2.50
Hdl Handle:
http://hdl.handle.net/10755/162610
Type:
Presentation
Title:
Pain Management in the Emergency Department: A Retrospective Look
Abstract:
Pain Management in the Emergency Department: A Retrospective Look
Conference Sponsor:Emergency Nurses Association
Conference Year:1995
Author:Thomason, Gail
P.I. Institution Name:York Hospital
Contact Address:1001 S. George St., York, PA, 17405, USA
Purpose: Pain is a universal human experience and provides the motivation to seek emergency care in 85% of clients seen in the emergency department (ED). However, few studies have been done to evaluate how quickly and effectively patients' acute pain is evaluated and managed in the ED. Therefore, this study evaluates the timeliness and effectiveness of emergency nursing and physician evaluation and intervention of acute pain. The nursing process conceptual framework was utilized to evaluate practice and collect data, this included assessment, intervention, and evaluation.

Design: A retrospective chart review was used to collect data on patient demographics, nurse and physician assessment time and descriptions of pain, interventions used, evaluation of intervention, adverse reactions, final diagnosis, and discharge pain control information given to the patient.

Setting: This research was conducted at a suburban, community, Level II trauma center, teaching hospital ED (including emergency medicine residency) with annual visits of 56,000.

Sample: All patients age 18 or over who presented with a chief complaint of acute pain of less than two weeks duration were included in the study. A convenience sample of 300 charts was obtained by utilizing currently available ED records on all patients from a three month period. To date, 30 charts (10%) have been analyzed. The pilot sample was 61% female with a mean age of 54 years.

Methodology: The data collection format is based on the nursing process components. The assessment components evaluated for pain management were based on McCaffery & Beebe's, "Pain: Clinical Manual for Nursing Practice."

Results: While all 30 patients presented to the ED in acute pain, 55% received no pain interventions. Among those treated for pain, the time to medication was greater than one hour in 80%. Sixty-five percent never had their pain reevaluated, and 82% received no discharge instructions for pain control.

Conclusion: Preliminary data demonstrate that patients who present to the ED with a chief complaint of acute pain do not have their pain managed effectively. Pain control studies and educational programs should be pursued to improve the care of ED patients with pain. [Research Paper Presentation]
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePain Management in the Emergency Department: A Retrospective Looken_GB
dc.identifier.urihttp://hdl.handle.net/10755/162610-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Pain Management in the Emergency Department: A Retrospective Look</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">1995</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Thomason, Gail</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">York Hospital</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1001 S. George St., York, PA, 17405, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">res@ena.org</td></tr><tr><td colspan="2" class="item-abstract">Purpose: Pain is a universal human experience and provides the motivation to seek emergency care in 85% of clients seen in the emergency department (ED). However, few studies have been done to evaluate how quickly and effectively patients' acute pain is evaluated and managed in the ED. Therefore, this study evaluates the timeliness and effectiveness of emergency nursing and physician evaluation and intervention of acute pain. The nursing process conceptual framework was utilized to evaluate practice and collect data, this included assessment, intervention, and evaluation.<br/><br/>Design: A retrospective chart review was used to collect data on patient demographics, nurse and physician assessment time and descriptions of pain, interventions used, evaluation of intervention, adverse reactions, final diagnosis, and discharge pain control information given to the patient.<br/><br/>Setting: This research was conducted at a suburban, community, Level II trauma center, teaching hospital ED (including emergency medicine residency) with annual visits of 56,000.<br/><br/>Sample: All patients age 18 or over who presented with a chief complaint of acute pain of less than two weeks duration were included in the study. A convenience sample of 300 charts was obtained by utilizing currently available ED records on all patients from a three month period. To date, 30 charts (10%) have been analyzed. The pilot sample was 61% female with a mean age of 54 years.<br/><br/>Methodology: The data collection format is based on the nursing process components. The assessment components evaluated for pain management were based on McCaffery &amp; Beebe's, &quot;Pain: Clinical Manual for Nursing Practice.&quot;<br/><br/>Results: While all 30 patients presented to the ED in acute pain, 55% received no pain interventions. Among those treated for pain, the time to medication was greater than one hour in 80%. Sixty-five percent never had their pain reevaluated, and 82% received no discharge instructions for pain control.<br/><br/>Conclusion: Preliminary data demonstrate that patients who present to the ED with a chief complaint of acute pain do not have their pain managed effectively. Pain control studies and educational programs should be pursued to improve the care of ED patients with pain. [Research Paper Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:31:05Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:31:05Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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