Patient Attitudes and Beliefs Regarding Pain Medication after Cardiac Surgery: Barriers to Adequate Pain Management

Cogan, Jennifer; Ouimette, Marie-France; Vargas-Schaffer, Grisell; Yeğin, Zeynep Arzu; Deschamps, Alain; Denault, André

doi:10.1016/j.pmn.2013.01.003

Cited by 41 publications

(28 citation statements)

References 20 publications

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“…Almost 45% would have wanted to receive more pain medications during their stay in CICU. Patients usually have many misconceptions and beliefs about pain medications [2]. They try to avoid pain medications due to the fear of addiction, side effects of medications and erroneous thinking of reserving medications only for severe pain.…”

Section: Discussionmentioning

confidence: 99%

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A Quality Improvement Survey to Assess Pain Management in Cardiac Surgery Patients

Hamid¹,

Gangwani²,

Akhtar³

2015

OJAnes

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Objective: To evaluate the quality of pain management in cardiac ICU patients by using a questionnaire. Methodology: All post cardiac surgery patients between 18 and 75 years old were included in this survey. Chronic pain patients, paediatric patients, emergency surgeries were excluded. A predesigned proforma was prepared according to American Pain Society recommendations and distributed among Cardiac ICU patients after 24 hours of extubation. This proforma was explained to the patients and collected later. The questionnaire was related to pain severity, aggravating and relieving factors, side effects of analgesics, affective experience and satisfaction with pain management. Results: Total 308 patients participated in one year period. 243 (78.9%) were male and 65 (21.1%) were female. Multimodal analgesia was used in most of the patients. Severity of pain was described as mild 70% and moderate 28.6%. Most of the patients complained of sharp pain 100 (37.5%), mainly at the site of incision 129 (41.9%). The main aggravating factor associated with increased pain was deep breathing 118 (39.8%) while pain was minimized by taking pain medications 40.6%. A significant association was found between preoperative counseling about pain options and satisfaction. 96.8% reported satisfaction with pain management. Conclusion: Although overall pain control was reported as adequate and patients were highly satisfied, there were areas which need further improvement. These include strategies to provide preoperative information about postoperative pain management and better training of medical staff to assess and manage pain. Additionally, the concerns and fears of patients about pain treatment need to be addressed.

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Section: Discussionmentioning

confidence: 99%

“…Fractured ribs and dislocation of costochondral junction and joint between ribs and spine are not uncommon [2]. Pain is also more common in patients who have LIMA harvesting possibly due to intercostal nerves injury [3].…”

Section: Introductionmentioning

confidence: 99%

A Quality Improvement Survey to Assess Pain Management in Cardiac Surgery Patients

Hamid¹,

Gangwani²,

Akhtar³

2015

OJAnes

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“…addiction, adverse events), negative beliefs and misconceptions about the appropriate use of pain medications (e.g. not complaining about pain, 'saving' medication for more severe pain) [24] and shorter hospital stays due to fast-track cardiac surgery, resulting in less time for health care professionals to provide patient education prior to discharge [1].…”

Section: Consider a Nonpharmacological Approachmentioning

confidence: 99%

Minimize the risk of chronic pain after cardiac surgery by treating acute postoperative pain

Writers

2015

Drugs Ther Perspect

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In patients who have undergone cardiac surgery, treating acute postoperative pain appears to be the most effective method of reducing the risk of developing chronic pain. A combination of opioids and paracetamol (acetaminophen) is the most commonly used analgesic regimen. However, treatment should be individualized and take a stepwise approach, with dosages increased and more medications added when necessary.

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“…Research program: A strong, institutionally supported, research program has included: 1) evaluation of patient attitudes and fears towards the use of narcotics [12].…”

Section: Elements Of the Basementioning

confidence: 99%

Transforming the Concept of “State of the Art” Into “Real Pain Relief” for Patients after Cardiac Surgery – A Combined Nursing-Anesthesia Initiative

MF¹

2014

J Pain Relief

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Several publications have shown that adequate postsurgical pain control after cardiac surgery has been difficult to obtain. Hospital services have been admonished to develop appropriate organizations of care that will facilitate the use of existing expertise rather than focusing on the development of new analgesic drugs. In this article the authors discuss the multidisciplinary collaboration that enabled the creation and implementation, in a busy cardiac surgery service, of a structure that has forged significant improvement in the treatment of pain after cardiac surgery. This nurse-run program promotes the use of a "low-tech, highly personalized" approach to pain management where the daily clinical work is supported by the concept of the "Patient Pyramid of Care".

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Patient Attitudes and Beliefs Regarding Pain Medication after Cardiac Surgery: Barriers to Adequate Pain Management

Cited by 41 publications

References 20 publications

A Quality Improvement Survey to Assess Pain Management in Cardiac Surgery Patients

A Quality Improvement Survey to Assess Pain Management in Cardiac Surgery Patients

Minimize the risk of chronic pain after cardiac surgery by treating acute postoperative pain

Transforming the Concept of “State of the Art” Into “Real Pain Relief” for Patients after Cardiac Surgery – A Combined Nursing-Anesthesia Initiative

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