Date of Award

January 2023

Document Type

Open Access Thesis

Degree Name

Doctor of Nursing Practice (DNP)

Department

Yale University School of Nursing

First Advisor

Shelli L. Feder

Abstract

Multimodal Opioid-Sparing Analgesia: Increasing Regimen Adherence in Minimally Invasive Abdominal SurgeryIn 2016, the CDC estimated 11.5 million persons in the United States, aged 12 years and older, misused opioids in the past year. The opioid epidemic poses a challenge to the healthcare profession as it continues to care for, treat, and manage pain with associated complications from opioid dependence. Patients who primarily use opioids for pain control postoperatively and at discharge are at a 44% increased risk for opioid dependence after only five days of use. The incorporation of multimodal analgesia and opioid-sparing approaches has led to improved pain management with decreased opioid consumption. However, upon further evaluation, regimen adherence among clinicians is crucial to ensuring postoperative pain is adequately managed. This DNP project aimed to modify a current multimodal opioid-sparing analgesic regimen in a surgical division to increase clinician adherence, decrease opioid consumption, and evaluate patient satisfaction with the pain regimen. Despite a small number of patients, this project found that increased adherence to the regimen led to a decrease in opioid consumption in the postoperative inpatient setting. Additionally, patients were satisfied with the pain regimen and pain control. This project provides a framework for healthcare providers to implement among postoperative minimally invasive surgical patients to increase clinician adherence and patient satisfaction while decreasing opioid consumption.

Comments

This is an Open Access Thesis.

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