The Acute Pain Service in Australia

2000 ◽  
Vol 1 (1) ◽  
pp. 24-25
Author(s):  
Jill Day

Last November I was fortunate enough to be given the opportunity to visit the Royal Adelaide Hospital (RAH), South Australia. I had been invited by Dr Pam Macintyre who had spoken at the 1997 South Thames Acute Pain Conference. I spent two interesting weeks observing the Acute Pain Team to see how their service was managed.

Author(s):  
Anna Phillips ◽  
Kathy Stiller ◽  
Marie Williams

This study evaluated the standard of in-patient medical record documentation by physiotherapists at the Royal Adelaide Hospital (RAH), Adelaide, South Australia, during 2003. The impact of patient characteristics (ie primary diagnosis and length of stay in hospital) and physiotherapist features (eg employment classification level and years of employment at the RAH) on the standard of documentation was also explored. One hundred medical records were randomly selected for review and 224 physiotherapy entries were audited. The audit tool was based on the RAH Physiotherapy Department Guidelines for Documentation, which was comprised of five sections. Each section contained several items, which were scored as complete, incomplete, absent or not applicable. The total number of completed scores was calculated for each section of the audit form. A standard of 100 per cent completed was expected for the two sections containing those requirements considered mandatory according to the RAH Physiotherapy Department Guidelines, whereas a lower completion rate was considered acceptable for the remaining sections. The standard of documentation varied considerably, with only five items (4.3%) achieving a rate of 100 per cent completion, namely ‘date’, ‘heading physiotherapy’, ‘signature’, ‘page includes patient details’ and ‘after the first attendance’. In total, 94 items (81.7%) were at least 50 per cent completed, which was considered a reasonable overall standard. The patient diagnosis was the only patient or physiotherapist characteristic that significantly affected the standard of documentation (p = 0.03). While the overall standard of documentation was deemed acceptable, it was clear there was room for improvement.


2020 ◽  
Vol 31 (1) ◽  
pp. 10-19
Author(s):  
James Thompson ◽  
Matthew Baldock ◽  
Tori Lindsay

Motorcycle riders have a high risk of serious injury if they crash. To assist with identification of countermeasures, the present study examined records from the Royal Adelaide Hospital (RAH) in South Australia for 763 motorcyclists (including scooter riders) admitted between January 2008 and November 2010 and between April 2014 and December 2016. Records were linked with police-reported crash data and results of forensic blood tests for alcohol and drugs. When compared with 1617 car drivers admitted to the RAH over the same periods, motorcyclists were younger, were more commonly male, more likely to hold a learner permit, less likely to hold a provisional licence, less likely to be over the legal alcohol limit and less likely to be at-fault in multiple vehicle crashes. Their crashes were more likely to be single vehicle crashes (specifically roll over, left road – out of control and hit object/animal/pedestrian on road crashes) and were more common on weekends, during the afternoon, on sloping roads, on curved roads, on roads with speed limits of 50 and 80 km/h, during daylight hours, in dry weather and on dry roads. They had a higher severity of injury than car drivers, spent longer in hospital, and were more likely to sustain injuries to multiple body regions. Linear regression showed that older age, higher blood alcohol concentration and higher speed limit increased injury severity for motorcyclists. Based on present findings, motorcycling safety can be improved through countermeasures related to Graduated Licensing Systems, infrastructure, motorcycle technology and protective clothing.


Author(s):  
M J Pearcy ◽  
D W Howie

This paper outlines the main areas of bioengineering research in the Department of Orthopaedic Surgery and Trauma at the Royal Adelaide Hospital, South Australia.


2021 ◽  
pp. 136749352110147
Author(s):  
Elizabeth M. Forster ◽  
Catherine Kotzur ◽  
Julianne Richards ◽  
John Gilmour

Poorly managed post-operative pain remains an issue for paediatric patients. Post-discharge telephone follow-up is used by an Australian Nurse Practitioner Acute Pain Service (NpAPS) to provide access to effective pain management post-discharge from hospital. This cross-sectional survey design study aimed to determine the pain levels of children following discharge and parent views on participation in their child’s pain management and perceptions of support from the NpAPS. Parents completed the Parents’ Postoperative Pain Measure–Short Form (PPPM-SF) and factors affecting parents’ participation in children’s pain management questionnaire (FPMQ). Results indicated that pain score was high, especially on the day of discharge and 24 hours post-discharge. Parents, despite feeling supported by the NpAPS, experienced uncertainty, emotional responses and expressed concerns about communication and coordination of care. The clinically significant pain levels of the majority of children on the day of discharge and day post-discharge from hospital are a concern. Worry and uncertainty among parents, particularly on the day and first night of discharge, suggest this transition period where responsibility of clinical management of pain is handed over to parents may require greater focus for parental support.


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