Collaborating to Improve Pain Assessment: A Multidisciplinary Thoracic Oncology Team Implements the JCAHO Pain Standards in the Ambulatory Setting

2.50
Hdl Handle:
http://hdl.handle.net/10755/165529
Category:
Abstract
Type:
Presentation
Title:
Collaborating to Improve Pain Assessment: A Multidisciplinary Thoracic Oncology Team Implements the JCAHO Pain Standards in the Ambulatory Setting
Author(s):
Cashavelly, Barbara
Author Details:
Barbara Cashavelly, Massachusetts General Hospital, Boston, Massachusetts, USA
Abstract:
Purpose: The purpose of this project is to determine if the implementation and integration of the JCAHO pain standard impacts the average pain scale rating for the ambulatory thoracic oncology patient population. Background: Assessment is a vital component of adequate pain management, and patients have the right to appropriate assessment and management of pain. Using a quantitative pain rating scale and a standard approach to documentation has demonstrated improved pain management. Intervention: The problem of inconsistent pain assessment and documentation was identified through a cursory review of medical records and at multidisciplinary thoracic oncology team meetings. Pain assessment was not standardized across the practice. This presented an opportunity to implement the JCAHO pain standards in the ambulatory practice. The project consists of two phases. Baseline average pain scale rating for the lung and esophageal cancer practice was determined. Medical assistants used a visual analog pain scale to obtain self-reported pain rating from patients over two months. The initial phase was blinded to clinicians, and pain levels were recorded in a separate database. The medical assistants were instructed to encourage patients to report pain to their provider if their pain was five or greater. The second phase of the project involved implementation of the JCAHO standard of "pain as the fifth vital sign" through standardized assessment and documentation of patient pain levels. Patients were asked for pain ratings in the same manner as phase one, but the second phase was unblinded to clinicians by recording ratings in the ambulatory charts. Average pain scores from the first phase of the project were calculated and compared to average scores from the second two-month time period to determine if there was improvement. Interpretation: Pain management awareness was increased in the thoracic oncology practice through identification of practice variations. The impact of the project will be presented through average pain rating data. Based on this program, the team will consider expanding this project into the general hematology-oncology practice.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2002
Conference Name:
27th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Washington, D.C., USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleCollaborating to Improve Pain Assessment: A Multidisciplinary Thoracic Oncology Team Implements the JCAHO Pain Standards in the Ambulatory Settingen_GB
dc.contributor.authorCashavelly, Barbaraen_US
dc.author.detailsBarbara Cashavelly, Massachusetts General Hospital, Boston, Massachusetts, USAen_US
dc.identifier.urihttp://hdl.handle.net/10755/165529-
dc.description.abstractPurpose: The purpose of this project is to determine if the implementation and integration of the JCAHO pain standard impacts the average pain scale rating for the ambulatory thoracic oncology patient population. Background: Assessment is a vital component of adequate pain management, and patients have the right to appropriate assessment and management of pain. Using a quantitative pain rating scale and a standard approach to documentation has demonstrated improved pain management. Intervention: The problem of inconsistent pain assessment and documentation was identified through a cursory review of medical records and at multidisciplinary thoracic oncology team meetings. Pain assessment was not standardized across the practice. This presented an opportunity to implement the JCAHO pain standards in the ambulatory practice. The project consists of two phases. Baseline average pain scale rating for the lung and esophageal cancer practice was determined. Medical assistants used a visual analog pain scale to obtain self-reported pain rating from patients over two months. The initial phase was blinded to clinicians, and pain levels were recorded in a separate database. The medical assistants were instructed to encourage patients to report pain to their provider if their pain was five or greater. The second phase of the project involved implementation of the JCAHO standard of "pain as the fifth vital sign" through standardized assessment and documentation of patient pain levels. Patients were asked for pain ratings in the same manner as phase one, but the second phase was unblinded to clinicians by recording ratings in the ambulatory charts. Average pain scores from the first phase of the project were calculated and compared to average scores from the second two-month time period to determine if there was improvement. Interpretation: Pain management awareness was increased in the thoracic oncology practice through identification of practice variations. The impact of the project will be presented through average pain rating data. Based on this program, the team will consider expanding this project into the general hematology-oncology practice.en_GB
dc.date.available2011-10-27T12:20:17Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:20:17Z-
dc.conference.date2002en_US
dc.conference.name27th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationWashington, D.C., USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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