Medical-Surgical Patients’ and Registered Nurses’ Satisfaction and Comprehensiveness of Patient Assessment Using the Clinically Aligned Pain Assessment Tool

Pain is a medical and nursing problem that is common in surgical departments. Inadequate pain management can lead to patient distress, as well as extending the period in which the patient’s quality of life is reduced. The standardized SF-MPQ-2 questionnaire provides nurses with the opportunity to assess pain within a broader context. The aim of this descriptive and exploratory study was to describe the state of pain assessment in surgical patients in the South Bohemian Region and to highlight the benefits of using a standardized tool for proper pain assessment. The research was carried out using a quantitative survey within the South Bohemian Region (Czech Republic). The participants in the study were nurses working in surgical departments in hospitals in the region as well as hospitalized patients. The results show that nurses pay slightly more attention to pain assessments than doctors. We know that, generally, pain decreases with time after surgery. Nonetheless, returning pain, as well as continuous pain, can occur, both of which have an emotional component. The results of this study are directed at nurses and include a call for more effective pain management through improved assessment.

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Creating Standardized Tools for the Pharmacist-Led Assessment and Pharmacologic Management of Adult Canadians Wishing to Quit Smoking: A Consensus-Based Approach

Pharmacy ◽

10.3390/pharmacy9020080 ◽

2021 ◽

Vol 9 (2) ◽

pp. 80

Author(s):

Kristi Butt ◽

Nardine Nakhla

Keyword(s):

Smoking Cessation ◽

Assessment Tool ◽

Treatment Plan ◽

Treatment Algorithm ◽

Vital Role ◽

Patient Assessment ◽

Stop Smoking ◽

Patient Consent ◽

Pharmacologic Management ◽

Documentation Form

Tobacco use continues to be recognized as the single most preventable cause of death worldwide. As the gatekeepers of and experts on pharmacotherapy, pharmacists play a vital role in facilitating smoking cessation. While existing frameworks have enabled pharmacists to provide smoking cessation services in Canada for many years, the way in which they are delivered vary considerably across the nation. The purpose of this initiative was to create standardized tools for the pharmacists providing cessation services to ensure all Canadians wishing to stop smoking have equal access to consistent, evidence-based care. An iterative process using repeated rounds of voting was employed to establish consensus among key opinion leaders on the most important items to include in tools for the pharmacist-led assessment and pharmacologic management of Canadian adults wishing to stop smoking. The results were used to create eight standardized documents for national use by pharmacists: a readiness to quit assessment tool, a patient consent form, a patient assessment form for past users of tobacco and/or tobacco-like products, a patient assessment form for current users of tobacco and/or tobacco-like products, a treatment algorithm, a treatment plan summary form, a prescribing documentation form, and a follow-up & monitoring documentation form. Although not described in detail in these documents, other strategies for smoking cessation (e.g., non-pharmacologic strategies (including quitting “cold turkey” and behavioural interventions), harm reduction strategies, etc.) should be considered when pharmacotherapy is inappropriate or undesired; care should be individualized based on a patient’s previous experiences and current motivation. No single approach to treatment is endorsed by the authors. The consensus-based approach described here provides a suggested framework for harmonizing the pharmacist-led management of other ailments to optimize patient care.

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R6. Patient and Nurse Satisfaction and Comprehensiveness of Patient Assessment Using the Clinically Aligned Pain Assessment

Pain Management Nursing ◽

10.1016/j.pmn.2021.02.055 ◽

2021 ◽

Vol 22 (2) ◽

pp. 241-242

Author(s):

Chris McDaniel ◽

Meleah Puckett ◽

Allison Caspersen ◽

Brittany Hall

Keyword(s):

Pain Assessment ◽

Patient Assessment ◽

Nurse Satisfaction

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Continuous mixed venous oxygen saturation monitoring as a patient assessment tool

Confederation of Australian Critical Care Nurses Journal ◽

10.1016/s1033-3355(11)80081-0 ◽

1991 ◽

Vol 4 (1) ◽

pp. 22-26

Author(s):

Bob Ribbons

Keyword(s):

Oxygen Saturation ◽

Assessment Tool ◽

Mixed Venous Oxygen Saturation ◽

Patient Assessment ◽

Venous Oxygen Saturation ◽

Mixed Venous

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Bleeding after surgery and application bleeding assessment tool to surgical patients in Hanoi Medicine University Hospital

Tạp chí Sinh lý học Việt Nam ◽

10.54928/vjp.v25i2.17 ◽

2021 ◽

Vol 25 (2) ◽

pp. 94-101

Author(s):

Thi Minh Khue Nguyen ◽

Quang Tung Nguyen

Keyword(s):

Predictive Value ◽

Assessment Tool ◽

Bleeding Risk ◽

University Hospital ◽

Surgical Patients ◽

Risk Of Bleeding ◽

Patients At Risk ◽

Abnormal Bleeding ◽

Medical University ◽

Bleeding History

Objectives: Describe bleeding characteristics and evaluate the correlation between surgical-related bleeding and bleeding risk according by ISTH – BATs. Methods: Research was conducted on 340 surgical patients at Hanoi Medical University Hospital. Results: The percentage of patients with bleeding during and after surgery is 13.5%. The proportion of patients at risk of bleeding according to BATs is 1.8%. There was a correlation between bleeding risk according to ISTH - BAT with bleeding status during and after surgery with p = 0.004. The positive predictive value of ISTH - BATs is 66.7%, negative predictive value is 87.4%, the sensitivity is 8.7%, the specificity is 99.3%. Conclusions: Surgery has a high risk of abnormal bleeding. Bleeding history has important implications in assessing bleeding risk during and after surgery. The ISTH - BATs is a bleeding history assessment tool that can be used to assess the risk of bleeding before surgery.

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PO-0900 Translation Comfortneo – A Pain Assessment Tool

Archives of Disease in Childhood ◽

10.1136/archdischild-2014-307384.1523 ◽

2014 ◽

Vol 99 (Suppl 2) ◽

pp. A545.2-A545

Author(s):

R Stenkjaer ◽

M Andersen ◽

M Scheutz ◽

Y Hundrup

Keyword(s):

Pain Assessment ◽

Assessment Tool

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Prospective Study Evaluating a Pain Assessment Tool in a Postoperative Environment: Protocol for Algorithm Testing and Enhancement (Preprint)

10.2196/preprints.17783 ◽

2020 ◽

Author(s):

Emad Kasaeyan Naeini ◽

Mingzhe Jiang ◽

Elise Syrjälä ◽

Michael-David Calderon ◽

Riitta Mieronkoski ◽

...

Keyword(s):

Electrical Activity ◽

Pain Assessment ◽

Assessment Tool ◽

Elective Surgery ◽

Electrodermal Activity ◽

Vital Signs ◽

Assessment Tools ◽

Second Phase ◽

Moderate Pain ◽

Management Interventions

BACKGROUND Assessment of pain is critical to its optimal treatment. There is a high demand for accurate objective pain assessment for effectively optimizing pain management interventions. However, pain is a multivalent, dynamic, and ambiguous phenomenon that is difficult to quantify, particularly when the patient’s ability to communicate is limited. The criterion standard of pain intensity assessment is self-reporting. However, this unidimensional model is disparaged for its oversimplification and limited applicability in several vulnerable patient populations. Researchers have attempted to develop objective pain assessment tools through analysis of physiological pain indicators, such as electrocardiography, electromyography, photoplethysmography, and electrodermal activity. However, pain assessment by using only these signals can be unreliable, as various other factors alter these vital signs and the adaptation of vital signs to pain stimulation varies from person to person. Objective pain assessment using behavioral signs such as facial expressions has recently gained attention. OBJECTIVE Our objective is to further the development and research of a pain assessment tool for use with patients who are likely experiencing mild to moderate pain. We will collect observational data through wearable technologies, measuring facial electromyography, electrocardiography, photoplethysmography, and electrodermal activity. METHODS This protocol focuses on the second phase of a larger study of multimodal signal acquisition through facial muscle electrical activity, cardiac electrical activity, and electrodermal activity as indicators of pain and for building predictive models. We used state-of-the-art standard sensors to measure bioelectrical electromyographic signals and changes in heart rate, respiratory rate, and oxygen saturation. Based on the results, we further developed the pain assessment tool and reconstituted it with modern wearable sensors, devices, and algorithms. In this second phase, we will test the smart pain assessment tool in communicative patients after elective surgery in the recovery room. RESULTS Our human research protections application for institutional review board review was approved for this part of the study. We expect to have the pain assessment tool developed and available for further research in early 2021. Preliminary results will be ready for publication during fall 2020. CONCLUSIONS This study will help to further the development of and research on an objective pain assessment tool for monitoring patients likely experiencing mild to moderate pain. INTERNATIONAL REGISTERED REPORT DERR1-10.2196/17783

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Improving the Quality of Care for Acute Pain Management in Recovery Room at the Georgetown Public Hospital Corporation

Journal of Advances in Medicine and Medical Research ◽

10.9734/jammr/2019/v30i1230258 ◽

2019 ◽

pp. 13-14

Author(s):

Dorette Husbands-Anderson ◽

Jennifer Szerb ◽

Alexandra Harvey

Keyword(s):

Pain Management ◽

Pain Assessment ◽

Health Care Professionals ◽

Assessment Tool ◽

Standards Of Care ◽

Average Dose ◽

Management Intervention ◽

Pain Medications ◽

Post Operative Pain ◽

Pain Intervention

Objectives: To observe the method of pain assessment and pain management intervention performed by nurses in the PACU. Methods and Design: A QI prospective observational study was conducted to observe nurse’s pain assessment and management of thirty (30) patients from the time of PACU admission to discharge. The sample size was determined using the sealed envelope power calculator. Data Collection Included: patients demographics, the method and frequency of pain assessments as well as modalities of the pain intervention and the type and average dose of pain medications administered by PACU nurses. Data analysis was done using Microsoft excel. Results: No validated pain assessment tool was used in the PACU. The majority of patients 67%, n=20) had no pain assessments or pain interventions. When performed, the frequency of pain assessments recorded were low, 70% of patients had 1-2 assessments. The principal pain management intervention was pharmacological with the use of opioids, accounting for 96%. Conclusion: Post-operative pain management in the PACU at GPHC does not meet accepted standards of care. More frequent nursing pain assessment using a validated pain assessment tool is required. Monotherapy with the opioid was the main pain intervention for pain management. Recommendations: Effective pain management begins with the appropriate pain assessment; therefore pain management education programs for health care professionals are essential. Also, the implementation of a standardized pain assessment tool, a standardized post anesthetic order sheet with a multimodal approach to pain management and restructuring the post-anesthetic record to allow for documentation of pain assessment will greatly improve pain management in the PACU.

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