Adequacy of pain assessment and pain relief and correlation of patient satisfaction in 68 ED fast-track patients

Blank, Fidela; Mader, Tim J.; Wolfe, Jeannette; Keyes, Marjorie; Kirschner, Ronald Allen; Provost, Deborah

doi:10.1067/men.2001.116648

Cited by 60 publications

(43 citation statements)

References 12 publications

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“…An additional retrospective study, done a few years later, revealed that only 30% of 401 patients treated for bone fractures received analgesics [6]. In a separate study, patients were surveyed after treatment in a fast-track area of the emergency room, and 60% of patients went home with more pain than they were willing to accept [7]. More recently, a prospective, multicenter study enrolled 842 patients (aged 8 years and older) across 20 US and Canadian EDs with presenting pain intensity scores of 4 or greater on an 11-point numerical rating scale and found that only 60% of patients received analgesics, and 74% of patients were discharged in moderate to severe pain.…”

Section: Oligoanalgesiamentioning

confidence: 99%

Acute Pain Management in the Emergency Department

Samcam¹,

Papa²

2016

Pain Management

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The most common presenting complaint to the emergency department (emergency room) is pain. Unfortunately, pain is still undertreated in this setting. Literature has shown that treatment of pain not only improves patient satisfaction but also improves mood, decreases length of hospital stay, and decreases mortality. Various pharmacological options are available for treating acute pain, ranging from oral, intravenous, and intramuscular medications; topical agents; and peripheral nerve blocks. Objectively assessing and documenting a patient's pain is the key to determining treatment. The approach to a patient with acute pain requires an experienced clinician who is aware of the pharmacology of analgesics and anesthetics, contraindications, precautions, side effects, administration methods, and monitoring requirements.This chapter briefly covers the pathophysiology of acute pain and the different treatment modalities available to the emergency physician.

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Section: Oligoanalgesiamentioning

confidence: 99%

Acute Pain Management in the Emergency Department

Samcam¹,

Papa²

2016

Pain Management

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“…16 In a pain survey of 68 fast track patients, Blank and colleagues showed that 60% of the patients went home with more pain then they were willing to accept; 51% of the patients were offered something for pain, however, only half of them said the pain relief was adequate. 17 Concern about the patients' pain is as important as providing the analgesia itself. To reiterate this, in the aforementioned study by Fosnocht and colleagues, 45% of ED patients in pain received pain medication, but 70% reported that their needs for pain relief were met at discharge.…”

Section: Failure To Meet Patients' Expectationsmentioning

confidence: 99%

Problems and barriers of pain management in the emergency department: Are we ever going to get better?

Motov

Khan

2008

JPR

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Pain is the most common reason people visit emergency rooms. Pain does not discriminate on the basis of gender, race or age. The state of pain management in the emergency department (ED) is disturbing. ED physicians often do not provide adequate analgesia to their patients, do not meet patients' expectations in treating their pain, and struggle to change their practice regarding analgesia. A review of multiple publications has identifi ed the following causes of poor management of painful conditions in the ED: failure to acknowledge pain, failure to assess initial pain, failure to have pain management guidelines in ED, failure to document pain and to assess treatment adequacy, and failure to meet patient's expectations. The barriers that preclude emergency physicians from proper pain management include ethnic and racial bias, gender bias, age bias, inadequate knowledge and formal training in acute pain management, opiophobia, the ED, and the ED culture. ED physicians must realize that pain is a true emergency and treat it as such.

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“…One of the most important aspects is assessment of a person's pain. Blank et al (2001) demonstrated that the average pain score on arrival was 55 mm compared to 49 mm on discharge (using a visual analogue scale) whilst the average pain that patients were willing to accept on discharge was 33 mm.…”

Section: Introductionmentioning

confidence: 99%