Post-surgical discharge opioid prescribing, use and handling after introduction of a stewardship program.

SummaryOpioids are often used to provide postsurgical analgesia but may cause harm if used inappropriately. We introduced an opioid stewardship program in three Melbourne hospitals to reduce the inappropriate use of opioids after patient discharge. The program had four pillars: prescriber education, patient education, a standardised quantity of discharge opioids, and general practitioner (GP) communication.

Immunoglobulin E-Mediated Hypersensitivity Reaction to Ketamine.

Introduction: Ketamine is a commonly used analgesic agent in the management of both acute and chronic pain. While dose-dependent side effects are well described, allergy to ketamine is extremely rare.

Case: A 41-year-old woman with chronic pelvic pain and previous ketamine exposure developed a widespread urticarial rash and mild perioral edema following the initiation of a ketamine infusion.

A multidiscipline exploration of college students' perceptions of academic dishonesty: are nursing students different from other college students?

As a result of the proliferation of technology, academic dishonesty in colleges and universities is on the rise and is a global issue. The problem of cheating behaviors in students is so pervasive that it is almost commonplace. Most students do not see their cheating actions as out of the ordinary or morally wrong.

One-year clinical outcomes for Louisiana residents diagnosed with type 2 diabetes and hypertension.

Purpose: To identify patient outcomes for residents with a dual diagnosis of diabetes and hypertension under the care of nurse practitioners and physicians in joint or collaborative practice in Louisiana.

Data Sources: A retrospective review of records of 115 patients by 15 NPs across the state (response rate 30%) that examined clinical outcomes after 1 year for 14 indexes of care as well as standards of treatment for both diabetes and hypertension.

Conclusions: Significant clinical outcomes for body mass index, blood pressure, hemoglobin A1c, fasting glucose, and total cholesterol levels were found.