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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/51-regional-analgesia-arthroplasty.pptx
June 01, 2023 - Regional analgesia
Optimize pain control
Reduce reliance upon opioids
Ideal for orthopedic procedures … anticoagulants have different risk profiles
Access the American Society of Regional Anesthesia and Pain … Reg Anesth Pain Med. 2021 Nov;46(11):971-85. doi: 10.1136/rapm-2021-102750. Epub 2021 Aug 25.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-7-b.pdf
December 29, 2017 - 54.2% 56.4% 54.0% .10
Call button 56.7% 61.0% 62.5% .02
Child comfort 66.9% 66.7% 69.9% .17
Child pain … 55.4% 55.3% 54.0% .63
Call button 60.2% 60.6% 59.3% .93
Child comfort 67.2% 66.3% 70.1% .13
Child pain
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapc.html
December 01, 2017 - Pain, contractures or decreased ROM resulting from osteoarthritis. … Pain management
___ evaluate resident's pain level using appropriate pain scale for residents with … Resident does not complain of pain and there is no evidence of grimacing or pain upon movement. … Resident does not complain of pain and there is no evidence of grimacing or pain upon movement. … Was she in pain? What was her agenda? What did Mrs. P say happened?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T4-Letter_to_Prescribing_Clinicians.pdf
October 01, 2016 - at least one
of the following:
New or worsening:
– Urgency, or
– Frequency, or
– Suprapubic pain … No fever, then two or more of the following:
– Urgency, or
– Frequency, or
– Suprapubic pain, or … temperatures of 99°F (37°C), or
• New or worsening costovertebral tenderness, or
• New onset suprapubic pain … following:
• For discomfort or prior to cleaning/dressing changes, consider using acetaminophen or
other pain … • For discomfort, consider using acetaminophen or other pain reliever.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T4-Letter_to_Prescribing_Clinicians.docx
October 01, 2016 - F (37°C) AND at least one of the following:
New or worsening:
Urgency, or
Frequency, or
Suprapubic pain … No fever, then two or more of the following:
Urgency, or
Frequency, or
Suprapubic pain, or
Gross hematuria … temperatures of 99°F (37°C), or
New or worsening costovertebral tenderness, or
New onset suprapubic pain … following:
For discomfort or prior to cleaning/dressing changes, consider using acetaminophen or other pain … For discomfort, consider using acetaminophen or other pain reliever.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/aom-children-guide.docx
September 01, 2022 - ear drainage, also known as otorrhea, with signs and symptoms of middle-ear inflammation such as ear pain … The diagnosis of otitis media should be considered in a child with recent onset of ear pain and a bulging … Slide 13
Moment 3
SAY:
Pain control, regardless of antibiotic decision making, should always be … Ibuprofen or acetaminophen for ear pain and/or fever can help alleviate symptoms. … A plan for when to return to medical care should always be discussed with parents, and pain control is
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-prepare.pdf
February 18, 2021 - primary care clinic’s management of patients who are on long-term opioid
therapy (LtOT) for chronic pain … While anyone can use these materials to implement improvements in chronic pain and
opioid medication … be extremely
helpful to identify a local expert
in your own clinic system, an
expert in a local pain … Care plan* templates for
chronic pain management…
…do not exist. … agree will be used to manage the patient’s pain.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_postpart-hemorrhage.docx
May 01, 2017 - Can I have something for pain?” … Patient has pain in lower abdomen and area around vagina. … Partner asks nurse for water and pain medication for patient.
Baby is crying at intervals. … Can I have something for pain?” … Patient has pain in lower abdomen and area around vagina.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/UTI-one-page.docx
November 01, 2019 - )
Diagnosis
· First, ask about SYMPTOMS
· Acute cystitis: dysuria, frequency, urgency, suprapubic pain … · Pyelonephritis: fever, flank pain
· Catheter-associated UTI (CAUTI): subrapubic pain and fever; patients
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/43-pathway-worksheet.docx
June 01, 2023 - pathway that incorporates the processes of enhanced recovery (e.g., use of narcotic-sparing multimodal pain … Reg Anesth Pain Med. 2019 Feb 7:rapm-2018-100071. doi: 10.1136/rapm-2018-100071. … Postoperative Discharge Pain Control
Multimodal pain control is recommended for all patients upon discharge … Perioperative Pain Management and Opioid Stewardship: A Practical Guide. … Reg Anesth Pain Med. 2019 Feb 7:rapm-2018-100071. Epub ahead of print.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T2c-SBAR_SST_Final.pdf
June 01, 2014 - of the following:
¨¨ Fever of 100°F (38°C) or repeated temperatures of 99°F (37°C)*
¨¨ redness
¨¨ pain … hours
¨ For discomfort or prior to cleaning/dressing changes, consider using acetaminophen
or other pain
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-completion-guide.pdf
June 01, 2021 - For example, if pain
medications and oral hydration were both attempted, mark both “pain medications
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ce.effectivehealthcare.ahrq.gov/cahps/surveys-guidance/item-sets/search.html?order=field_supplemental_topics&page=16&search_api_fulltext=&sort=asc
Title
Population
Survey
Topics
Sort descending
P-IM6
Pain … with mobility impairments
P-IM7
Personal doctor asked about impact of pain … Clinician & Group
People with mobility impairments
C-IM5
Pain
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/45-iscr-pathway-audit-tool.xlsx
June 01, 2023 - Pre-anesthesia multimodal pain management given 0 0 ERROR:#DIV/0! … Multimodal pain management given postop 0 0 ERROR:#DIV/0! … Medications prescribed/recommended for postdischarge pain management 0 0 ERROR:#DIV/0!
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-slides.html
February 01, 2017 - Assess and treat pain first (may be sufficient). … If patient remains agitated after adequately treating pain:
Start with bolus sedation as needed. … Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in … Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in … Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in
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ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/scenarios/combatcare.html
March 01, 2014 - Forty-five minutes later, the charge nurse discovers the patient, who is complaining of severe chest pain … The Blue Team has a 46-year-old male who complains of an episode of chest pain prior to arrival. … While the patient waits for an x ray, he continues to complain of worsening chest pain. … The patient continues to complain of pain and becomes increasingly restless. … The physician asks the child about pain, but the child quickly denies any and insists on "going home
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-postpart-hemorrhage.html
July 01, 2023 - Can I have something for pain?"
… Patient has pain in lower abdomen and area around vagina. … Partner asks nurse for water and pain medication for patient.
Baby is crying at intervals. … Can I have something for pain?"
… Patient has pain in lower abdomen and area around vagina.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-7-c.pdf
December 29, 2017 - button 66.2% 63.9% 58.7% 54.2% 52.3% <.001
Child comfort 70.1% 69.5% 68.5% 65.5% 63.3% <.001
Child pain … button 65.3% 63.7% 59.6% 54.5% 52.1% <.001
Child comfort 70.3% 69.8% 68.8% 65.1% 62.9% <.001
Child pain
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-7-d.pdf
December 29, 2017 - button 57.6% 57.4% 60.8% 59.5% 57.0% .47
Child comfort 65.8% 68.9% 70.7% 71.7% 70.5% <.001
Child pain … button 57.2% 57.0% 60.7% 59.4% 58.1% .38
Child comfort 66.7% 69.0% 70.3% 70.6% 70.9% <.001
Child pain
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/overview-ptsoffventilator-slides.pptx
January 01, 2017 - , Agitation, and Delirium (PAD) Guidelines
Assess and treat pain first (may be sufficient)
If patient … Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in … Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in … bundle into everyday care: opportunities, challenges, and lessons learned for implementing the ICU Pain … Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in