section: Discussionmentioning

confidence: 99%

“…Previous research has shown that patient education, for example, an organized discussion of goals of postoperative pain management, providing information about proper usage and disposal of opioids, and discussion of alternative methods for pain control can lead to reductions in postoperative opioid use. 22 27 While this was identified as an area for improvement, setting patient expectations and aligning them with a realistic portrayal of pain control was identified as a challenge by providers across all included specialties. Many questions remain regarding perioperative patient education, including who is best suited to deliver patient education, what method best serves patients, and what the optimal timing of patient education may be.…”

Section: Discussionmentioning

confidence: 99%

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Patient risk screening to improve transitions of care in surgical opioid prescribing: a qualitative study of provider perspectives

Hinds

Miller

Maccani

et al. 2022

Reg Anesth Pain Med

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IntroductionIn patients undergoing surgical procedures, transitions in opioid prescribing occur across multiple providers during the months before and after surgery. These transitions often result in high-risk and uncoordinated prescribing practices, especially for surgical patients with prior opioid exposure. However, perspectives of relevant providers about screening and care coordination to address these risks are unknown.MethodsWe conducted qualitative interviews with 24 surgery, primary care, and anesthesia providers in Michigan regarding behaviors and attitudes about screening surgical patients to inform perioperative opioid prescribing in relation to transitions of care. We used an interpretive description framework to topically code interview transcripts and synthesize underlying themes in analytical memos.ResultsProviders believed that coordinated, multidisciplinary approaches to identify patients at risk of poor pain and opioid-related outcomes could improve transitions of care for surgical opioid prescribing. Anesthesia and primary care providers saw value in knowing patients’ preoperative risk related to opioid use, while surgeons’ perceptions varied widely. Across specialties, most providers favored a screening tool if coupled with actionable recommendations, sufficient resources, and facilitated coordination between specialties. Providers identified a lack of pain specialists and a dearth of actionable guidelines to direct interventions for patients at high opioid-related risk as major limitations to the value of patient screening.DiscussionThese findings provide context to address risk from prescription opioids in surgical transitions of care, which should include identifying high-risk patients, implementing a coordinated plan, and emphasizing actionable recommendations.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Patient risk screening to improve transitions of care in surgical opioid prescribing: a qualitative study of provider perspectives

Hinds

Miller

Maccani

et al. 2022

Reg Anesth Pain Med

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“…One example is a CE article on perianesthesia patient education regarding storage and disposal of opioids. 3 Why are so many articles in JoPAN from international authors? One has to think about how we are a global community now.…”

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confidence: 99%

Readers Ask … Editor Responds

Odom-Forren

2021

Journal of PeriAnesthesia Nursing

Self Cite

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This December issue will print close to Christmas and New Year's Day. I started thinking about what I would wish for all of us as a new year begins. Obviously, I would wish for world peace and no Covid-19. That part was easy. Right now, I just wish my holiday shopping was done! So, I decided on another approach and thought I would try to answer some questions that I and Dr. Hooper have received over the years.Why are there so many research articles in JoPAN? Dr. Hooper and I love to receive manuscripts that are clinical or continuing education articles because we know that our readers in the clinical areas appreciate them so much. Best practice articles fall between the research and clinical articles. Many are projects that have shown promise in other hospitals and allow you to determine if it might work in your setting. An example of a best practice article that was rich with clinical information is on the topic of resumption of breastfeeding after surgery. 1 We do not receive many clinical or continuing education submissions. We encourage our readers to develop lectures and interests into published articles. We could use in-depth clinical or continuing education articles on many topics. Some examples follow but are not limited to: laryngospasm and/or bronchospasm (especially in pediatrics), care of specific types of more complex cases that are now going home on the same day (joints, dental, plastics), emergence delirium, care of the patient after a cesarean section, obstetrical emergencies, how to find a fetal heart tone, new technology and its use, assessment and management of the patient with COVID-19 in the PACU. One continuing education article from 2003 on understanding the complete blood count was the most cited article ever at the end of 2020. 2 Researchers are much more likely to publish because one ethical responsibility of conducting research is dissemination. Also, publication of research results is important because research produces the evidence upon which our practice is based.How do I write a continuing education article? Many types of articles can be turned into a continuing education (CE) article. The author writes 2 to 3 objectives and at least 10 multiple choice ques-The ideas or opinions expressed in this editorial are those solely of the author and do not necessarily reflect the opinions of ASPAN, the Journal, or the Publisher.

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Improving Perioperative Pain Education for Patients Prescribed Opioids: An Integrative Review

Lee

Rosenberg

2023

Pain Management Nursing

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Perianesthesia Patient Education for the Promotion of Opioid Stewardship

Cited by 3 publications

References 37 publications

Patient risk screening to improve transitions of care in surgical opioid prescribing: a qualitative study of provider perspectives

Patient risk screening to improve transitions of care in surgical opioid prescribing: a qualitative study of provider perspectives

Readers Ask … Editor Responds

Improving Perioperative Pain Education for Patients Prescribed Opioids: An Integrative Review

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