2.50
Hdl Handle:
http://hdl.handle.net/10755/160572
Type:
Presentation
Title:
Translating Research into Practice: Acute Pain Management Practices in Elders
Abstract:
Translating Research into Practice: Acute Pain Management Practices in Elders
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2002
Author:Titler, Marita
P.I. Institution Name:University of Iowa Hospitals and Clinics
Title:Director of Nursing Research
Contact Address:200 Hawkins Drive, Iowa City, IA, 52242, USA
Purpose: As part of an ongoing AHRQ funded study (R01HS10482) to translate research into practice, nurses' practice patterns for acute pain management in the elderly are being evaluated. This paper overviews the study and describes the practice patterns of nurses. Acute pain assessment and treatment practices from 720 medical records will be presented. Conceptual Framework: Roger's model of innovation adoption guides this research. Method: Study setting is 12 acute care hospitals in the Midwest. Study sites were randomized to an intervention or treatment arm. At each data collection point (T0, T1, T2, T3), up to 75 medical records per site are randomly selected from patients 65 years or older who were admitted for acute hip fracture (N=720) during the previous year. A trained research assistant abstracts data on pain assessment, administration of pharmacological and nonpharmacological interventions, and assessment of pain treatment side effects for the first 72 hours of the patient's hospitalization following admission. Data are entered using double data entry techniques, cleaned, and analyzed using descriptive statistics. Results: Pain was assessed every four hours in 45% of the records during the first 24 hours following admission, pain was reassessed following administration of an analgesic less than 20% of the time, and pain treatment side effect assessments were done an average of .78 times (nausea/vomiting) to 1.0 times (bowel activity) per day (24 hours). The mean parenteral morphine equivalent administered over the 72 hours was .62 mg/hour (SD=.4) with the highest dosage during the first 24 hours (.75 mg/hour; SD=.6). The portion of medical records with Demerol use was 57.2% with the most frequent use occurring during the first 24 hours following admission. Conclusions: Nursing practices are not congruent with evidence-based guidelines for acute pain management in the elderly, and opportunities exist to improve these practices.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleTranslating Research into Practice: Acute Pain Management Practices in Eldersen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160572-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Translating Research into Practice: Acute Pain Management Practices in Elders</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Titler, Marita</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Iowa Hospitals and Clinics</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Director of Nursing Research</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">200 Hawkins Drive, Iowa City, IA, 52242, USA</td></tr><tr><td colspan="2" class="item-abstract">Purpose: As part of an ongoing AHRQ funded study (R01HS10482) to translate research into practice, nurses' practice patterns for acute pain management in the elderly are being evaluated. This paper overviews the study and describes the practice patterns of nurses. Acute pain assessment and treatment practices from 720 medical records will be presented. Conceptual Framework: Roger's model of innovation adoption guides this research. Method: Study setting is 12 acute care hospitals in the Midwest. Study sites were randomized to an intervention or treatment arm. At each data collection point (T0, T1, T2, T3), up to 75 medical records per site are randomly selected from patients 65 years or older who were admitted for acute hip fracture (N=720) during the previous year. A trained research assistant abstracts data on pain assessment, administration of pharmacological and nonpharmacological interventions, and assessment of pain treatment side effects for the first 72 hours of the patient's hospitalization following admission. Data are entered using double data entry techniques, cleaned, and analyzed using descriptive statistics. Results: Pain was assessed every four hours in 45% of the records during the first 24 hours following admission, pain was reassessed following administration of an analgesic less than 20% of the time, and pain treatment side effect assessments were done an average of .78 times (nausea/vomiting) to 1.0 times (bowel activity) per day (24 hours). The mean parenteral morphine equivalent administered over the 72 hours was .62 mg/hour (SD=.4) with the highest dosage during the first 24 hours (.75 mg/hour; SD=.6). The portion of medical records with Demerol use was 57.2% with the most frequent use occurring during the first 24 hours following admission. Conclusions: Nursing practices are not congruent with evidence-based guidelines for acute pain management in the elderly, and opportunities exist to improve these practices.</td></tr></table>en_GB
dc.date.available2011-10-26T23:04:22Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:04:22Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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