Population (P): NP providers who make rounds in a 50- bed skilled nursing facility Intervention (I): Implementation of an evidenced-Based Protocol on the management of persistent pain in adults 50 years and older Comparison (C): Current practice of no protocol Outcomes (O): 20% improvement in self-report pain relief, 90% compliance rate of providers with protocol, 50% reduction on the use of NSAID with adults 50 years and older time (t): 60-days
PICOt Question Implementation of a best practice protocol from the American Geriatrics Society on the pharmacological management of persistent pain in older adults. • Standardized pain assessment tool • Initial treatment – Acetaminophen • NSIDs and COX-2 used rarely • For pain scores at moderate or greater, opioid
therapy is considered.
Evidence-Based Intervention
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Outcome 1 – Iowa Pain Thermometer (IPT) self report on pain intensity related to a thermometer.
Outcome 2 – NP compliance rate with implementing protocol.
Outcome 3 – Filled NSAIDs per day compared to prior to implementation of protocol.
Outcome Measures
https://hign.org/consultgeri/try-this-series/pain-assessment-older-adults
