A Multimodal Protocol to Limit Opioid Exposure and Effectively Manage Postoperative Cesarean Birth Pain.

Purpose: To evaluate the impact of implementing a multimodal plan of care in treating the pain of the postoperative cesarean birth patient that limited opioid exposure.

Study Design And Methods: A retrospective medical record review was conducted to evaluate a pain management protocol implemented for postoperative cesarean patients before and after a practice change. Sample included term postoperative cesarean patients ≥ 37 weeks of gestation, who had spinal or epidural, were 18 years or older, gave birth to a singleton newborn, admitted to the maternal child health department, and were prescribed opioids as a postoperative pain management treatment plan.

Faith community nursing: supporting mental health during life transitions.

The Faith Community Nurse can be an important agent in supporting the mental health of individuals during important life transitions by providing social support, spiritual care, referral services, and health education. Faith communities often include individuals of many generations; the young and old, newly married and recently widowed, new parents, and families whose young adults have recently left home. Nurses who provide care in these settings will likely have unique and frequent opportunities to provide mental health services and referrals to individuals experiencing transitions related to crisis, hospitalization, death, and other important life changes.