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1Week 6 Assignment: EBP Change Process form ACE Star Model of Knowledge TransformationFollow Nurse Daniel as your process mentor in the weekly Illustration section of the lesson.Please do not use any of the Nurse Daniel information for your own topic, nursing intervention, or change project. Nurse Daniel serves as an example only to illustrate the change process.Name: ___Brook Lewis __________________Star Point 1: Discovery (Identify topic and practice issue)Identify the topicand the nursing practice issuerelated to this topic. (This MUST involve a nursing practice issue.)The nursing practice issue that will be identified is non-pharmacological pain management to manage patients with chronic pain in the inpatient care setting. Briefly describe your rationalefor your topic selection. Include the scopeof the issue/problem. ANA (2015) identifies in recent studies that 11 – 40% of individuals in the U.S population reports having pain varying levels over a three (3) month period; identifying this as chronic pain. (ANA,2015). Psychiatric disorders such as depression and medication additions have been historically related secondary to chronic pain. Chronic pain is stubborn and has negative effects with research findings estimating over 2.4 million American having an opioid use disorder (Ryan, 2018). Nurses have been deemed front liners in the opioid epidemic, playing an important role in assessing, diagnosing and managing patients with addictions (ANA, 2015)9.2019 Update. DLP
2Star Point 2: Summary (Evidence to support need for a change)Describe the practice problem in your own wordsand formulate your PICOT question. A review by the pain counsel at the Medical Center I work for conducted a study and concluded that 54 percent of patients admitted on the Med-Surgical Unit reported not achieving comfort goals in accordanceto numeric pain scale. Chronic pain affects 4 in 10 Americans and is associated with changes in a person’sflexibility, mobility, stamina and functional mobility (National Institutes of Health, 2011). The negative effects of chronic pain are the key factor in considering alternate adjunctive therapies in managing pain asit is responsible for long term disability, cause individuals suffering and is am added cos to society. The adjunctive therapy that will be considered for pain management in the inpatient setting is mindfulness meditation. Mindfulness meditation is a term that refers to the practice of various meditation used to improve cognitive and health outcomes. To promote an integrative nursing approach exploring theoption of utilizing guided imagery and mindfulness meditation in pain management is a step in the right direction. Among all admitted Med-Surg inpatients (P) with reports of chronic pain, is the use of mindfulness meditation and guided imagery therapy (I) more effective in achieving patient comfort goals (C) and decrease pain (O) in comparison to pharmacologic intervention during a six-month period (T).