The overlay goals, tied to the ordered parameters above, are:
Pain is controlled to the individualized functional goal, so the patient can perform the ordered target activities.
The opioid-safety parameters stay within limits — no excessive sedation and a respiratory rate above the ordered threshold — and any deviation is recognized and acted on.
Naloxone is present, in date, and the caregiver is trained in its use.
Opioid-induced constipation is prevented, with a bowel movement within the ordered interval.
Medications are used, stored, and disposed of safely, and function and comfort improve over the episode of care.
