Geriatric nursing (New York, N.Y.) · 2026
Implementation and evaluation of postoperative pain management protocols in older adults.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Tabesse Audrey, Nicolle Claire, Fiant Anne-Lise, Guillaume Cyril, Pape Karine, Lafont Claire, Bourderont Antoine, Villain Cédric, Baudon-Lecame Marie, Hamon Marie, Meurant Alexandre
Аннотация
OBJECTIVES: To evaluate if the two new post-operative pain management protocols for older patients were well prescribed, administered, and monitored.
METHODS: A retrospective clinical audit of 100 older patients who were prescribed these protocols was conducted.
RESULTS: Only 17% of patients met all prescriptions criteria (age> 75 gt; 75 years, opioid naïve patient, recent surgery, no co-prescribing of inappropriate analgesics for older patients, no duplicate prescription and tramadol dosage following recommandations). Prescriptions issues were mostly inappropriate analgesic prescriptions (29%), duplicate medications (28%), and tramadol under-dosing (88%). None of the patients received 100% of the prescribed antalgics doses, administrations compliance was below 50%, only 8% for morphine. Pain was assessed rigorously (99%), monitoring for opioid-related side effects, like respiratory (6%) and vigilance (12%), was incomplete.
CONCLUSIONS: This highlights challenges in implementing new postoperative analgesia protocols in a healthcare facility.
METHODS: A retrospective clinical audit of 100 older patients who were prescribed these protocols was conducted.
RESULTS: Only 17% of patients met all prescriptions criteria (age> 75 gt; 75 years, opioid naïve patient, recent surgery, no co-prescribing of inappropriate analgesics for older patients, no duplicate prescription and tramadol dosage following recommandations). Prescriptions issues were mostly inappropriate analgesic prescriptions (29%), duplicate medications (28%), and tramadol under-dosing (88%). None of the patients received 100% of the prescribed antalgics doses, administrations compliance was below 50%, only 8% for morphine. Pain was assessed rigorously (99%), monitoring for opioid-related side effects, like respiratory (6%) and vigilance (12%), was incomplete.
CONCLUSIONS: This highlights challenges in implementing new postoperative analgesia protocols in a healthcare facility.