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Increasing Patient Participation in Comfort & Pain Control
                                                Wendy Rockey, RN, CV Director. Scott Whittal, RN, Clinical Manager
                                           Michele King, RN, Shift Coordinator. 3NS Patient Satisfaction Improvement Team
                          3NS South – Interventional Telemetry Unit                      Exempla Saint Joseph Hospital                              Denver, Colorado


                                             Project Description
                                             Our always event - The patient
                                             will ALWAYS be offered options for
                                             pain & comfort, and the patient &
                                             caregiver will ALWAYS decide the
        Always Event Challenge               comfort plan together.
             -Picker Institute-
                                             Idea/Inspiration –
• Dr. Tom James article                        When treating patient’s pain, it is too
                                             often a routine offering of pain meds,
 June 2010
                                             followed by a repeat of more of the
                                             same.
                                               We are missing the discussion that
                                             includes the patient, other options,
                                             what works for them at home, what
                                             can we combine with pain meds to
                                             help, etc.
• “Always Event” =                             At the same time, neither patients
“Those aspects of the patient and Family     nor caregivers can be expected to
  experience that should always occur        think of, or remember, all the options
                                             that are available.
  when patients interact with Healthcare
                                               We needed a tool to help.
  professionals & the delivery system”.
                                             Tool – A menu to be used with
• Picker Institute awarded 21 grants for     each pain assessment. Offering 6
  always event ideas. ESJH/3NS/CV            ‘courses’…
  received one of these grants in the
  amount of $9,920.                           Comfort items
                                              Medication options                            Outcomes
                                              Comfort actions                               •   Have spread menu to 3 tele units. Continue to work on consistent use of the tool.
                                              Personal Care items                           •   Initial data shows increasing patient-satisfaction score for pain. Goal of >82 yet to be
                                                                                                attained.
                                              Relaxation options                            •   Tele staff report that the tool is helping think of all the options & facilitate the conversation
                                              Keep boredom at bay                           •   Patient feedback has been positive. One patient said “it’s like a spa”.
                                                                                            •   Next Steps: House-wide spread
                                                                                            •

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Exempla Saint Joseph Always Events Poster Presentation

  • 1. Increasing Patient Participation in Comfort & Pain Control Wendy Rockey, RN, CV Director. Scott Whittal, RN, Clinical Manager Michele King, RN, Shift Coordinator. 3NS Patient Satisfaction Improvement Team 3NS South – Interventional Telemetry Unit Exempla Saint Joseph Hospital Denver, Colorado Project Description Our always event - The patient will ALWAYS be offered options for pain & comfort, and the patient & caregiver will ALWAYS decide the Always Event Challenge comfort plan together. -Picker Institute- Idea/Inspiration – • Dr. Tom James article When treating patient’s pain, it is too often a routine offering of pain meds, June 2010 followed by a repeat of more of the same. We are missing the discussion that includes the patient, other options, what works for them at home, what can we combine with pain meds to help, etc. • “Always Event” = At the same time, neither patients “Those aspects of the patient and Family nor caregivers can be expected to experience that should always occur think of, or remember, all the options that are available. when patients interact with Healthcare We needed a tool to help. professionals & the delivery system”. Tool – A menu to be used with • Picker Institute awarded 21 grants for each pain assessment. Offering 6 always event ideas. ESJH/3NS/CV ‘courses’… received one of these grants in the amount of $9,920. Comfort items Medication options Outcomes Comfort actions • Have spread menu to 3 tele units. Continue to work on consistent use of the tool. Personal Care items • Initial data shows increasing patient-satisfaction score for pain. Goal of >82 yet to be attained. Relaxation options • Tele staff report that the tool is helping think of all the options & facilitate the conversation Keep boredom at bay • Patient feedback has been positive. One patient said “it’s like a spa”. • Next Steps: House-wide spread •