Patient directed self management of pain (PaDSMaP) compared to treatment as usual following total knee replacement: study protocol for a randomised controlled trial

Donell, Simon, Deane, Katherine ORCID: https://orcid.org/0000-0002-0805-2708, Swift, Louise, Barton, Garry, Balls, Paula, Darrah, Clare and Gray, Richard (2012) Patient directed self management of pain (PaDSMaP) compared to treatment as usual following total knee replacement: study protocol for a randomised controlled trial. Trials, 13. ISSN 1745-6215

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Abstract

In 2009, 665 patients underwent total knee replacements (TKRs) at the Norfolk and Norwich University Hospitals NHS Foundation Trust (NNUH), representing nearly 1% of the national total. Pain control following the operation can be poor, and this can cause poor mobilization and potential long-term adverse events. Although high levels of pain are not associated with patient dissatisfaction, brief periods of pain may lead to neuronal remodeling and sensitization. Patient controlled oral analgesia (PCOA) may improve pain relief; however, the evidence to date has been inconclusive. Patient directed self management of pain (PaDSMaP) is a single center randomized controlled trial, which aims to establish if patient self-medication improves, or is equivalent to, treatment as usual and to create an educational package to allow implementation elsewhere.

Item Type: Article
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Faculty of Medicine and Health Sciences > School of Health Sciences
Faculty of Medicine and Health Sciences > Allied Health Professions
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Depositing User: Julie Frith
Date Deposited: 09 Apr 2013 13:35
Last Modified: 23 Oct 2022 00:15
URI: https://ueaeprints.uea.ac.uk/id/eprint/42097
DOI: 10.1186/1745-6215-13-204

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