Publications by authors named "B Barrell"

Article Synopsis
  • Many patients suffer from complex pain after orthopedic injuries and are at risk of long-term opioid use, highlighting the need for better pain management strategies in trauma care.
  • The study investigates whether personalized pain education and management from coaches can improve pain symptoms, reduce opioid use, and enhance patient-reported outcomes, compared to standard written discharge instructions.
  • Conducted from February 2021 to September 2022, the trial involved 212 patients and assessed the effectiveness of coaching on pain management after orthopedic surgery, focusing on a diverse patient population.
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Background: AIM: This pilot study assessed the feasibility and impact of integrating a Life Care Specialist (LCS) into orthopaedic trauma care.

Design: This was a prospective feasibility single group pilot study at a level 1 trauma center.

Method: The LCS is a paraprofessional behavior-based "pain coach" and delivered patient-centered opioid safety education, trained participants on nonpharmacologic pain management approaches, conducted opioid risk assessments, and coordinated care.

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Background: Orthopedic trauma patients face complex pain management needs and are frequently prescribed opioids, leaving them at-risk for prolonged opioid use. To date, post-trauma pain management research has placed little emphasis on individualized risk assessments for misuse and systematically implementing non-pharmacologic pain management strategies. Therefore, a community-academic partnership was formed to design a novel position in the healthcare field (Life Care Specialist (LCS)), who will educate patients on the risks of opioids, tapering usage, safe disposal practices, and harm reduction strategies.

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An amendment to this paper has been published and can be accessed via a link at the top of the paper.

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Global production of chickens has trebled in the past two decades and they are now the most important source of dietary animal protein worldwide. Chickens are subject to many infectious diseases that reduce their performance and productivity. Coccidiosis, caused by apicomplexan protozoa of the genus Eimeria, is one of the most important poultry diseases.

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