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A comprehensive approach to pain management among adults with sickle cell disease in the emergency department
Descriptive
TitleInfo
Title
A comprehensive approach to pain management among adults with sickle cell disease in the emergency department
Name
(type = personal)
NamePart
(type = family)
Dufort
NamePart
(type = given)
Geraldine
NamePart
(type = date)
1990-
DisplayForm
Geraldine Dufort
Role
RoleTerm
(authority = RULIB)
author
Name
(type = personal)
NamePart
(type = family)
Barberio
NamePart
(type = given)
Judith
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Judith Barberio
Affiliation
Advisory Committee
Role
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(authority = RULIB)
chair
Name
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NamePart
Rutgers University
Role
RoleTerm
(authority = RULIB)
degree grantor
Name
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NamePart
School of Nursing - RBHS
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school
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Text
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theses
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ETD doctoral
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2020
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2020-10
Language
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(authority = ISO 639-3:2007);
(type = text)
English
Abstract
(type = abstract)
Sickle cell disease, “the most common blood disorder,” affects more than 100,000 people in the United States. Two million Americans are genetic carriers of the sickle-cell trait. The most common challenge sickle-cell patients face is pain management. As a result, they frequently utilize emergency services and hospitalization for pain management. Adult hospital visits are estimated at more than 230,000 per year, and readmission often occurs within a 30-day period. The prevalence and management of sickle-cell disease is examined in an acute care setting, as are care measures. Retrospective data was collected and analyzed regarding adult sickle-cell patient visits in the emergency department, to identify trends before and after implementation of a sickle-cell protocol pathway. Evidence-based guidelines were examined for acute care management. The objectives for this study are (a) to use a healthcare information database to extract data regarding utilization of services before and after implementation of the protocol, (b) find gaps in treatment from chart reviews, and (c) to create a white paper to recommend changes to provide better care. The theoretical framework used to formulate this project is the reach, effectiveness, adoption, implementation, and maintenance model. After the chart review, results showed that the adherence rates decreased overtime, admissions increased with the use of the protocol, first pain intervention time decreased, and reassessment times varied but did not align with facility policy.
Subject
(authority = local)
Topic
Sickle-cell
Subject
(authority = local)
Topic
Pain management
Subject
(authority = local)
Topic
Vaso-occlusive
Subject
(authority = local)
Topic
Sickle-cell protocol
Subject
(authority = RUETD)
Topic
Family Nurse Practitioner
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TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
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ETD
Identifier
ETD_11052
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application/pdf
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text/xml
Extent
1 online resource (82 pages) : illustrations
Note
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DNP
Note
(type = bibliography)
Includes bibliographical references
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TitleInfo
Title
School of Nursing (RBHS) DNP Projects
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rucore10004500001
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NjNbRU
Identifier
(type = doi)
doi:10.7282/t3-kap1-ej48
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Rights
RightsDeclaration
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The author owns the copyright to this work.
RightsHolder
(type = personal)
Name
FamilyName
Dufort
GivenName
Geraldine
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime
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2020-07-20 17:37:19
AssociatedEntity
Name
Geraldine Dufort
Role
Copyright holder
Affiliation
Rutgers University. School of Nursing - RBHS
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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Type
Embargo
DateTime
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2020-10-31
DateTime
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(point = end)
2099-12-31
Detail
Access to this PDF has been restricted at the author's request.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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Technical
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2020-08-24T20:00:20
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2020-10-14T12:48:15
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Adobe PDF Library 20.12.73
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