Recent developments in the control of surgical wound pain

Pediani, Ramon

doi:10.12968/jowc.1994.3.8.394

Cited by 3 publications

(1 citation statement)

References 17 publications

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“…Impaired mobility can decrease effective vascular circulation by prohibiting the function, endurance, and power of the calf muscle pump. In turn, this may hinder tissue perfusion, thus depleting the wound of vital oxygen and nutrients necessary for wound healing …”

Section: Introductionmentioning

confidence: 99%

Assessment of pain in chronic wounds: A survey of Australian health care practitioners

Frescos

2018

International Wound Journal

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Pain associated with chronic wounds can delay wound healing, affects quality of life, and has a major impact on physical, emotional, and cognitive function. However, wound-related pain is often under-assessed and may therefore be suboptimally managed. The aim of this study was to describe the assessment practices used to assess chronic wound pain by health practitioners in Australia. A structured self-administered questionnaire was posted to members of an Australian national wound care organisation, whose membership represents various health practitioners involved in wound management. A total of 1190 (53%) members completed the survey. Overall, wound pain assessment was most commonly conducted at every consultation or wound dressing change (n = 718/1173, 61%). Nurses were more likely to assess wound-related pain before, during, and after the wound dressing procedures compared with other health care practitioners. In contrast, podiatrists assessed wound pain only when the patient complained about the pain. The most common assessment method was simply talking to the patient (n = 1005/1180, 85%). Two-thirds of practitioners used a validated pain assessment tool. The most commonly used tool was the numerical analogue scale (n = 524/1175, 46%). In summary, these findings suggest that there is no consistent method for the assessment of wound-related pain, and there are substantial variations in how and when wound-related pain is assessed between different professions.

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Section: Introductionmentioning

confidence: 99%

Assessment of pain in chronic wounds: A survey of Australian health care practitioners

Frescos

2018

International Wound Journal

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Painful Dressings

Williams¹

1996

Journal of Tissue Viability

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Surgical wound pain: a trial of two treatments

Briggs

1996

J Wound Care

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In order to compare postoperative incisional pain intensity, a prospective randomised controlled trial was conducted with two patient groups: a treatment group (treated with a film dressing left intact until suture removal) and a control group (treated with the existing wound-care protocol of a dry dressing removed after 48 hours). Patient-controlled analgesia consumption and infection rates in the two groups were also compared. A sample of 30 patients undergoing total abdominal hysterectomy was selected. Incisional wound pain, measured using a visual analogue scale (at rest, on movement and a 24-hour average) and the McGill Pain Questionnaire were recorded daily until discharge (four days). The pain scores were not significantly different between the groups on Days 1 or 2 postoperatively. However, on Day 3 (when the wounds in the dry dressing group were exposed), there was a statistically significant difference in 24-hour average pain. Those whose wounds were covered with the film dressing experienced less pain and requested fewer non-steroidal anti-inflammatory drugs on Day 3. Maintaining a cover over a surgical wound until suture removal appears to promote pain relief when compared to exposing wounds to the air. A film dressing was useful in this respect as it allowed inspection of the wound without removing the dressing.

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Recent developments in the control of surgical wound pain

Abstract: A review of new techniques for managing acute pain.

Cited by 3 publications

References 17 publications

Assessment of pain in chronic wounds: A survey of Australian health care practitioners

Assessment of pain in chronic wounds: A survey of Australian health care practitioners

Painful Dressings

Surgical wound pain: a trial of two treatments

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