Intensidade da dor e adequação de analgesia

Abstract

An unprecedented study in Brazil analyzed pain intensity and adequacy of analgesia at an emergency center. One hundred accident victims attended at a trauma reference hospital were evaluated. Pain was present in 90% of cases; 56.0% complained of severe pain on first evaluation and, three hours later, 26.0% remained in severe pain and 38.0% in moderate pain. A significant portion of the study population did not receive analgesia during the observation period. Considerable numbers of inadequate analgesia were found, confirming the reduced importance of analgesia in trauma in Brazil.

Avaliação da dor em pós-operatório de cirurgia cardíaca

“…The Verbal Numerical Scale, ranging from 0 to 10 and where 0 means absence of pain and 10, the worst pain ever felt, was used to quantify this symptom. The intensity of pain was then classified in: without pain (0), mild pain (1 to 4), moderate pain (5 to 7) and intense pain (8 to 10) (10) .…”

Avaliação da dor como quinto sinal vital: opinião de profissionais de enfermagem

“…Studies show the importance of pain assessment with the other vital signs and that the culture of professionals directly affects their assessment of pain (1)(2)(5)(6)8,(10)(11) .…”

“…Pain is defined as an unpleasant sensorial and emotional experience, associated with real or potential harm of tissues, or described in terms of such harm (1)(2) .…”

“…Thus, graduated professionals do not use this knowledge in their daily practice. Despite these limitations, the implementation of a pain management program is extremely valuable, improving health care and the qualification of future professionals, in addition to dealing with patients in a more humanized way (1)(2)4) .…”

“…These records must include the place of painful event, the intensity, type, duration, improving and worsening factors, and the administration of analgesics or not (2) .…”