Open AccessJournal Article
Assessing patient pain scores in the emergency department.
Kamarul Aryffin Baharuddin,Nasir Mohamad,Nik Hisamuddin Nik Abdul Rahman,Rashidi Ahmad,Nik Ahmad Shaiffudin Nik Him +4 more
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TLDR
There were significant differences in mean patient pain scores on arrival, compared to those of doctors and triagers, and asking for pain scores is a very important step towards comprehensive pain management in emergency medicine.Abstract:
Background: Pain management in the Emergency Department is challenging.
Do we need to ask patients specifically about their pain scores, or
does our observational scoring suffice? The objective of this study was
to determine the inter-rater differences in pain scores between
patients and emergency healthcare (EHC) providers. Pain scores upon
discharge or prior to ward admission were also determined. Methods: A
prospective study was conducted in which patients independently rated
their pain scores at primary triage; EHC providers (triagers and
doctors) separately rated the patients’ pain scores, based on
their observations. Results: The mean patient pain score on arrival was
6.8 ± 1.6, whereas those estimated by doctors and triagers were
5.6 ± 1.8 and 4.3 ± 1.9, respectively. There were significant
differences among patients, triagers and doctors (P < 0.001). There
were five conditions (soft tissue injury, headache, abdominal pain,
fracture and abscess/cellulites) that were significantly different in
pain scores between patients and EHC providers (P < 0.005). The mean
pain score of patients upon discharge or admission to the ward was 3.3
± 1.9. Conclusions: There were significant differences in mean
patient pain scores on arrival, compared to those of doctors and
triagers. Thus, asking for pain scores is a very important step towards
comprehensive pain management in emergency medicine.read more
Citations
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Assessment of pain in a Norwegian Emergency Department
TL;DR: Assessment and treatment of pain in theED are inadequate and not in line with the local protocols, and a focus on strategies to improve pain treatment in the ED is a necessary aspect of developing optimal acute patient care in Norway in the future.
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Emergency nurses´ knowledge, attitude and perceived barriers regarding pain Management in Resource-Limited Settings: cross-sectional study.
TL;DR: The emergency nurses’ knowledge and attitude regarding pain management were poor, indicating the need for nursing schools and the ministry of health to work together to educate nurses to a higher level of preparation for pain assessment and management.
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The reality of pain scoring in the emergency department: Findings from a multiple case study design
TL;DR: In practice, pain scoring may not accurately reflect patient experience and using pain scoring to determine the appropriateness of triage and treatment decisions reduces its validity as a measure of patient experience.
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Pain Assessment and Management in Nursing Education Using Computer-based Simulations
TL;DR: The role of computer-based simulations as a reliable educational technology strategy that can enhance the learning experience of nursing students acquiring pain management knowledge and practice is discussed.
References
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Journal ArticleDOI
Sex, Gender, and Pain: A Review of Recent Clinical and Experimental Findings
Roger B. Fillingim,Christopher D. King,Margarete C. Ribeiro-Dasilva,B. Rahim-Williams,Joseph L. Riley +4 more
TL;DR: Current human findings regarding sex differences in experimental pain indicate greater pain sensitivity among females compared with males for most pain modalities, including more recently implemented clinically relevant pain models such as temporal summation of pain and intramuscular injection of algesic substances.
Journal ArticleDOI
Emergency Department Crowding Is Associated With Poor Care for Patients With Severe Pain
Jesse M. Pines,Judd E. Hollander +1 more
TL;DR: ED crowding is associated with poor quality of care in patients with severe pain, with respect to total lack of treatment and delay until treatment.
Journal ArticleDOI
Acute pain in an emergency clinic: latency of onset and descriptor patterns related to different injuries.
TL;DR: The results indicate that the relationship between injury and pain is highly variable and complex and very low affective scores compared to patients with chronic pain.
Journal ArticleDOI
The patient vs. caregiver perception of acute pain in the emergency department.
Veena Guru,Isser Dubinsky +1 more
TL;DR: Both physicians and nurses gave statistically significantly lower NRS and VAS pain ratings than those reported by the patients, and nurses' NRS pain ratings were found to be lower than physicians' ratings of the same patients.
Journal ArticleDOI
The minimum clinically significant difference in patient-assigned numeric scores for pain
Dawn B. Kendrick,Tania D. Strout +1 more
TL;DR: Findings suggest that a change of 1.39 +/- 1.05 (95% confidence interval, 1.27-1.51) on the NRS-11 is clinically significant when measuring pain.