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Explore ongoing PDSA cycles for improving pain management in oncology patients. Learn essential areas of expertise in a good team system and how to spread improvement throughout. Discover the use of pain assessment scales and the algorithm vs. standard care in medical-surgical units. Gain insights into ventilator weaning and sedation usage in ICU. Reprinted with permission, DuPen, 1999.
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General Approach to Ongoing PDSA Cycles Changes that result in improvement D P S S A D A A P S P P A D D Hunches, theories, and ideas S
D D D P P P S S S A A A S S S D D D A A A P P P A A A S P S S P P D D D P P P A A A D D D S S S Sedation Usage Family Discussion Ventilator Weaning Several PDSA Cycles to Tackle One Problem
Essential Areas of Expertise in a Good Team System Day-to-day Technical
Spread the Word: Improvement Throughout the System Spread the Word: Improvement Throughout the System Oncology Oncology Out-Patient ICU Pain Management Medical-Surgical Units
Algorithm Standard Worst Pain Scores: Algorithm vs. Standard Care 6.5 6 5.5 5 Worst pain 4.5 4 3.5 Baseline 2 Weeks 1 Month 2 Months 3 Months Assessment time point Reprinted with permission, DuPen, 1999
Pain Assessment Scales Wong/Baker Faces Descriptive Scale No Pain Least Pain Mild Pain Moderate Pain Severe Pain Excrutiating Pain Numerical Scale 0 10 1 2 3 4 5 6 7 8 9
Primary care Specialists Home care Interdisciplinary Day Health Nursing Social service OT/PT Nutrition Recreation Personal care Transportation Nursing Home Participants/ Caregivers Team Hospital Lab/X-ray/Pharmacy Coordinated Care Model, PACE Reprinted with permission of the National PACE Association, San Francisco, CA