Opioid induced constipation management in orthopaedic and trauma patients: treatment and the potential of nurse-initiated management

Sonneborn, Olivia; Bui, Thuy

doi:10.1016/j.ijotn.2019.03.002

Cited by 11 publications

(8 citation statements)

References 31 publications

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“…An interdisciplinary team approach to chronic or persistent pain using evidence-based practice is an established standard of care and an area where nurse involvement has been shown to be effective 18,19 . The nursing role in interdisciplinary pain management care is useful for providing accessible and expanded health care delivery via a biopsychosocial model of care to improve function, provide continuity of care, implement nonpharmacological interventions and provide a holistic pain assessment 20,21,22,23 .…”

Section: Nursing Assessment Of Painmentioning

confidence: 99%

How does the 2020 revised definition of pain impact nursing practice?

Sonneborn¹,

Williams²

2020

Journal of Perioperative Nursing

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The widely used and acknowledged universal definition of pain developed by the International Association for the Study of Pain (IASP) in 1979 has been revised in 2020. The 2020 IASP definition states pain is 'an unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage'. The 2020 IASP definition of pain reinforces the importance for nurses to have an understanding of the pathophysiology of pain and highlights the crucial role pain assessment plays in overall pain management, which nurses are pivotal in driving and delivering.

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Section: Nursing Assessment Of Painmentioning

confidence: 99%

How does the 2020 revised definition of pain impact nursing practice?

Sonneborn¹,

Williams²

2020

Journal of Perioperative Nursing

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“… 10 Although early prescription of opioid analgesics may relieve pain more rapidly, they might result in an increased risk of adverse consequences (e.g., nausea, vomiting, constipation, and respiratory depression) as well as opioid misuse and abuse. 7 , 11 The overall prevalence of prolonged opioid use following musculoskeletal trauma was 27% and 6% among high‐risk and low‐risk adults, respectively. 12 Thus, there is a great necessity for the timely provision of non‐pharmacological methods in the emergency department to control trauma‐induced pain.…”

Section: Introductionmentioning

confidence: 99%

Alleviating severity of limb trauma pain with coadministration of topical sesame oil and standard treatments: A GRADE‐assessed systematic review and meta‐analysis of randomised controlled trials

Razani,

Nasiri,

Yarahmadi

et al. 2024

International Wound Journal

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Recent randomised controlled trials (RCTs) have investigated the analgesic activity of sesame oil among patients with limb trauma; nevertheless, their findings are inconsistent. Hence, this review aimed to clarify the impact of topical administration of sesame oil on acute pain of adult outpatients with minor limb trauma. The online databases (e.g., Scopus, PubMed, Web of Science) were searched up to 31 January 2024. The RCTs were included if they compared the effect of applying standard treatments plus topical sesame oil to administering standard treatments alone or with a placebo/sham treatment. The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) and the Cochrane Collaboration's risk of bias tool were applied to address the evidence quality and the study's methodological rigour, respectively. Four RCTs had the inclusion criteria, and their findings were pooled in a meta‐analysis employing a random‐effects approach. According to the pooled analysis, the reduction in mean change of the pain score from baseline to the second/third intervention day was significantly higher in favour of clients who received standard care plus daily massage of the trauma site with sesame oil compared to those who received a control condition (weighted mean difference: −1.10; 95% confidence interval [−1.62, −0.57]; p < 0.001). However, the evidence quality was moderate, and only two studies had good methodological rigour. Hence, more high‐quality studies are needed to make a solid evidence‐based conclusion about the favourable consequence of topical sesame oil on alleviating acute traumatic limb pain.

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“…(Vazquez Roque & Bouras, 2015). Because of its mechanism of action, Senokot may cause abdominal cramping (Sonneborn & Bui, 2019). Senna has been available for many years.…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of a Senokot Cocktail for Postoperative Constipation

Blot

Raz

Withall

et al. 2021

Orthopaedic Nursing

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A senior staff registered nurse on an orthopaedic inpatient rehabilitation unit in an urban orthopaedic hospital utilized a “cocktail” of warm prune juice, lemon juice, and Senokot liquid for patients who presented to the rehabilitation unit after orthopaedic surgery without having had an initial postoperative bowel movement (BM). A pilot study (n = 30) using a quasi-experimental design was conducted to evaluate the effect of the cocktail versus liquid Senokot alone on the first postoperative BM. Several measurement tools were used, including the Bristol Stool Scale, visual analog scales to determine pain and strain, and a BM quality scale. A small sample size became even smaller when only 80% of participants had a BM within the study time frame. Therefore, significant findings were difficult to establish. Additional research is needed to adequately assess the effect of the Senokot “cocktail” on postoperative constipation in the rehabilitation population.

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Opioid induced constipation management in orthopaedic and trauma patients: treatment and the potential of nurse-initiated management

Cited by 11 publications

References 31 publications

How does the 2020 revised definition of pain impact nursing practice?

How does the 2020 revised definition of pain impact nursing practice?

Alleviating severity of limb trauma pain with coadministration of topical sesame oil and standard treatments: A GRADE‐assessed systematic review and meta‐analysis of randomised controlled trials

The Effectiveness of a Senokot Cocktail for Postoperative Constipation

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