title: Improving pain management in orthopedic surgical patients with opioid tolerance.
abstract: As increasing numbers of the baby boomer generation seek health care, nursing staff educated in the evidence-based practice process can make significant contributions to successful patient outcomes. Health care providers who anticipate the approaching perfect storm in health care and thoughtfully plan, collaborate, and incorporate evidence-based practice methods will be well prepared to improve the quality of care, realize cost savings, and meet the challenges ahead.
authors.affiliation: Pain Service, Kaiser Moanalua Medical Center, 3288 Moanalua Road, Honolulu, HI 96819, USA. Electronic address: kathleen.doi@kp.org.
authors.forename: Kathleen
authors.initials: K
authors.lastname: Doi
authors.affiliation: Preoperative Evaluation and Education Center, Kaiser Moanalua Medical Center, 3288 Moanalua Road, Honolulu, HI 96819, USA.
authors.forename: Rosanne
authors.initials: R
authors.lastname: Shimoda
authors.affiliation: Post Anesthesia Care Unit, Kaiser Moanalua Medical Center, 3288 Moanalua Road, Honolulu, HI 96819, USA.
authors.forename: Gregory
authors.initials: G
authors.lastname: Gibbons
mesh_terms: D000701:Analgesics, Opioid / Q000008:administration & dosage* / Q000627:therapeutic use; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects*; D055317:Evidence-Based Practice; D006801:Humans; D059408:Pain Management / Q000379:methods / Q000592:standards*; D010149:Postoperative Pain / Q000188:drug therapy*
chemical_list: D000701:Analgesics, Opioid
keywords: Joint replacement; Opioid tolerance; Orthopedic; Pain management