Introduction
Although pharmacology has proved to be effective, it may have serious side effects inappropriate for the patient. On the other hand, non-pharmacology means may not be powerful enough to change the patient’s state considerably. The only rational way of solving this problem is to combine both medical and non-medical directions to get a better result.
Topic Significance
The topic is significant since:
- It adheres to many patients worldwide;
- It can change their life for the better;
- Revealed patterns in utilizing pharmacology and non-pharmacology methods imply that they should be accompanied and supported by each other.
Current State of Practice
Nowadays, there is no common attitude toward using pharmacology or non-pharmacology treatment for post-surgery pain regarding their effectiveness. However, two of the reviewed studies (Kidanemariam et al., 2020, Komann et al., 2019) show that pharmacology treatment is used more widely, and nursing personnel generally treat it as a more reliable and preferable alternative.
PICOT question
In adults with total hip replacement (P), what is the effect of pharmacology therapy (I) compared to non-pharmacology therapy (C) in controlling post-operative pain (O) during the perioperative and recovery time (T)?
Purpose
The purpose of this presentation is to provide an overview of chosen studies regarding the topic of different types of treatment for pain that patients of medical organizations experience after surgeries during their recovery. The presentation also aims to address the differences in the attitude of patients and nursing staff to utilizing non-pharmacology means of post-surgery pain treatment.
Unusual Findings
Sometimes curing the symptoms of a disease is enough to deal with the global problem of having this disease. Although osteoarthritis is not curable, social perception of it differs from one the other noncurable diseases, because the symptoms can be cured profoundly.
Synthesis of the Articles
Although osteoarthritis is not curable, social perception of it differs from one the other noncurable diseases. Furthermore, the therapy after operations or during the treatment period should include all the available methods aimed to help the organism to recover from the negative experience.
Studies’ Connection to PICOT
Kidanemariam et al. (2020): barriers tend to undermine the effectiveness of non-pharmacological treatment options. Komann et al. (2019): article addresses pain experienced after operations. Lee et al. (2018) and Yusuf (2016): symptoms of osteoarthritis are similar to the symptoms of recovery after hip replacement.
Supporting the Proposed Change to Practice
The reviewed articles provide a range of facts that support the idea and allow me to interpret it positively.
- Non-pharmacology treatment is not as popular as pharmacology treatment;
- Non-pharmacology treatment is simple and has tracing effects;
- Pharmacology treatment has proven its effectiveness but has side effects.
Implementation Plan
Non-pharmacology treatment of post-surgery pain should accompany pharmacology treatment to increase the general treatment effectivity.
Implementation:
- review the non-pharmacology pain treatment using peer-reviewed sources;
- introduce results;
- implementing the change on the governmental level;
Evaluation of the change would use a survey for the patients who experience post-surgery pain.
Change Theory Suiting the Implementation Plan
Three stages concern the difficulty of changing the medical assistance for pain-reducing after surgeries. The stages allow implementing the change qualitatively. After agreeing on the change, management should introduce it to employees. After that, the change is implemented, but details may still be corrected (for instance, the amount of non-pharmacology help). Leadership should focus on the smoothness of the change.
References
Burnes, B. (2020). The origins of Lewin’s three-step model of change. The Journal of Applied Behavioral Science, 56(1), 32-59.
Hussain, S. T., Muhammad, S. L., Syed J. H., & Ali, H. H. (2018). Kurt Lewin’s change model: A critical review of the role of leadership and employee involvement in organizational change. Journal of Innovation & Knowledge, 3(3), 123-127. Web.
3. Kidanemariam, B. Y., Elsholz, T., Simel, L. L., Tesfamariam, E. H., & Andemeskel1, Y. M. (2020). Utilization of non-pharmacological methods and the perceived barriers for adult postoperative pain management by the nurses at selected National Hospitals in Asmara, Eritrea. BMC Nursing, 19(1), 1–10. Web.
4. Komann, M., Weinmann, C., Schwenkglenks, M., & Meissner, W. (2019). Non-pharmacological methods and post-operative pain relief: An observational study. Anesthesia and Pain Medicine, 9(2), 1–7. Web.
5. Lee, P. Y. F., Rozewicz, S., Honnenahalli chandrappa, M., Othman, A., Jury, C., & Whiting, B. (2018). Modern non-pharmacological and non-surgical treatments for hip pain. Journal of Arthritis, 7(1), 1–5. Web.
6. Yusuf, E. (2016). Pharmacologic and non-pharmacologic treatment of osteoarthritis. Current Treatment Options in Rheumatology, 2(2), 111–125. Web.