Patients' Experiences With Day Surgery Pathways In Connection To A Herniated Disc Or Spinalstenosis Operation. An Interview Survey

Publikation: KonferencebidragKonferenceabstrakt til konferenceFormidling

Title: Test Of Formula For Tapering Opioids Inger Markussen Gryet, Mette Juul, Anne Marie Kjærsgaard Regional Hospital Silkeborg, Denmark Keywords: Tapering Formula, Tapering Opioid, Patient Involvement Background Former quality improvement projects and telephone calls from patients showed, that tapering opioids can be difficult to handle for patients at home. Some reduces the opioids to fast which results in more pain, some gets withdrawal symptoms etc. There is a lack of evidence based tapering formulas. At Regional Hospital Silkeborg, Elective Surgery Center we developed a tapering formula based on best evidence and knowledge from our professional practice Objectives To gain knowledge about the patients’ experience using a tapering formula Study Design & Methods 15 patients operated for total knee-/shoulder replacement or spondylodesis were included and tested the opioid tapering formula. Telephone interview 4 weeks or later after discharge. The interviews were analyzed using a hermeneutic approach. Results 4 patients followed the formula throughout the whole tapering period, 3 patients followed it partly and 8 patients didn't follow the formula. The patients who followed the formula experienced that it supported their tapering process. They found that the information about the importance of being aware of the body’s feelings and recognize if they are ready to go to the next step in the tapering formula is essential. The patients had different reasons not to follow the formula. Some forgot the formula or suddenly they wished to stop with opioids etc. 6 of the patients who didn´t follow the formula experienced withdrawal symptoms ex. feeling sick for one week. Conclusions Supporting the patients tapering process is complex and requires individual considerations and patient involvement. Further test of the tapering formula is recommended. In order to support the patients tapering process and prevent withdrawal symptoms, individual agreements are preferred. For some patients it is enough with a tapering formula and information at discharge, but some patients might need telephone follow up, help from relatives or other kinds off follow up.
Bidragets oversatte titelTest af skemaer til brug ved nedtrapning af stærk smertestillende medicin
OriginalsprogEngelsk
Udgivelsesår23 maj 2019
StatusUdgivet - 23 maj 2019
BegivenhedICON 2019 - Comwell Kolding, Kolding, Danmark
Varighed: 23 maj 201924 maj 2019

Konference

KonferenceICON 2019
LokationComwell Kolding
LandDanmark
ByKolding
Periode23/05/201924/05/2019

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