Investigating Discharged ED Patients' Pain Management Experience: A Pilot-Study

2.50
Hdl Handle:
http://hdl.handle.net/10755/344133
Category:
Abstract
Type:
Poster
Title:
Investigating Discharged ED Patients' Pain Management Experience: A Pilot-Study
Author(s):
Stapleton, Stephen; Degitz, R. Joe
Lead Author STTI Affiliation:
Non-member
Author Details:
Stephen Stapleton, PhD, RN, CEN, sstaple@ilstu.edu; R. Joe Degitz, MSN, RN
Abstract:
POSTER AWARD WINNER: Research Abstract: Purpose: With approximately 79% of ED patients presenting with pain, comprehensive pain management is essential, yet little is known regarding how patients self-manage pain and what the effects of unresolved pain is on patients’ functional status. We describe how discharged ED patients’ pain was treated and investigate how this unrelieved pain affects functional status for 1-week post ED discharge. Design: We used a prospective, descriptive 8-day pilot-study. Setting: We recruited 25 ED patients from a Level II trauma center in central Illinois with 42,000 patient visits per year. Participants/Subjects: Participants (>18 years) who: 1) presented with acute pain, 2) are discharged with moderate (4-6) or severe (7-10) pain intensity, and 3) speak, read, and write English were enrolled. Methods: Participants self-entered demographic data at ED discharge on touch-screen computers. Research team members collected triage scores, pain intensity scores, ED pain treatments, pain reassessments, discharge pain intensities, and prescriptions written. Participants completed a daily pain diary (pain intensity, pain satisfaction, medications consumed). At the follow-up visit participants completed four PROMIS questionnaires (global health, pain behavior, pain interference, sleep interference) on touch-screen computers. Results/Outcomes: We approached 96 patients at ED discharge enrolling 25 (26%); 12 (48%) completed the entire study; 64% female, 19-66 years (38.12+14.23). Pain intensity at discharge was 7.04+1.57(4-10). Pain intensity 24 hours after discharge was 5.71+3.12 and 7 days later was 3.60+3.5. Participants rated their health (1=poor, 5=excellent) as good (3.33+0.99), and reported moderate fatigue (2.83+0.58) (1=none, 5=very severe). T-Scores for Pain Behavior (60.5+2.8), Pain Interference (66.6+6.0), and Sleep Disturbance (56.5+10.0) indicate participants’ levels are worse than the general public. Implications: In this pilot-study we found ED patients are discharged with unrelieved pain and this unresolved pain affects their daily lives. To enhance our understanding of patients’ overall experience post ED discharge, research, powered to demonstrate relationships between and among variables, is needed to investigate patients’ ED experience including how their pain was assessed and treated in the ED along with detailing patients’ daily pain intensity and satisfaction, self-management of pain, and functional status after ED discharge. Demonstrating these relationships between and among the variables of interest may lead to interventions to quickly alleviate decreases in functional status and pain intensity so participants may return to their previous health status.
Keywords:
Pain Management
Repository Posting Date:
4-Feb-2015
Date of Publication:
4-Feb-2015
Conference Date:
2014
Conference Name:
2014 ENA Annual Conference
Conference Host:
Emergency Nurses Association
Conference Location:
Indianapolis, Indiana, U.S.A.
Description:
2014 ENA Annual Conference Theme: Safe Practice, Safe Care. Held at the Indiana Convention Center
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.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePosteren_GB
dc.titleInvestigating Discharged ED Patients' Pain Management Experience: A Pilot-Studyen_GB
dc.contributor.authorStapleton, Stephenen_GB
dc.contributor.authorDegitz, R. Joeen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsStephen Stapleton, PhD, RN, CEN, sstaple@ilstu.edu; R. Joe Degitz, MSN, RNen_GB
dc.identifier.urihttp://hdl.handle.net/10755/344133-
dc.description.abstractPOSTER AWARD WINNER: Research Abstract: Purpose: With approximately 79% of ED patients presenting with pain, comprehensive pain management is essential, yet little is known regarding how patients self-manage pain and what the effects of unresolved pain is on patients’ functional status. We describe how discharged ED patients’ pain was treated and investigate how this unrelieved pain affects functional status for 1-week post ED discharge. Design: We used a prospective, descriptive 8-day pilot-study. Setting: We recruited 25 ED patients from a Level II trauma center in central Illinois with 42,000 patient visits per year. Participants/Subjects: Participants (>18 years) who: 1) presented with acute pain, 2) are discharged with moderate (4-6) or severe (7-10) pain intensity, and 3) speak, read, and write English were enrolled. Methods: Participants self-entered demographic data at ED discharge on touch-screen computers. Research team members collected triage scores, pain intensity scores, ED pain treatments, pain reassessments, discharge pain intensities, and prescriptions written. Participants completed a daily pain diary (pain intensity, pain satisfaction, medications consumed). At the follow-up visit participants completed four PROMIS questionnaires (global health, pain behavior, pain interference, sleep interference) on touch-screen computers. Results/Outcomes: We approached 96 patients at ED discharge enrolling 25 (26%); 12 (48%) completed the entire study; 64% female, 19-66 years (38.12+14.23). Pain intensity at discharge was 7.04+1.57(4-10). Pain intensity 24 hours after discharge was 5.71+3.12 and 7 days later was 3.60+3.5. Participants rated their health (1=poor, 5=excellent) as good (3.33+0.99), and reported moderate fatigue (2.83+0.58) (1=none, 5=very severe). T-Scores for Pain Behavior (60.5+2.8), Pain Interference (66.6+6.0), and Sleep Disturbance (56.5+10.0) indicate participants’ levels are worse than the general public. Implications: In this pilot-study we found ED patients are discharged with unrelieved pain and this unresolved pain affects their daily lives. To enhance our understanding of patients’ overall experience post ED discharge, research, powered to demonstrate relationships between and among variables, is needed to investigate patients’ ED experience including how their pain was assessed and treated in the ED along with detailing patients’ daily pain intensity and satisfaction, self-management of pain, and functional status after ED discharge. Demonstrating these relationships between and among the variables of interest may lead to interventions to quickly alleviate decreases in functional status and pain intensity so participants may return to their previous health status.en_GB
dc.subjectPain Managementen_GB
dc.date.available2015-02-04T11:27:05Z-
dc.date.issued2015-02-04-
dc.date.accessioned2015-02-04T11:27:05Z-
dc.conference.date2014en_GB
dc.conference.name2014 ENA Annual Conferenceen_GB
dc.conference.hostEmergency Nurses Associationen_GB
dc.conference.locationIndianapolis, Indiana, U.S.A.en_GB
dc.description2014 ENA Annual Conference Theme: Safe Practice, Safe Care. Held at the Indiana Convention Centeren_GB
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.en_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.