Pain Assessment Discrepancies: A Cross‐Sectional Study Highlights the Amount of Underrated Pain

Ransbeeck, Andrea van; Budilivski, Ana; Spahn, Donat R.; Macrea, Lucian M.; Giuliani, Francesca; Maurer, K.

doi:10.1111/papr.12612

Cited by 2 publications

(2 citation statements)

References 21 publications

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“…Sweden's healthcare system, like many others, has been under financial and political pressure (Anell 2005). Further studies conducted in Greece (Chamaidi 2012) and Switzerland (van Ransbeeck et al 2018), reputed to be the 4th best system in the world (Legatum-Institute 2016) also found consistently poor pain assessment suggesting that it is by no means a problem confined to one healthcare system or country. While poor pain assessment might be prevalent across cultures it does need to be borne in mind that nurses increasingly assess patients from many different cultures, with the UK as but one example of a country that is more ethnically diverse as a result of globalisation (White 2012).…”

Section: Discussionmentioning

confidence: 99%

Congruence between nurses' and patients' assessment of postoperative pain: a literature review

Wooldridge

Branney

2020

Br J Nurs

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Postoperative pain remains poorly managed for many patients. Effective pain management begins with accurate pain assessment, with patient self-reporting considered the most accurate measure of pain. This literature review aimed to identify how congruent nurses' assessments of pain were with patients' self-reporting. A search identified six observational studies and one quasi-experimental study that met the inclusion criteria. The findings from these studies were summarised under two themes: nurses' underestimation of patients' pain and nurses' knowledge and understanding of pain assessment. Some nurses' pain management knowledge was deemed inadequate, with evidence of negative attitudes towards managing pain in certain groups of patients. Educational interventions have so far had limited impact on correcting the ethical and professional problem of inadequate pain relief in many patients postoperatively. Randomised controlled trials are required to identify effective education interventions that can contribute to ending this avoidable suffering.

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Section: Discussionmentioning

confidence: 99%

Congruence between nurses' and patients' assessment of postoperative pain: a literature review

Wooldridge

Branney

2020

Br J Nurs

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“…However, few articles focused on SRP, which may be related to the difficulty in finding a mechanical cause of pain or abnormal laboratory data, and the pain is mostly self-limited and can be well controlled with analgesics [24,25]. Considering that most patients with OVCFs are elderly, postoperative acute pain will not only prolong the hospital days and increase the economic and psychological burden of the patients but also increase the probability of serious postoperative complications such as thrombosis and cardiovascular events [26,27]. In the present study, we retrospectively analyzed the risk factors of SRP in OVCF patients after PVP and performed multivariate logistic regression analysis.…”

Section: Discussionmentioning

confidence: 99%

A nomogram for short-term recurrent pain after percutaneous vertebroplasty for osteoporotic vertebral compression fractures

Liu

Zhang

Liu³

et al. 2021

Osteoporos Int

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In clinical practice, it was found that some patients experienced short-term recurrent pain (SRP) in the original site after PVP treatment. This study was designed to develop and validate a nomogram for predicting the potential risks of SRP after PVP, which may help to provide a painless postoperative experience and personalized health management for patients with OVCF. Introduction With the aging of China's population, the incidence of osteoporotic vertebral compression fractures (OVCF) has increased significantly. Percutaneous vertebroplasty (PVP) has been widely accepted due to its minimally invasive, rapid, and effective characteristics. However, it has been found that some patients have short-term recurrent pain (SRP) in the original site after surgery in practical clinical work. Methods We retrospectively reviewed the clinical data of OVCF patients who were treated with PVP in our center from January 1st, 2019, to December 30th, 2020. A total of 296 patients were enrolled in the study cohort, and patients were randomly divided into the training set (70%) and validation set (30%). Univariate and multivariate logistic regression analyses were used to determine the risk factors of SRP, and a nomogram predictive model was established accordingly. The model was evaluated by calibration curve, receiver operation characteristic (ROC) curve, and decision curve analysis (DCA). Results Among the 296 patients, 83 (27.85%) patients experienced SRP after surgery. The independent risk factors included fracture segments (

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Pain Assessment Discrepancies: A Cross‐Sectional Study Highlights the Amount of Underrated Pain

Abstract: The cross-sectional data comparison of pain assessment by the ward staff and by interviews with the PAIN OUT questionnaire showed a large gap of underrated pain. The benchmark analysis with the method of PAIN OUT suggests a decent pain management among reference groups.

Cited by 2 publications

References 21 publications

Congruence between nurses' and patients' assessment of postoperative pain: a literature review

Congruence between nurses' and patients' assessment of postoperative pain: a literature review

A nomogram for short-term recurrent pain after percutaneous vertebroplasty for osteoporotic vertebral compression fractures

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