Dissertation
Pain management and comfort in robotic laparoscopic prostatectomy patients
Doctor of Nursing Practice (D.N.P.), Drexel University
Jun 2015
DOI:
https://doi.org/10.17918/etd-6181
Abstract
Prostate cancer is the second most common cancer in American men with about 1 in 7 men being diagnosed during his lifetime. Robotic surgery has been increasing since its inception over 10 years ago and these procedures continue to grow and diversify. A focus on pain control, reducing invasiveness and promoting early discharge is a benefit and goal with use of Robotic Procedures. Pain assessment and management has become a priority to many stakeholders including medical caregivers, patients, health care organizations and credentialing agencies. Although pain is reduced in minimally invasive surgery, there is a gap in the literature describing pain and comfort management. A variety of pharmacologic agents have been used to treat pain and improve comfort in this population. Pain control modalities and treatments in this research focus specifically on pharmacologic modalities. Two groups were formed to differentiate use of opioids in Group A and opioids plus alpha 2 agonist in Group B. After a standard of care for each patient, pain and comfort levels were measured and medical records were reviewed. Participants were placed into Group A or B depending upon their medications received. The null hypothesis of this research is that there will be no difference between two standard anesthesia protocols with regard to pain and comfort in the perioperative setting and decreased pain will not be associated with increased comfort. Data collection ceased upon completion of both groups and statistical analysis revealed no significant difference between Group A and Group B.
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Details
- Title
- Pain management and comfort in robotic laparoscopic prostatectomy patients
- Creators
- Kimberly A. Juhas-Davis - DU
- Contributors
- Linda Wilson (Advisor) - DU
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Nursing Practice (D.N.P.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Doctoral Nursing; Nursing (Graduate); College of Nursing and Health Professions; Drexel University
- Other Identifier
- 6181; 991014632578604721