Acute pain management and assessment: are guidelines being implemented in developing countries (Lebanon)

Zeitoun, Abeer; Dimassi, Hani; Chami, Bahija A.; Chamoun, Nibal

doi:10.1111/j.1365-2753.2012.01860.x

Cited by 10 publications

(9 citation statements)

References 11 publications

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“…Our study revealed that the majority of physicians rely on international guidelines or their own judgment when it comes to resources on pain management. This finding is in line with a recent study in the country describing the status of compliance with pain management guidelines and emphasizing the need for a national effort to standardize and structure pain care across hospitals [ 24 ]. Institutions could disseminate their hospital-based guidelines through grand rounds, workshops, seminars, and references provision to increase physicians' compliance with guidelines and ensure consistency in management.…”

Section: Discussionsupporting

confidence: 89%

Physicians’ Attitudes to Clinical Pain Management and Education: Survey from a Middle Eastern Country

Nasser

Nassif

Saad

2016

Pain Research and Management

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Despite promising initiatives to advance the practice of pain management in Middle Eastern countries, their pain care lags behind developed countries. The objectives of this study are to evaluate physicians' assessment of their own competency in pain management, to assess physicians' practice related to pain management, and to identify physician-related barriers to effective pain control. A cross-sectional survey was conducted in 3 teaching medical centers in Lebanon targeting the above-mentioned outcomes and assessing the impact of physicians' years in practice on the studied end-points. A total of 69 physicians were surveyed. Fifty-seven percent reported “very good to excellent” pain management skills; only 25% of them described the need for continuing professional development. When treating patients with pain, 52% of physicians refer to updated international guidelines, whereas 43% rely on their own judgment. Physicians were more likely to consult with another physician (65%) rather than a pharmacist (12%) when treating patients with pain. Fear of adverse effects of analgesics was the most commonly reported barrier (45%) to pain control among physicians from different career stages. Based on these survey findings, national pain management and practice policies are needed to optimize this area of deficiency in patient care.

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Section: Discussionsupporting

confidence: 89%

Physicians’ Attitudes to Clinical Pain Management and Education: Survey from a Middle Eastern Country

Nasser

Nassif

Saad

2016

Pain Research and Management

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“…When compared to Zeitoun et al , it was shown that 49.1% of the patients who were interviewed were undertreated based on the subjective pain scales they were provided, which deprived them from proper treatment. 19 Moreover, in the study conducted by Ramia et al , documentation of pain was not consistently done for the majority of patients. 15 …”

Section: Discussionmentioning

confidence: 98%

Pain management in hospitals: patients’ satisfaction and related barriers

Tawil¹,

Iskandar²,

Salameh³

2018

Pharm Pract (Granada)

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Background:Suboptimal pain control has been frequently reported in healthcare settings and documented to negatively impact patients’ health. Patients’ perception regarding pain management may influence their satisfaction regarding treatment.Objectives:This study focuses on the assessment of patients’ satisfaction regarding pain therapy and defining patient-related barriers for its implication.Methods:A cross-sectional study was conducted in two tertiary care hospitals from April till July 2017. A face-to face interview questionnaire was filled regarding pain scores and patients’ attitudes regarding pain management. Both medical and post-surgical adult patients with all types of pain were eligible to participate. A descriptive analysis of patient satisfaction and perceptions regarding pain management was done.Results:Results from 183 participants with a mean age of 49 (SD=17.33) revealed that pain was their main reason for hospitalization (71.6% of the cases). Numeric pain scores were recorded only in 14.2% of the patient medical files. Pain intensity documentation by healthcare professionals was found in 41.5% of the cases, and 7.7% of the patients had to wait for more than 30 minutes before getting the pain medication. Around 85% of the patients were satisfied with their pain management. Patients’ barriers to effective pain therapy were mainly fear of adverse effects, addiction, and additional costs (p<0.05).Conclusions:Pain remains a prevalent problem that requires more efforts for improvement. Our study can effectively serve as a start for larger studies where barriers to pain management can be assessed as an independent variable affecting pain management practice.

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“…9 Some papers propose possible ways of intervention to decrease the variability in the prescription of antiemetic prophylaxis including: dissemination of updated clinical practice guidelines, interdisciplinary committees, educational outreach visits by opinion leaders, standardized antiemetic protocols included in order forms (or a computerised decision-support system), pharmacist validation and, the most effective one, providing feedback to clinicians on the CINV patient's response. 8–10,23–25…”

Section: Discussionmentioning

confidence: 99%

Adherence to antiemetic guidelines and control of chemotherapy-induced nausea and vomiting (CINV) in a large hospital

Caracuel

Muñoz

Baños

et al. 2014

J Oncol Pharm Pract

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Acute pain management and assessment: are guidelines being implemented in developing countries (Lebanon)

Abstract: This study reflects the lack of a well-structured system for pain management in Lebanese hospitals. It underlines the need for pain research in the region. It also highlights the need for implementing the recommendations discussed to minimize risk and optimize pain management.

Cited by 10 publications

References 11 publications

Physicians’ Attitudes to Clinical Pain Management and Education: Survey from a Middle Eastern Country

Physicians’ Attitudes to Clinical Pain Management and Education: Survey from a Middle Eastern Country

Pain management in hospitals: patients’ satisfaction and related barriers

Adherence to antiemetic guidelines and control of chemotherapy-induced nausea and vomiting (CINV) in a large hospital

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