Skip to main content

Advertisement

Log in

Creation of a Novel Recuperative Pain Medicine Service to Optimize Postoperative Analgesia and Enhance Patient Satisfaction

  •  
  • Published:
HSS Journal

Abstract

Many patients have difficulty with pain control after transition from patient-controlled analgesia modalities to oral analgesics. The creation of a Recuperative Pain Medicine (RPM) service was intended to bridge this gap in pain management at the Hospital for Special Surgery. Specific goals were to improve patient and staff satisfaction with management of postoperative oral analgesics by improving clinical care, administrative policies, and patient and staff education. Primary outcome measures for improved satisfaction were Press Ganey surveys and staff surveys. From inception in Aug 2007 to Dec 2008, RPM has seen 6,305 patients for discharge planning and education and 997 patients for pain management consultation. Administrative and educational accomplishments have included creation of a patient “Helpline” for emergent phone questions regarding postdischarge home pain medications, a policy for prescribing pain medications for home discharge, patient education booklets, a pain management webpage on the Hospital for Special Surgery website, and direct education of staff. Press Ganey measurements of patient satisfaction increased from 87th percentile up to the 99th percentile among peer institutions since the implementation of RPM. Staff satisfaction was 92% positive regarding the RPM service’s function and patient management. An RPM appears to be an effective means to optimize postoperative pain management after transition off patient-controlled analgesia devices. Further research is needed to ascertain the exact cost–benefit and potential impact on postoperative quality-of-life measurements.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Notes

  1. http://query.nytimes.com/gst/fullpage.html?res=9D02E5D9133AF93BA35751C0A9639C8B63&scp=2&sq=By+Jane+E.+Brody&st=nyt. Last accessed March August 6, 2009

References

  1. Liu SS, Wu CL (2007) The effect of analgesic technique on postoperative patient-reported outcomes including analgesia: a systematic review. Anesth. Analg. 105:789–808

    Article  PubMed  Google Scholar 

  2. Herrera FJ, Wong J, Chung F (2007) A systematic review of postoperative recovery outcomes measurements after ambulatory surgery. Anesth. Analg. 105:63–69

    Article  PubMed  Google Scholar 

  3. Apfelbaum JL, Chen C, Mehta SS, Gan TJ (2003) Postoperative pain experience: results from a national survey suggest postoperative pain continues to be under managed. Anesth. Analg. 97:534–540

    Article  PubMed  Google Scholar 

  4. Wu CL, Naqibuddin M, Rowlingson AJ, Lietman SA, Jermyn RM, Fleisher LA (2003) The effect of pain on health-related quality of life in the immediate postoperative period. Anesth. Analg. 97:1078–1108

    Article  PubMed  Google Scholar 

  5. Liu SS, Wu CL (2007) Effect of postoperative analgesia on major postoperative complications: a systematic update of the evidence. Anesth. Analg. 104:689–702

    Article  CAS  PubMed  Google Scholar 

  6. Werner MU, Søholm L, Rotbøll-Nielsen P, Kehlet H (2002) Does an acute pain service improve postoperative outcome? Anesth. Analg. 95:1361–1372

    Article  PubMed  Google Scholar 

  7. Courtenay M, Carey N (2008) The impact and effectiveness of nurse-led care in the management of acute and chronic pain: a review of literature. J. Clin. Nurs. 17(15):2001–2013

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Brian D. Philips RN, NP.

Additional information

Each author certifies that he or she has no commercial associations (e.g., consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article.

Each author certifies that his or her institution has approved the reporting of these cases and that all investigations were conducted in conformity with the ethical principles of research.

Level of Evidence: Retrospective Study Level IV

Rights and permissions

Reprints and permissions

About this article

Cite this article

Philips, B.D., Liu, S.S., Wukovits, B. et al. Creation of a Novel Recuperative Pain Medicine Service to Optimize Postoperative Analgesia and Enhance Patient Satisfaction. HSS Jrnl 6, 61–65 (2010). https://doi.org/10.1007/s11420-009-9135-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11420-009-9135-6

Keywords

Navigation