Patients at Pittsburgh hospital can enter opioid-free pain management program
- UPMC Shadyside Hospital in Pittsburgh has launched an opioid-free pathway for surgical patients to offer alternatives to opioid pain management, addressing the opioid epidemic and patient demand.
- The program involves pre-surgery preparation, alternative pain management during surgery, and various post-surgery methods such as aromatherapy and acupuncture, empowering patients to avoid opioids if they choose.
- The opioid-free pathway supports a diverse group of patients with continuous post-surgical care and aims to recalibrate unrealistic patient expectations about pain, contributing to both improved patient outcomes and the broader fight against opioid misuse.
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The Opioid Epidemic and Medical Response
The opioid epidemic has been a significant public health concern for several years. The overprescription and misuse of opioids have led to an alarming number of addiction and overdose cases. In response, medical professionals have been exploring alternative methods to manage pain without relying on opioids. One such approach, the opioid-free pathway, has been launched at a local hospital in Pittsburgh, offering patients a new option for post-surgical pain management.
The Opioid-Free Pathway at UPMC Shadyside Hospital
The opioid-free pathway at UPMC Shadyside Hospital is a unique initiative aimed at reducing the use of opioids in surgical patients. This program offers patients a choice to avoid opioids for pain management before, during, and after surgeries. The pathway was launched in May 2024 in response to patient demand and to provide a defined plan for those who prefer not to use opioids for their pain management.
How It Works
Dr. Shiv Goel, chief of anesthesiology and perioperative medicine at UPMC Shadyside, explains the process:
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Pre-surgery Preparation: Patients are given the option to choose an opioid-free pathway. They are informed about the alternative methods available, such as regional anesthesia, nerve blocks, local anesthesia, and non-opioid IV medications.
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During Surgery: Patients who opt for the opioid-free pathway can expect to receive alternative pain management methods tailored to their specific needs.
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Post-surgery Care: After surgery, patients can choose from additional pain management techniques like aromatherapy, acupuncture, hypnosis, music therapy, and biomedical devices. These methods help not only manage pain but also address anxiety, which contributes to perceived pain.
Patient Experiences
Amy Hartzer, a patient who recently underwent a partial mastectomy for breast cancer, was pleased with the opioid-free option:
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Personal Experience: Hartzer chose the opioid-free pathway because she had heard that opioids could lead to addiction, especially during chemotherapy. She found the nerve block she received effective and appreciated the explanation provided by her doctor.
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Perception of Pain: Hartzer noted that she was never in significant pain, and the opioid-free pathway allowed her to avoid any potential complications from opioids.
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Empowerment: Patients who opt for the opioid-free pathway feel empowered because their wishes are being followed. They appreciate the control over their pain management and the additional support offered by the hospital team.
The Opioid-Free Pathway in Practice
The opioid-free pathway is designed to be flexible and adaptable to individual patient needs. Patients wear a special bracelet and stickers are added to their charts to ensure everyone involved in their care is aware of their pain management preferences.
Patient Selection and Support
Lead coordinator Heather Margonari highlights the diversity of patients choosing the opioid-free pathway:
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Patient Profiles: Patients who opt for the opioid-free pathway include those with a family history of addiction, those who have experienced adverse reactions to opioids, and individuals who simply prefer not to use opioids.
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Support System: The hospital team provides continuous support to patients on the opioid-free pathway. Patients can opt out at any time if they experience any discomfort or need adjustments.
The Future of Pain Management
The opioid-free pathway is part of a broader effort to address the opioid epidemic and improve patient care. Dr. Goel emphasizes the importance of addressing unrealistic patient expectations regarding pain management:
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Historical Context: The overemphasis on pain as a vital sign created unrealistic expectations for patients. The opioid-free pathway aims to right this wrong by offering patients more control over their pain management.
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Research and Development: UPMC and the University of Pittsburgh have received significant funding for research into pain management and opioid misuse. These initiatives aim to develop personalized treatments and reduce opioid use disorder.
Conclusion
The opioid-free pathway at UPMC Shadyside Hospital is a pioneering approach that empowers patients to manage their pain without opioids. By offering alternative methods and providing continuous support, the hospital aims to reduce the risks associated with opioid use and improve patient outcomes. This initiative not only addresses the opioid epidemic but also enhances patient satisfaction and safety.
