Postoperative Pain Management in Elderly Patients: Correlation Between Adherence to Treatment Guidelines and Patient Satisfaction

Sauaia, Angela; Min, Sung‐Joon; Leber, Chris; Erbacher, Kathleen; Abrams, Fredrick R.; Fink, Regina

doi:10.1111/j.1532-5415.2005.53114.x

Cited by 76 publications

(43 citation statements)

References 28 publications

(43 reference statements)

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“…Similarly, patients asked for their weekly handouts to have more information on them. These findings are consistent with prior literature suggesting that the amount of education learned [6,12] and the practice setting (i.e., organization model) [28] are directly related to patient satisfaction.…”

Section: Discussionsupporting

confidence: 91%

“…Past research has also found that minorities report higher pain levels than Caucasians and resultantly, individuals with higher average daily pain reported using more CAM [26]. Collectively, these results are consistent with past findings that suggest patients are not fully aware of available pain relief options [12] and are open to alternative treatment options. The VA healthcare system has moved toward making certain CAM treatment options available as research supports their utility and reveals what options veterans are willing to try [27].…”

Section: Discussionsupporting

confidence: 86%

“…Participants' less than satisfactory view of hypnosis also depended on how applicable the modality was to their personal pain experience (such as cultural beliefs) and/or external factors such as the provider(s) who facilitated the lecture. Past literature has hypothesized that attention or concern of a provider has been shown to be associated with satisfaction [6,12].…”

Section: Discussionmentioning

confidence: 99%

“…Patient satisfaction literature is growing in the areas of surgical and anesthesiology services [12], telehealth [13], general healthcare system performance and service [14][15][16][17], and chronic disease and/or prominent medical conditions [12,14]. Patient satisfaction has been associated with better health status, improved engagement in personal healthcare, and reductions in primary care use; conversely, dissatisfaction is commonly associated with disenrollment [13,[16][17].…”

Section: Introductionmentioning

confidence: 99%

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Mixed-method approach to veteran satisfaction with pain education

Watson

Coghill²,

Lin³

2014

J Rehabil Res Dev

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Abstract-Patient education is a central component in highquality integrated care of patients with chronic pain. The current study assessed patients' satisfaction with a 12 wk "Pain Education School" program within the initial 2 yr phase of implementation. A mixed-method treatment outcome design was used. A sample of 219 veterans between November 6, 2009, and January 20, 2012, was evaluated. Quantitative findings suggest that patients reported learning "new and useful" information (mean = 4.62 +/-0.82), perceived the program as "easy to understand" (4.62 +/-0.70), used the learned information (4.58 +/-0.77), and recommended the program to others (4.71 +/-0.74). Four thematic maps emerged from the qualitative data. Response percentages were calculated in order to illustrate the relative magnitude of emerging themes and subthemes corresponding to participant extracts.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Mixed-method approach to veteran satisfaction with pain education

Watson

Coghill²,

Lin³

2014

J Rehabil Res Dev

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“…The use of peri-operative analgesia protocols is recommended, and improves patient satisfaction [72], but must be individualised for each patient, to take into account, for example, his/her chronic pain status, frailty, pain assessment, concurrent medication, renal function and cognitive impairment [73,74]. Multimodal analgesia is not restricted to pharmacological agents, and may involve, for example, postural support, pressure care and patient warming.…”

Section: Pain Managementmentioning

confidence: 99%

Peri‐operative care of the elderly 2014

Brown²,

et al. 2013

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Summary1 Increasing numbers of elderly patients are undergoing an increasing variety of surgical procedures. 2 There is an age-related decline in physiological reserve, which may be compounded by illness, cognitive decline, frailty and polypharmacy. 3 Compared with younger surgical patients, the elderly are at relatively higher risk of mortality and morbidity after elective and (especially) emergency surgery. 4 Multidisciplinary care improves outcomes for elderly surgical patients. Protocol-driven integrated pathways guide care effectively, but must be individualised to suit each patient. The AAGBI strongly supports an expanded role for senior geriatricians in coordinating peri-operative care for the elderly, with input from senior anaesthetists (consultants/associate specialists) and surgeons. 5 The aims of peri-operative care are to treat elderly patients in a timely, dignified manner, and to optimise rehabilitation by avoiding postoperative complications. Effective peri-operative care improves the likelihood of very elderly surgical patients returning to their same pre-morbid place of residence, and maintains the continuity of their community care when in hospital. 6 Postoperative delirium is common, but underdiagnosed, in elderly surgical patients, and delays rehabilitation.Multimodal intervention strategies are recommended for preventing postoperative delirium. 7 Peri-operative pain is common, but underappreciated, in elderly surgical patients, particularly if they are cognitively impaired. Anaesthetists should administer opioid-sparing analgesia where possible, and follow published guidance on the management of pain in older people. 8 Elderly patients should be assumed to have the mental capacity to make decisions about their treatment. Good communication is essential to this process. If they clearly lack that capacity, proxy information should be sought to determine what treatment, if any, is in the patient's best interests. 9 Anaesthetists must not ration surgical or critical care on the basis of age, but must be involved in discussions about the utility of surgery and/or resuscitation. 10 The evidence base informing peri-operative care for the elderly remains poor. Anaesthetists are strongly encouraged to become involved in national audit projects and outcomes research specifically involving elderly surgical patients.

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