A Standardized Pain Management Protocol Improves Timeliness of Analgesia Among Emergency Department Patients With Renal Colic

2011 ◽  
Vol 20 (1) ◽  
pp. 30-36 ◽  
Author(s):  
Peter L. Steinberg ◽  
Ajay K. Nangia ◽  
Kevin Curtis
Keyword(s):  
Emergency Department ◽  
Pain Management ◽  
Renal Colic ◽  
Management Protocol ◽  
Emergency Department Patients

scholarly journals Assessment of the implementation of a nurse-initiated pain management protocol in the emergency department

2021 ◽  
Vol 74 (3) ◽  
Author(s):  
Marcia Boessio dos Santos ◽  
Cristiana Maria Toscano ◽  
Ruth Ester Assayag Batista ◽  
Elena Bohomol
Keyword(s):  
Emergency Department ◽  
Cohort Study ◽  
Pain Management ◽  
Intervention Group ◽  
Pain Medication ◽  
Pain Level ◽  
Protocol Adherence ◽  
Management Protocol ◽  
Emergency Department Patients ◽  
Analgesic Administration

ABSTRACT Objectives: to assess the implementation of a nurse-initiated pain management protocol for patients triaged as semi-urgent, and its impact in pain intensity, in the Emergency Department. Methods: a prospective cohort study for adult patients with pain who had been triaged as semi-urgent and admitted to the hospital’s Emergency Department. Patients who received the intervention (pain-management protocol with analgesic administration) were compared to those who were managed using the conventional approach (physician evaluation prior to analgesic administration). Results: of the 185 patients included, 55 (30%) received the intervention, and 130 (70%) were managed conventionally. Patients in the intervention group were more likely to have taken pain medication in the 4 hours prior to admission, and reported higher levels of pain at admission and more significant reductions in pain level. Conclusions: despite low protocol adherence, the intervention resulted in higher reported pain relief.

scholarly journals Acute Pain Assessment Inadequacy in the Emergency Department: Patients’ Perspective

2022 ◽  
Vol 9 ◽  
pp. 237437352110496
Author(s):  
Jenni Hämäläinen ◽  
Tarja Kvist ◽  
Päivi Kankkunen
Keyword(s):  
Emergency Department ◽  
Pain Management ◽  
Acute Pain ◽  
Pain Assessment ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Numerical Rating ◽  
Emergency Department Patients ◽  
Pain At Rest ◽  
Patients Perspective

For many patients, acute pain is a common cause to seek treatment in an Emergency Department (ED). An inadequate assessment could cause inappropriate pain management. The aim of this study was to describe and explain patients’ perceptions of acute pain assessment in the Emergency Department. The data were collected from ED patients (n = 114). Patients reported that nurses were asking about intensity of pain at rest, but only 52% during movement. According to the patients, the most common tools to assess acute pain were the verbal rating scale (VRS; 54% of patients), numerical rating scale (NRS; 28% of patients), and visual analogue scale (VAS; 9.7% of patients). Over twenty per cent of patients stated that ED nurses did not ask about the intensity of pain after analgesic administration. Twenty-four per cent of the patients were not pleased with nursing pain assessment in the ED. The assessment of acute pain is still inadequate in the ED. Therefore, ED nurses need to be more attentive to systematic acute pain management of patients in the ED.

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