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Topical Morphine Gel for Painful Pressure Wounds

Abstract Details

2021, Doctor of Nursing Practice, Mount St. Joseph University, Department of Nursing.
Chronic pressure injuries are a common problem among the frail, debilitated, and those nearing the end of life. Most stressful is the pain particularly during and after dressing change (Briggs et al., 2013). Systemic analgesics are the mainstay for most patients but are dose-limiting in this population due to untoward side effects. Topical morphine-infused gel (MIG) has shown significant benefit for patients with pain at the wound site (Flock, 2003). The aim of this study was to determine whether hospice patients with painful PI’s would be considered or initiated on MIG after completing an education module (e-module) and video demonstration of MIG application. In a large midwestern healthcare system, 177 bedside and licensed hospice nurses in one of 3 inpatient hospice facilities completed an e-module and video with a pre and post-test as part of their mandatory annual competency renewal. Thirty days later MIG became available to all the inpatient units through the hospice pharmacy for patients with painful wounds. Three months post MIG availability, data was collected and analyzed to determine if patients with painful wounds were considered or initiated on MIG. Results of pre and post-test showed a statistically significant increase in knowledge however the onslaught of the pandemic required modifications in evaluation and another way of seeing the utility of MIG in this setting.
Nancy Hinzman, Dr. (Advisor)
58 p.

Recommended Citations

Citations

  • Leandro, L. D. (2021). Topical Morphine Gel for Painful Pressure Wounds [Doctoral dissertation, Mount St. Joseph University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=msjdn1620116519787024

    APA Style (7th edition)

  • Leandro, Lynn. Topical Morphine Gel for Painful Pressure Wounds. 2021. Mount St. Joseph University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=msjdn1620116519787024.

    MLA Style (8th edition)

  • Leandro, Lynn. "Topical Morphine Gel for Painful Pressure Wounds." Doctoral dissertation, Mount St. Joseph University, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=msjdn1620116519787024

    Chicago Manual of Style (17th edition)