ESSAY: EBP project Section D


Write a paper of 500‐750 words (not including the title page and reference page) paper for your proposed evidence‐based practice project solution. Address the following criteria:
Proposed Solution: (a) Describe the proposed solution (or intervention) for the problem and the way(s) in which it is consistent with current evidence. Heavily reference and provide substantial evidence for your solution or intervention. (b) Consider if the intervention may be unrealistic in your setting, too costly, or there is a lack of appropriate training available to deliver the intervention. If the intervention is unrealistic, you may need to go back and make changes to your PICOT before continuing.
Organization Culture: Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources.
Expected Outcomes: Explain the expected outcomes of the project. The outcomes should flow from the PICOT.
Method to Achieve Outcomes: Develop an outline of how the outcomes will be achieved. List any specific barriers that will need to be assessed and eliminated. Make sure to mention any assumptions or limitations which may need to be addressed.
Outcome Impact: Describe the impact the outcomes will have on one or all of the following indicators: quality care improvement, patient‐centered quality care, efficiency of processes, environmental changes, and/or professional expertise.


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Proposed Evidence of Around the Clock Pain Management using Opiods and non-Pharmacological Interventions

This proposed evidence focuses on the use of opioids to treat persistent pain in geriatric patients through scheduled analgesic. However, the proposed EBP contends that it is easier for the physician to use the medication once he/she has understood the type of pain, the doses required and hence effective scheduling (Booker & Haedtke, 2016). Understanding the use of opioids requires the physician to know how to manage and prevent the side effects of the medication. Geriatric patients are likely to develop various psychological and developmental symptoms including, weight loss, dementia and lack of sleep among others. Appropriate use of opioids contributes in reducing pain intensity and aids in giving proper physical functioning ((Booker & Haedtke, 2016; Wilder‐Smith, 2005). However, the healthcare professionals should be aware that the use of opioids to address the geriatric pain induces a number of side effects to the patients, including dizziness and vomiting (Deyo &Duhrkoop, 2015). As a result, this proposal also suggests the utilization of non-pharmacological approaches to pain management to supplement …

Originally, prevention of various adverse events associated with opioids was by using the non-pharmacological approach alone. According to the progress of the project, non-pharmacological approaches and opioids are used together for the purpose of improving the outcome of the patients. The change has been brought up due to understanding that geriatric patients have symptoms which require pharmacological approaches to treat. This suggested solution requires thorough assessment of the health needs for patients in order to establish the proper intervention (Reid & Pillemer, 2015). Older patients are highly sensitive to opioid analgesics and as a result the dosage should be managed with a slow titration in these patients. Mild pains should be treated with non-opioid interventions with…

Proper monitoring and scheduling will contribute to the realization of the benefits of opioid therapy (Booker & Haedtke, 2016). The research conducted has shown that these drugs are an essential and safer alternative for managing persistent pain in adults. However, these benefits will be achieved with effective training of the healthcare personnel to ensure that only cases that merit its use are prescribed with the correct dosages (Malec & Shega, 2015). Harm reducing strategies, such as the recommendation for all patients suspected to have been overdosed to consume naloxone, will be instituted in case of opioid overdose. Health care providers will help to create awareness about the naloxone consumption and also on the use of safe syringes in care of the older people (Booker & Haedtke, 2016). Increasing access to treatment for the older people will help to prevent the pain and proper use of opioids. In many countries the cost of opioids is high due to the abuse associated …

Consistence of Opioid to the Community Culture

Misuse of opioids can lead to death. Presence of illicit opioids has contributed to outbreaks of diseases which are mainly associated with intravenous use of the drug and also increased healthcare spending. The health care sector should work more on creating awareness against the misuse if opioids.  Public health approaches should help to put to an end the overdose crisis overwhelming communities and families. The government should formulate strategies to prevent the misuse of the drug (Belgrade at el., 2006). The healthcare workers may reject the around the clock monitoring and scheduling use of opiods and other analgesic interventions, however…

Expected Outcomes of the Intervention

It is anticipated that patients will have an improved perception of pain control, effective scheduling of pain control measures will lead to reduced trauma in the population. The intervention will also improve the health outcomes of the patients, reduce …

Impact of the Outcomes

The proposed intervention may increase the workload of nurses and healthcare providers because of the scheduling of the administration of the medications. Uncontrolled use of opioids drugs can lead to death when misused. Many people are at high risk of getting…

In conclusion, opioid drugs should be well monitored during prescription and administering to give out proper results. Effective around the clock analgesic has shown the potential for effective…


Belgrade, M. J., Schamber, C. D., & Lindgren, B. R. (2006). The DIRE score: predicting outcomes of opioid prescribing for chronic pain. The Journal of Pain7(9), 671-681.

Deyo, R. A., Von Korff, M., &Duhrkoop, D. (2015). Opioids for low back pain. Bmj350, g6380.

Malec, M., &Shega, J. W. (2015). Pain management in the elderly. Medical Clinics99(2), 337-350.

Booker, S., &Haedtke, C. (2016). Controlling pain and discomfort: Assessment review in verbal older adults. Nursing, 46(2), 65-68.

Reid, M. C., Eccleston, C., &Pillemer, K. (2015). Management of chronic pain in older adults. Bmj350, h532.

Wilder‐Smith, O. H. (2005). Opioid use in the elderly. European Journal of Pain9(2), 137-140.

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