A survey of current perianesthesia nursing practice for pain and comfort management

Krenzischek, Dina A.; Windle, Pamela E.; Mamaril, Myrna

doi:10.1016/j.jopan.2004.03.002

Cited by 9 publications

(5 citation statements)

References 26 publications

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“…This finding was similar to that of Krenzischek et al, 3 who surveyed 220 PACU nurses and found intravenous morphine to be the most commonly administered form of pain relief in the PACU. Similarly, in an observational study in France, Dahmani et al 20 determined the factors likely to predict morphine requirements in the PACU.…”

Section: Analgesic Administered In the Pacusupporting

confidence: 88%

“…They also suggested that nurses defined a mild or moderate pain score as being #4 using a VAS scale of 0 to 10, , 3 cm if using a 1 to 5 scale, or described as moderate or less if using ordinal measures. Adequate pain relief is a key criterion when discharging patients from the PACU; therefore, it was not surprising that Aubrun et al, 4 Krenzischek et al, 3 and Truong et al 21 all used similar discharge pain scores.…”

Section: Pain Scores On Discharge From the Pacumentioning

confidence: 99%

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Pain Assessment and Management in Patients After Abdominal Surgery From PACU to the Postoperative Unit

Wilding

Manias²,

Mccoy³

2009

Journal of PeriAnesthesia Nursing

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Section: Analgesic Administered In the Pacusupporting

confidence: 88%

Section: Pain Scores On Discharge From the Pacumentioning

confidence: 99%

Pain Assessment and Management in Patients After Abdominal Surgery From PACU to the Postoperative Unit

Wilding

Manias²,

Mccoy³

2009

Journal of PeriAnesthesia Nursing

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“…In spite of major advances in treatment options to manage post-operative pain, several barriers continue to contribute to mismanagement and undertreatment. A survey of 220 nurses report inadequate and inappropriate physician orders as a factor in mismanaged pain (Krenzischek et al, 2004). A secondary analysis of data from post-operative patients by Sherwood et al (2003a) estimated adequacy of pain management for 258 post-operative patients, demonstrating that one-third of patients were under-treated.…”

Section: Barriers To Pain Management In the Post-operative Periodmentioning

confidence: 99%

A multinational study of pain management among Hispanics

Sherwood

McNeill

Hernández

et al. 2005

Journal of Research in Nursing

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A multinational project involving pain research teams from three countries examined pain management outcomes in Hispanics. The limited research on pain management outcomes in Hispanics are primarily from the USA, lacking the distinct multinational cultural influences. This article compares the descriptive analysis of the post-operative pain experience of Hispanics in the USA, Puerto Rico and Mexico and tests the reliability of a new Spanish language instrument, the Cuestionario de Houston Sobre el Dolor (Houston Pain Outcome Instrument, HPOI). There were similarities in expectations related to pain relief, proportion of patients reporting worst pain, usual pain and pain-related interference with function. Significant differences were found on adequacy of pain management. Participants reported high use of non-pharmacologic approaches, particularly prayer and family support. The newly developed instrument indicated acceptable reliability in all settings, Chronbach’s Alpha > 0.75, with some variability by study site. Further cross-ethnic and multinational research are needed to provide culturally relevant evidence-based practice models to overcome barriers and reduce disparity.

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“…Ease is the sense of comfort and contentment in the patient, subsequent to alleviating his needs, and transcendence is the state when the individual can achieve goals beyond the feeling of pain and discomfort by overcoming them (11, 12). Also, in this theory, comfort is defined as possessing affective emotional and physical elements by the individual who has experienced it (13), meaning that the concept of comfort is highly subjective, vague, and varying based on individuals` thoughts and ideas (10). In Keesler's view, the concept of comfort is excessively subjective, in the sense that what is comfortable for a patient may be different for another; or an action might be comforting for a care-giver, but not so for a patient, etc.…”

Section: Introductionmentioning

confidence: 99%

Patients' Perception of Comfort Facilitators During Hemodialysis Procedure: A Qualitative Study

Borzou¹,

Anosheh²,

Mohammadi³

et al. 2014

Iran Red Crescent Med J

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Background:The patients receiving hemodialysis spend a lot of their lifetime in the hemodialysis departments, which is an unpleasant experience. Therefore, some interventions are necessary to relieve this experience.Objectives:The current study aimed to explore the hemodialysis patients' perceptions of comfort facilitators during the hemodialysis procedure.Patients and Methods:This study was conducted by a qualitative content analysis approach. Twenty four patients receiving hemodialysis participated in this study by purposive sampling. The sampling was over when the data saturation occurred. The semi-structured interviews were applied as the main data gathering tool. The data analysis was conducted by conventional qualitative content analysis in eight phases.Results:Three themes emerged: The presence of competent nurses, the delightful presence of the others, and coping with comfort obstacles. Each theme consisted of some categories.Conclusions:It seems that to achieve the patients' comfort during the hemodialysis procedure, the health care teams, hospitals in charge and the patients themselves have to do their best to provide the patients' comfort.

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A survey of current perianesthesia nursing practice for pain and comfort management

Cited by 9 publications

References 26 publications

Pain Assessment and Management in Patients After Abdominal Surgery From PACU to the Postoperative Unit

Pain Assessment and Management in Patients After Abdominal Surgery From PACU to the Postoperative Unit

A multinational study of pain management among Hispanics

Patients' Perception of Comfort Facilitators During Hemodialysis Procedure: A Qualitative Study

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