Pain in the emergency department: adherence to an implemented treatment protocol
| Autor: | Karen Delport-Lehnen, Frank-Peter Stephan, Jaqueline S Martin, Christian H. Nickel, Roland Bingisser, Daniela Grether |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
Male medicine.medical_specialty Treatment protocol Time Factors Adolescent MEDLINE Pain World Health Organization Young Adult Clinical Protocols Medicine Humans Pain Management Prospective Studies Young adult Prospective cohort study Aged Pain Measurement Protocol (science) Analgesics business.industry General Medicine Emergency department Pain management Middle Aged medicine.disease Emergency medicine Female Medical emergency business Emergency Service Hospital |
| Zdroj: | Swiss medical weekly. 140(23-24) |
| ISSN: | 1424-3997 |
| Popis: | Although pain is one of the most common presenting complaints in the Emergency Department (ED), pain management is often inadequate. Pain management protocols have been shown to be useful. The objective of this study was to assess the adherence to an already implemented pain management protocol in an urban ED.Secondary analysis of a prospective single centre cohort study on patient preferences for analgesia in the ED. Patient charts were reviewed with a focus on selection, timing and dosage of analgesics according to a visual analogue scale (VAS) on arrival and during the ED stay.Three hundred and thirty-seven patient charts were reviewed. The adherence to the implemented pain management protocol was 42% at the time of initial evaluation and 43% during the course of therapy in all patients. Forty-two percent of the study population were discharged with at least moderate pain. However, 43% of the patients discharged with pain did not request analgesics.The benefits of pain management protocols are proven. However, adherence to these protocols needs to be monitored regularly in order to optimise pain management. |
| Databáze: | OpenAIRE |
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