TY - JOUR
T1 - Compliance With Opioid Disposal Following Opioid Disposal Education in Surgical Patients
T2 - A Systematic Review
AU - Dollar, Stace
AU - Evans, Hallie
AU - Edwards, John M.
AU - Odom-Forren, Jan
AU - Johnson, Bill
N1 - Publisher Copyright:
© 2021 American Society of PeriAnesthesia Nurses
PY - 2022/8
Y1 - 2022/8
N2 - Purpose: The present opioid epidemic in the United States is a significant cause for concern in healthcare. In 1995, the concept of pain was introduced as the fifth vital sign. Since then, the sales of opioids have increased dramatically, as have the number of opioid deaths. The misuse and diversion of retained opioids following surgical procedures contribute to the problem. The objective of this project was to review the latest scholarly work and evaluate the findings related to patient education and disposal of opioid medications to decrease opioid misuse and increase disposal. Design: A systematic review. Methods: The systematic search strategy included PubMed, Ovid Technologies (OVID), and Cumulative Index of Nursing and Allied Health Literature (CINAHL) electronic databases. Findings: A total of 4 randomized controlled trials (RCTs), 2 quasi-experimental studies, and 2 quality improvement projects met the criteria for inclusion. The studies found that as many as 92% of patients had leftover unused opioids. The retention rate of opioids among surgical patients was found to be 33 to 95%. When educational material was provided about disposal, the studies found that the disposal rate was as high as 71%. Conclusions: Patient education about opioid misuse, diversion, and disposal are essential topics that need to be addressed with patients and caregivers.
AB - Purpose: The present opioid epidemic in the United States is a significant cause for concern in healthcare. In 1995, the concept of pain was introduced as the fifth vital sign. Since then, the sales of opioids have increased dramatically, as have the number of opioid deaths. The misuse and diversion of retained opioids following surgical procedures contribute to the problem. The objective of this project was to review the latest scholarly work and evaluate the findings related to patient education and disposal of opioid medications to decrease opioid misuse and increase disposal. Design: A systematic review. Methods: The systematic search strategy included PubMed, Ovid Technologies (OVID), and Cumulative Index of Nursing and Allied Health Literature (CINAHL) electronic databases. Findings: A total of 4 randomized controlled trials (RCTs), 2 quasi-experimental studies, and 2 quality improvement projects met the criteria for inclusion. The studies found that as many as 92% of patients had leftover unused opioids. The retention rate of opioids among surgical patients was found to be 33 to 95%. When educational material was provided about disposal, the studies found that the disposal rate was as high as 71%. Conclusions: Patient education about opioid misuse, diversion, and disposal are essential topics that need to be addressed with patients and caregivers.
KW - narcotic
KW - opioid disposal
KW - opioid epidemic
KW - patient education
KW - surgical patient
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U2 - 10.1016/j.jopan.2021.10.017
DO - 10.1016/j.jopan.2021.10.017
M3 - Review article
C2 - 35568618
AN - SCOPUS:85130400493
SN - 1089-9472
VL - 37
SP - 557
EP - 562
JO - Journal of Perianesthesia Nursing
JF - Journal of Perianesthesia Nursing
IS - 4
ER -