1 CE Test Hour Managing Postoperative PainContrada, EmilyAJN The American Journal of Nursing: January 2018 - Volume 118 - Issue 1 - p 35,47 doi: 10.1097/01.NAJ.0000529712.62848.79 Feature Articles Free CE Article OutlineOutline Article MetricsMetrics TEST INSTRUCTIONS DISCOUNTS AND CUSTOMER SERVICE PROVIDER ACCREDITATION Managing Postoperative Pain GENERAL PURPOSE: LEARNING OBJECTIVES/OUTCOMES: Back to Top | Article Outline TEST INSTRUCTIONS To take the test online, go to our secure Web site at www.nursingcenter.com/ce/ajn. To use the form provided in this issue, record your answers in the test answer section of the CE enrollment form below. Each question has only one correct answer. You may make copies of the form. Complete the registration information and course evaluation. Mail the completed enrollment form and registration fee to: Lippincott Professional Development, CE Group, 74 Brick Blvd., Bldg. 4, Suite 206, Brick, NJ 08723. You will receive your certificate in four to six weeks. For faster service, include a fax number and we will fax your certificate within two business days of receiving your enrollment form. You will receive your CE certificate of earned contact hours and an answer key to review your results. There is no minimum passing grade. Registration deadline is January 31, 2020. Back to Top | Article Outline DISCOUNTS AND CUSTOMER SERVICE Send in together two or more tests from any nursing journal published by Lippincott Professional Development (LPD), and deduct $0.95 from the price of each test. We also offer CE accounts for hospitals and other health care facilities online at www.nursingcenter.com. Call 1-800-787-8985 for details. Back to Top | Article Outline PROVIDER ACCREDITATION LPD will award the number of contact hours indicated for each continuing nursing education activity. LPD is accredited as a provider of continuing nursing education by the Commission on Accreditation of the American Nurses Credentialing Center. Figure. These activities are also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for the number of contact hours indicated. LPD is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida #50-1223. Back to Top | Article Outline Managing Postoperative Pain GENERAL PURPOSE: To help nurses translate the recommendations of the American Pain Society's postoperative pain management guideline into clinical practice. Back to Top | Article Outline LEARNING OBJECTIVES/OUTCOMES: After completing this educational activity, you should be able to outline the context in which the new guideline emerged. list several recommendations made by the guideline panel. Evidence suggests that what proportion of patients undergoing surgery will report adequate postoperative pain relief?fewer than halfabout two-thirdsnearly three-quartersHow many surgical patients will report moderate to severe postoperative pain?nearly 40%about 60%more than 80%Strong recommendations are those thatapply to most patients in most circumstances.have some benefits that outweigh potential harms.contain an action that always relieves pain.Of the 32 recommendations in the 2016 postoperative pain management guideline from the American Pain Society (APS), how many were based on high-quality evidence?4915One of the recommendations for which the guideline panel found insufficient evidence to support or discourage washeat therapy.ice application.transcutaneous electrical nerve stimulation.An area that members of the guideline panel identified as providing insufficient evidence to inform clinical practice wasuse of patient-controlled analgesia.management of circumcision pain.delivery of organizational care.The Centers for Disease Control and Prevention (CDC) guideline for prescribing opioids for chronic pain makes no recommendation forpostoperative use of opioids.the duration of opioid use.effective dosing of opioids.The CDC guideline's recommendation for limiting opioid prescriptions for acute pain is based onscientific evidence.clinical experience.gray literature.The Federal Pain Research Strategy planning committee devised a protocol with 5 key areas that help identify research priorities, one of which isrecommendations specifically for neuropathic pain.the transition from acute to chronic pain.complementary and alternative approaches.The Joint Commission's revised pain standards stress the need to focus onprofessional collaboration.quality improvement.evidence-based care.According to the article, as an adjunct to other pain treatments, transcutaneous electrical nerve stimulation issupported by moderate-quality evidence.widely used in the clinical practice setting.not supported by the evidence at hand.The most recent version of the U.S. Food and Drug Administration “Blueprint for Prescriber Education for Extended-Release and Long-Acting Opioid Analgesics” represents a shift from a previous focus onrisks.pain assessment.nonopioid analgesics.Which of the following recommendations from the APS postoperative pain management guideline is strong and is supported by high-quality evidence?Use a validated pain assessment tool to track postoperative pain treatment response and adjust the treatment plan.Offer multimodal analgesia for the treatment of perioperative pain in children and adults.Consider IV ketamine as a component of multimodal analgesia in adults.Choosing oral over IV administration of opioids for postoperative analgesia in patients who can use the oral route is astrong recommendation with moderate-quality evidence.strong recommendation with low-quality evidence.weak recommendation with moderate-quality evidence.Considering surgical site–specific local anesthetic infiltration for procedures with evidence indicating efficacy is astrong recommendation with moderate-quality evidence.strong recommendation with low-quality evidence.weak recommendation with moderate-quality evidence.Providing appropriate monitoring of patients receiving systemic opioids for postoperative analgesia is astrong recommendation with moderate-quality evidence.strong recommendation with low-quality evidence.weak recommendation with moderate-quality evidence.Which of these is not recommended according to the APS guideline?intrapleural analgesia with local anesthetics for pain control after thoracic surgeryIV ketamine as a component of multimodal analgesia in adultsanesthetics in combination with nerve blocks prior to circumcisionCopyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.