Retrospective Chart Review of Prescribing Habits for Acute Low Back Pain in an Emergency Department

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dc.contributor.advisorNutt, Rita
dc.contributor.advisorMargolis, Asa
dc.contributor.authorJauregui, Jean
dc.contributor.departmentNursingen_US
dc.contributor.programDoctor of Nursing Practiceen_US
dc.date.accessioned2018-05-18T13:23:28Z
dc.date.available2018-05-18T13:23:28Z
dc.date.issued2018-05-17
dc.description.abstractCurrent research has shown that nonsteroidal anti-inflammatory drugs (NSAIDs) and opioids are equally effective in treating acute low back pain (LBP). Opioids not only have many more side effects than NSAIDs do, but also carry the risk of opioid abuse and overdose. Despite this evidence, emergency department (ED) providers are still frequently prescribing opioids for acute LBP. The purpose of this project was to review the prescribing habits of providers in a rural Mid-Atlantic ED, provide evidence-based practice teaching related to the results found, and to develop an Acute Low Back Pain Protocol. The Model for Evidence-Based Practice Change, 4 robust systematic reviews, and 10 total quantitative research studies were used to support and guide this doctoral project. A retrospective chart review including data from January through June of 2017 was conducted. Data regarding subject’s Numeric Rating Scale scores, the type of provider seen, the treatment the provider prescribed, and demographic data were collected from the electronic health record. Measures of central tendency revealed that opioids were the most commonly prescribed class of medication for acute LBP in the study ED. Chai square tests indicated that there is a difference in prescribing habits for patients who present with work-related acute LBP. An Acute Low Back Pain Protocol was developed and presented to the ED providers. Provider awareness of current prescribing habits in the study ED compared to evidence-based practice recommendations may help to reduce the indiscriminate prescribing of opioids for acute LBP and decrease the potential for opioid abuse.en_US
dc.format.extent46 pagesen_US
dc.genredoctoral projectsen_US
dc.genredissertationsen_US
dc.identifierdoi:10.13016/M24T6F62G
dc.identifier.urihttp://hdl.handle.net/11603/10778
dc.language.isoen_USen_US
dc.relation.isAvailableAtSalisbury Universityen_US
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United Statesen_US
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/en_US
dc.subjectAcute low back painen_US
dc.subjectLow back painen_US
dc.subjectOpioidsen_US
dc.subjectEmergency Departmenten_US
dc.subjectPrescribing habitsen_US
dc.titleRetrospective Chart Review of Prescribing Habits for Acute Low Back Pain in an Emergency Departmenten_US
dc.typeTexten_US

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