The Pain Experience of Inpatients in a Teaching Hospital: Revisiting a Strategic Priority

Estudio de prescripción de analgésicos opioides en un hospital de la Comunidad de Madrid

“…Numerosos estudios demuestran que la prevalencia del dolor en adultos hospitalizados sigue teniendo cifras elevadas, estimándose que entre el 54,7 y el 70,4 % de los pacientes hospitalizados presentan dolor (4,11). Algunos estudios atribuyen esta alta prevalencia del dolor al tratamiento analgésico inadecuado y al escaso uso de escalas de valoración de dolor, así como a la falta de su registro en las historias clínicas (12).…”

Pain: A content review of undergraduate pre-registration nurse education in the United Kingdom

“…If the intention of nursing is to provide compassionate care and promote the relief of suffering, the assessment and management of people in pain should be an absolute priority (Akinsanya 1985. Lisson 1987, Plaisance and Logan 2006, Jabusch et al 2015, Chow and Chan 2015. Aside from professional values and attributes as human beings, nurses are in an ideal position to sympathise and empathise with people in pain at a fundamental humanitarian level, and the failure of nurse education to recognise this basic yet essential component of care is at the very least negligent.…”

“…However highlighting the issue appears insufficient to trigger change as most recent figures for unacceptable levels of pain experienced by patients seem little changed (Paulose and Hertz 2008, Goldberg and McGee 2011, Jabusch et al 2015.…”

“…Chronic pain effects around 20% of the adult population in Europe (van Hecke et al 2013) with chronic lower back pain alone identified as one of the top 10 diseases in the Global Burden of Disease Study (2010) and accounting the for highest number of Disability Adjusted Lost years (DALYS) globally (Murry et al 2012, World Health Organisation 2013. Incidence of acute pain prevalence across a range of conditions in inpatient settings also remains high (Ogboli-Nwasor et al 2012, Jabusch et al 2015, with estimates of 40-65% of inpatients reporting moderate to severe "worst pain. "…”

“…However numerous studies consistently demonstrate that patients continue to suffer unnecessary pain; that pain is poorly assessed and managed and is a low nursing priority (Dihle et al 2006, Clabo 2008, Mackintosh-Franklin 2014Jabusch et al 2015. Lack of knowledge and understanding has been identified as a key contributory factor (Twycross 2007, Al-Khawaldeh 2013, Krokmyrdal and Andenaes 2015, Chow and Chan 2015 and this has frequently been linked to failings in educational preparation (Twycross 2000, Shaw and Lee 2010, Duke et al 2013.…”