Pain Management in the Emergency Department
| العنوان: | Pain Management in the Emergency Department |
|---|---|
| المؤلفون: | GH Lim, E Seow, FC Wee |
| المصدر: | Hong Kong Journal of Emergency Medicine. 13:38-45 |
| بيانات النشر: | SAGE Publications, 2006. |
| سنة النشر: | 2006 |
| مصطلحات موضوعية: | Pain score, medicine.medical_specialty, business.industry, 030208 emergency & critical care medicine, Emergency department, 030204 cardiovascular system & hematology, Pain management, Triage, 03 medical and health sciences, 0302 clinical medicine, Assessing Pain, Health care, Emergency Medicine, Numeric Rating Scale, Physical therapy, Medicine, business, Patient education |
| الوصف: | Objectives To determine the waiting time for administration of analgesia to patients presenting to the emergency department (ED) with traumatic pain, and to determine how the severity of pain affects the patient's perception of pain and the treatment they receive. Methods Consecutive patients aged 18–65 years presenting to the ED during the 2-week study period with complaint of pain secondary to trauma were prospectively recruited. The numeric rating scale (NRS) was used to indicate the level of pain experienced by the patients. They were interviewed using a structured questionnaire and a chart review was also done after the patients had completed their ED visit. Results The mean time to analgesia was 77.6 min (95% CI = 63.2–92.0 min). Patients requesting analgesia at triage had a median pain score of 7 (range 0–10) while those who declined had a median pain score of 5 (range 0–10) (p = 0.002, Mann-Whitney U-test). The severity of the injuries sustained did not affect the patient's perception of their pain nor their preference for early analgesia. Indian patients had a significantly higher median pain score (p = 0.048). Conclusion Time to delivery of analgesia fell short of our patients' expectations. Assessing pain using the NRS is useful and should be incorporated as the ‘fifth’ vital sign. Process-improvement, healthcare workers and patient education regarding pain management are needed. Patients with a pain score of 7 or more should be offered analgesia at triage. Those with a pain score of 6 or less should still be given analgesia at triage if they request it. |
| تدمد: | 2309-5407 1024-9079 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::1f610664b9bd7c08e7b8cdffa5f80100 https://doi.org/10.1177/102490790601300105 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi...........1f610664b9bd7c08e7b8cdffa5f80100 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 23095407 10249079 |
|---|