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Recommending an Evidence-Based Practice Change

Evidence-based project proposing a multimodal chronic pain management change in a mid-sized regional hospital. Outlines inconsistent current practices, EBP interventions—CBT, physical therapy mindfulness—to improve outcomes reduce opioids.

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    iN 2 THE PAIN SCALE | — or (4 8” pt EET] ) RH - es — Evidence-Based uy i a Recommending an Evidence-Based Practice Change ——————— Ee ad a8 Introducti on B ~~ ~ (#1 3 « Our healthcare organization is a mid-sized rsd) J ) regional hospital that provides Jae] comprehensive care, including inpatient and 1 outpatient services. FEE 1 + It has a collaborative culture that values — patient-centered care, professional gE 3 - development, and innovation. ber 4 + There is a need for more structured TTT Ey approaches to managing chronic pain, as Current practices vary widely among 1 z departments. - nL . » A structured Evidence-Based Practice approach to pain management in a regional — hospital is essential for improving patient outcomes, ensuring consistency. reducing opioid dependence. and optimizing resource Ee

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    D ipti fC t + The current problem revolves around the inconsistent me manogemery of chronic pain, which has led to varying levels of # >, patient satisfaction and some suboptimal outcomes. + Chronic pai ients often report that their treaiment. is \ hone pa f2le oe ROT that their tre loesn't adequately address their individual needs. | = - + The scope of this issue involves multiple departments includis i gam raRagement primary care, areing, Sha Pharmacy. 9 keholders include physicians, nurses; patients, and —. Toe bene — ——] + The benefits of implementing a more holistic, evidence-based — peer approach to pain management could be significant—reducing — pani: opioid use, improving patient satisfaction, and enhancing [3 [) [) clinical outcomes. = -_ « (shi &Wu., 2023). [=] [] * POPULATION/CONDITION = Evidence-Based * COMPARATOR g _— * Using an Evidence-Based Practice (EBP) approach. we propose the « OUTCOME integration ofa multimodal, non-pharmacological approach to chronic pain management. This would include the following components: + Cognitive Behavioral Therapy (CBT): Evidence shows that CET can significantly reduce the emotional and psychological impact of chronic pain, improving coping mechanisms and quality of life « TYPE OF STUDY + Physical Therapy and Exercise Programs: Tailored physical therapy has been shown to reduce pain intensity and improve function in chronic pain patients. + Mindfulness and Relaxation Techniques: Techniques like meditation and mindfulness-based stress reduction (MBSR) are \ supported by research for reducing pain perception and improving mental health \ + The study found that multimodal treatments, which integrate both J = physical and psychological approaches, provide superior results [4 compared to single-modality treatments. Specifically, CBT and [ mindfulness reduced pain perception. improved pain coping strategies, and enhanced emotional regulation. Physical therapy improved functional mobility and reduced disability. 5 S * An interdisciplinary team—including pain specialists, psychologists,

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