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Clinical Practice Guideline for Acute Pain Management - Operative or Medical Procedures and Trauma (Paperback)
Loot Price: R436
Discovery Miles 4 360
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Clinical Practice Guideline for Acute Pain Management - Operative or Medical Procedures and Trauma (Paperback)
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Loot Price R436
Discovery Miles 4 360
Expected to ship within 10 - 15 working days
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Approximately 23.3 million operations were performed in 1989 in the
United States, and most of these involved some form of pain
management. Unfortunately, clinical surveys continue to indicate
that routine orders for intramuscular injections of opioid "as
needed"-the standard practice in many clinical settings-fail to
relieve pain in about half of postoperative patients. Postoperative
pain contributes to patient discomfort, longer recovery periods,
and greater use of scarce health care resources and may compromise
patient outcomes. There is wide variation in the methods used to
manage postoperative and other acute pain, ranging from no set
strategy to a comprehensive team approach as advocated in this
clinical practice guideline. This guideline sets forth procedures
to minimize the incidence and severity of acute pain after surgical
and medical procedures and pain associated with trauma in adults
and children. It offers clinicians a coherent yet flexible approach
to pain assessment and management for use in daily practice.
Although it is not practical or desirable to eliminate all
postoperative and other acute pain, an aggressive approach to pain
assessment and management can reduce such pain, increase patient
comfort and satisfaction, and in some cases, contribute to improved
patient outcomes and shorter hospital stays. This clinical practice
guideline was developed under the sponsorship of the Agency for
Health Care Policy and Research (AHCPR), Public Health Service,
U.S. Department of Health and Human Services. To develop the
guideline, AHCPR convened an interdisciplinary expert panel made up
of physicians, nurses, a pharmacist, a psychologist, a physical
therapist, a patient/consumer, and an ethicist. The panel first
undertook an extensive and interdisciplinary clinical review of
current needs, therapeutic practices and principles, and emerging
technologies for pain assessment and management. Second, the panel
conducted a comprehensive review of the field to define the
existing knowledge base and critically evaluate the assumptions and
common wisdom in the field. Third, the panel initiated peer review
of guideline drafts and field review with intended users in
clinical sites. Comments from these reviews were assessed and used
in developing the guideline.
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