Using Different Body Positions to Reduce Discomfort from Dorsogluteal Injection

Rettig, Frannie M.; Southby, Janet R.

doi:10.1097/00006199-198207000-00008

Cited by 15 publications

(19 citation statements)

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“…Kruszewski et al (1979) found that in their research into the effect of positioning on discomfort of an intramuscular injection, that the prone, femur-pointing-inward position (toes pointing inward), was superior to the femur-pointing outward position in relaxing the gluteus maximus.This muscle relaxation resulted in less discomfort from the intramuscular injection. Similarly, the findings in Rettig and Southby's (1982) study demonstrated that injecting into a relaxed muscle reduces client discomfort. Relaxation of the Dorsogluteal muscle was achieved by internally rotating the femur.…”

Section: Angle and Velocity Of Needle Insertionmentioning

confidence: 59%

Establishing best practice guidelines for administration of intra muscular injections in the adult: A systematic review of the literature

et al. 2005

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This article describes best practice guidelines for the administration of intramuscular injections developed after the identification of 300 abstracts and a review of 150 articles on the subject area. While the administration of medication via the intramuscular route is a daily occurrence for nurses working in both hospitals and community settings, several concerns and complications have been identified with the procedure. Routinely, nurses are required to make numerous decisions regarding factors such as needle size, length and the site to be used during the administration of medication into muscle tissue. Therefore, it is important that relevant up-to-date guidelines are available to assist nurses to make informed decisions about the technique to use. Techniques delivering medication to the correct site will facilitate efficacious outcomes for the client and ensure the delivery of quality nursing care in all health care settings.

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Section: Angle and Velocity Of Needle Insertionmentioning

confidence: 59%

Establishing best practice guidelines for administration of intra muscular injections in the adult: A systematic review of the literature

et al. 2005

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“…15,32 When medication is administered to the relaxed muscle, patients experience less discomfort due to the reduction of muscle resistance and pressure on neural crests. Even though these results were not clinically critical, the patients felt less pain statistically during IM injections administered using technique B (internally rotated foot).…”

Section: Discussionmentioning

confidence: 99%

“…The drug and the volume injected, the technique used, patient anxiety, patient position, the speed of delivery of the drug, the injection site, and the size and length of the needle bore are all factors that can have an effect on pain. [10][11][12][13][14][15] Barnhill et al 11 recommended that nurses use distraction techniques prior to administering the IM injection to the client in order to reduce pain. 5,8,9 In the literature, there are a number of studies that investigate the reduction of pain in IM injections.…”

Section: Literature Reviewmentioning

confidence: 99%

“…Keen 14 found a significant decrease in both pain and injection site lesions with the Z-track technique, as did other studies. 15 Engstrom et al 20 recommended that internal rotation of the extremity distal to the injection site be performed to decrease tissue trauma and pain when injections are administered into the deltoid and dorsogluteal sites. Some studies have suggested that a two-needle process should be used to reduce consumer discomfort, with one needle for preparation and another for administration.…”

Section: Literature Reviewmentioning

confidence: 99%

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The effect on pain of three different methods of intramuscular injection: A randomized controlled trial

Kara

Güneş

2014

Int J of Nursing Practice

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This paper is the report of a study to determine the effect on pain of internally rotating the foot, pointing the toes down and/or using the Z-track technique during intramuscular injection and to investigate differences in pain perception related to gender and body mass index. A randomized controlled trial was carried out from September to November 2010 on 75 patients receiving diclofenac sodium intramuscularly at a university hospital in Zonguldak, Turkey. The primary outcome measure collected was pain intensity, measured on a visual analogue scale. Each subject received three injections by the same investigator using three different techniques. The three techniques were randomly allocated, and the subjects were blinded to the injection technique being used. After each injection, another investigator, who had no prior knowledge of which injection technique was used, immediately assessed pain intensity using the visual analogue scale. Research findings demonstrated that the Z-track and internally rotated foot techniques significantly reduced pain intensity during intramuscular injection. Statistically significant differences in pain intensity were observed between the three injection techniques. The results supported the hypothesis that the internally rotated foot and Z-track techniques significantly reduce pain intensity.

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“…Injections should not be given into this area whilst the patient is standing ( Bolander 1994). Similarly, Rettig & Southby (1982) conclude that patients should assume a prone or side lying position with the femur internally rotated to minimize pain at the injection site by relaxing the muscle group.…”

Section: Intramuscular Injection Sitesmentioning

confidence: 99%

Drawing up and administering intramuscular injections: a review of the literature

Rodger

King

2000

Journal of Advanced Nursing

144

126

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Drawing up and administering intramuscular injections: a review of the literature Intramuscular (IM) injections have been an integral part of drug administration in nursing practice for almost half a century. However, there are some conflicting practices which warrant investigation to determine their effectiveness in this aspect of patient care. To this end, this paper presents the results of a literature review which was carried out in order to establish current understanding of present day knowledge, procedures and guidelines for the administration of IM injections. Areas addressed within this review include injection sites used, injuries associated with IM injections, issues surrounding needle selection and volume administered through IM injections, injection techniques and nursing skills associated with IM injections. Synthesis of the research reviewed allows the development of research-based guidelines for this skill. These guidelines offer a framework for nurses who wish to provide practice in line with current research into the process of drawing up and administration of intramuscular injections.

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Using Different Body Positions to Reduce Discomfort from Dorsogluteal Injection

Cited by 15 publications

References 0 publications

Establishing best practice guidelines for administration of intra muscular injections in the adult: A systematic review of the literature

Establishing best practice guidelines for administration of intra muscular injections in the adult: A systematic review of the literature

The effect on pain of three different methods of intramuscular injection: A randomized controlled trial

Drawing up and administering intramuscular injections: a review of the literature

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