Assessing Pain

Jacox, Ada

doi:10.2307/3462289

Cited by 28 publications

(20 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, an assessment of the appropriateness of analgesic prescribing was beyond the scope of this study. As patient barriers, nurses mentioned a number of issues that have also been identi®ed in previous studies, the main one being patients' reluctance to admit to pain and take analgesia (Jacox 1979, Clarke et al 1996. This reluctance may be partly because of beliefs that patients hold, such as concerns about injections, side-effects, addiction and tolerance (Wilder-Smith & Schuler 1992), support for which was also found in statement 5 (Table 2).…”

Section: Nurses' Overall Aim Of Administering Analgesicsmentioning

confidence: 59%

See 1 more Smart Citation

Why is pain management suboptimal on surgical wards?

Schafheutle

Noyce

2001

Journal of Advanced Nursing

134

111

View full text Add to dashboard Cite

show abstract

Section: Nurses' Overall Aim Of Administering Analgesicsmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 69%

Why is pain management suboptimal on surgical wards?

Schafheutle

Noyce

2001

Journal of Advanced Nursing

134

111

View full text Add to dashboard Cite

show abstract

“…Hawthorn and Redmond (1998) have identified that accurate assessment skills are pivotal to the decision-making process and ultimately affect appropriate pain management interventions. Numerous studies have identified that pain assessment by nurses is often both limited and inaccurate (Jacox 1979, Graffam 1981, Heidrich & Perry 1982, Saxey 1986, McMillan et al 2000. Recent studies (Hollinworth 1995, Clarke et al 1996 indicate that improvements have not been made in this area suggesting that some nurses not only fail to assess a patient's pain intensity verbally, but they also do not utilize pain assessment tools.…”

Section: Introductionmentioning

confidence: 99%

Nursing knowledge and assessment skills in the management of patients receiving analgesia via epidural infusion

Bird

Wallis

2002

Journal of Advanced Nursing

View full text Add to dashboard Cite

The results of this study indicated that the nurses' theoretical knowledge outweighed their clinical skill performance and clinical decision-making. Education for nurses regarding the management of epidural infusions needs to be comprehensive, context specific and have the capacity to develop the nurse's autonomous critical thinking and clinical decision-making skills. Strategies for this include self-directed learning packages best supplemented by a demonstration of clinical skills and supervised practice.

show abstract

“…However, a total of 80% (n = 47) rated ‘pain just now at rest’ on the VNRS. This disagreement between verbally expressed experience of pain and the ratings on pain scales has previous been observed in geriatric patients (31, 32), patients with cancer (5) as well as among surgical patients (39). The fact that those patients who verbally denied pain in response to question A and rated pain on the VNRS, rated it significant lower (p < 0.04) than those who verbally reported pain and rated their pain as well, is in line with a previous study conducted among geriatric patients (31).…”

Section: Discussionmentioning

confidence: 83%

Descriptions of pain in elderly patients following orthopaedic surgery

Bergh

Gunnarsson

Allwood

et al. 2005

Scandinavian Caring Sciences

View full text Add to dashboard Cite

The aims of this study were to investigate what words elderly patients, who had undergone hip surgery, used to describe their experience of pain in spoken language and to compare these words with those used in the Short-Form McGill Pain Questionnaire (SF-MPQ) and Pain-O-Meter (POM). The study was carried out at two orthopaedic and two geriatric clinical departments at a large university hospital in Sweden. Altogether, 60 patients (mean age =77) who had undergone orthopaedic surgery took part in the study. A face-to-face interview was conducted with each patient on the second day after the operation. This was divided into two parts, one tape-recorded and semi-structured in character and one structured interview. The results show that a majority of the elderly patients who participated in this study verbally stated pain and spontaneously used a majority of the words found in the SF-MPQ and in the POM. The patients also used a number of additional words not found in the SF-MPQ or the POM. Among those patients who did not use any of the words in the SF-MPQ and the POM, the use of the three additional words 'stel' (stiff), 'hemsk' (awful) and 'rad(d)(sla)' (afraid/fear) were especially marked. The patients also combined the words with a negation to describe what pain was not. To achieve a more balanced and nuanced description of the patient's pain and to make it easier for the patients to talk about their pain, there is a need for access to a set of predefined words that describe pain from a more multidimensional perspective than just intensity. If the elderly patient is allowed, and finds it necessary, to use his/her own words to describe what pain is but also to describe what pain is not, by combining the words with a negation, then the risk of the patient being forced to choose words that do not fully correspond to their pain can be reduced. If so, pain scales such as the SF-MPQ and the POM can create a communicative bridge between the elderly patient and health care professionals in the pain evaluation process.

show abstract

Assessing Pain

Cited by 28 publications

References 0 publications

Why is pain management suboptimal on surgical wards?

Why is pain management suboptimal on surgical wards?

Nursing knowledge and assessment skills in the management of patients receiving analgesia via epidural infusion

Descriptions of pain in elderly patients following orthopaedic surgery

Contact Info

Product

Resources

About