Postoperative pain assessment tools in day surgery: literature review

2004 ◽  
Vol 46 (2) ◽  
pp. 124-133 ◽  
Author(s):  
Anne Marie Coll ◽  
Jamal R.M. Ameen ◽  
Donna Mead
Keyword(s):  
Postoperative Pain ◽  
Literature Review ◽  
Pain Assessment ◽  
Day Surgery ◽  
Assessment Tools

scholarly journals LITERATURE REVIEW: PAIN ASSESSMENT TOOLS IN CRITICALLY ILL ADULT PATIENTS WITH VENTILATOR

2016 ◽  
Vol 2 (2) ◽  
pp. 13
Author(s):  
INDAH SRI WAHYUNINGSIH
Keyword(s):  
Literature Review ◽  
Critically Ill ◽  
Sensitivity And Specificity ◽  
Pain Assessment ◽  
Adult Patients ◽  
Assessment Tools ◽  
Self Report ◽  
Validity And Reliability ◽  
Keywords Pain ◽  
Google Search

Critically ill adult patients with a ventilator in intensive care often receive treatment that causes pain. Pain is a symptom that often occurs in critically ill adult patients with ventilator and it is very individual. Pain assessment in critically ill patients with the ventilator is needed because of the patient unable to self-report of pain. Pain assessments critically ill adult patients have been developed. However, there is no valid and reliable instrument to assess pain. The objectives of the literature review are to identify the instruments of pain assessment in patients with ventilator. The method of literature was performed through seeking publication of articles in MEDLINE, Google Search, PubMed, and Proquest with keywords pain assessment, tool, critical care, adult, critically ill, unconscious and ventilator. Literatures were undertaken from 2000-2015 with a cross-sectional study design, before and after studies and observational study. The results of the study according to the characteristics of the research was found five pain assessment instruments, they were NVPS, P.A.I.N, Comfort scale, BPS and CPOT. The validity and reliability CPOT is highest among others. All instruments had been measured its validity and reliability, but it had never tested its sensitivity and specificity. So, more researches should be conducted related to the sensitivity and specificity of all the instruments of pain in critically ill adult patients with a ventilator.�Keywords : Pain assessment, critically ill, adult, ventilator.

CRIES: A Neonatal Postoperative Pain Measurement Score

2018 ◽  
pp. 263-267
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Pain Assessment ◽  
Reliable Method ◽  
Assessment Tool ◽  
Assessment Tools ◽  
Neonatal Pain ◽  
Reliable Assessment ◽  
Assessment And Treatment ◽  
Neonatal Population

This case focuses on neonatal pain management by asking the question: Is the CRIES score a valid and reliable method for assessing neonatal postoperative pain? Regular pain assessment and treatment in the neonatal population are important postoperatively. The CRIES scale was designed to measure pain in the neonatal population, and this study demonstrated CRIES to be a valid and reliable assessment tool for identifying postsurgical pain in neonates. Multiple pain assessment tools, including CRIES, are available for use in neonatal patients and in patient populations who are otherwise unable to verbalize discomfort.

Postoperative pain documentation in a hospital setting: A topical review

2016 ◽  
Vol 11 (1) ◽  
pp. 77-89 ◽  
Author(s):  
Kristiina Heikkilä ◽  
Laura-Maria Peltonen ◽  
Sanna Salanterä
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Pain Assessment ◽  
Hospital Setting ◽  
Postoperative Pain Management ◽  
Assessment Tools ◽  
Cochrane Library ◽  
Topical Review ◽  
Pain Documentation

AbstractBackground and aimsNursing documentation supports continuity of care and provides important means of communication among clinicians. The aim of this topical review was to evaluate the published empirical studies on postoperative pain documentation in a hospital setting.MethodsThe review was conducted through a systematic search of electronic databases: Web of Science, PubMed/Medline, CINAHL, Embase, Ovid/Medline, Scopus and Cochrane Library. Ten studies were included. Study designs, documented postoperative pain information, quality of pain documentation, reported quality of postoperative pain management and documentation, and suggestions for future research and practice improvements were extracted from the studies.ResultsThe most commonly used study design was a descriptive retrospective patient record review. The most commonly reported types of information were pain assessment, use of pain assessment tools, useof pain management interventions, reassessment, types of analgesics used, demographic information and pain intensity. All ten studies reported that the quality of postoperative pain documentation does not meet acceptable standards and that there is a need for improvement. The studies found that organization of regular pain management education for nurses is important for the future.ConclusionsPostoperative pain documentation needs to beimproved. Regular educational programmes and development of monitoring systems for systematic evaluation of pain documentation are needed. Guidelines and recommendations should be based on the latest research evidence, and systematically implemented into practice.ImplicationsComprehensive auditing tools for evaluation of pain documentation can make quality assessment easier and coherent. Specific and clear documentation guidelines are needed and existing guidelines should be better implemented into practice. There is a need to increase nurses’ knowledge of postoperative pain management, assessment and documentation. Studies evaluating effectiveness of high quality pain documentation are required.

scholarly journals Post-operative Paediatric Pain Assessment and Management at a Tertiary Health Facility, Southern Nigeria: Surgeons’ Perspectives and Practice

2020 ◽  
pp. 35-42
Author(s):  
G. K. Eke ◽  
P. E. Okoro
Keyword(s):  
Postoperative Pain ◽  
Health Facility ◽  
Postoperative Analgesia ◽  
Pain Assessment ◽  
Opioid Analgesics ◽  
Postoperative Pain Management ◽  
Assessment Tools ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Southern Nigeria

Introduction: Whereas advances in perioperative care of children continue to be made with increasing evidence-based practice for postoperative analgesia, inadequate relief of postoperative pain resulting in significant morbidity and mortality is still being reported. Objective: To appraise surgeons' perspectives and practice of paediatric post-operative pain assessment and management at a tertiary health facility in southern Nigeria. Methods: In this cross-sectional survey carried out between September and December 2019, a semi-structured and self-administered questionnaire was distributed to surgeons/trainees in departments/units where paediatric patients undergo both major and minor surgeries. Their perspectives and practice of postoperative pain assessment and management were analysed using SPSS version 20.0. Results: Seventy-nine respondents completed the survey, including 19(24%) consultants, 32(40.5%) senior registrars, and 22(27.9%) junior registrars. Two-third of respondents (n=51, 64.6%) had more than 10 years working experience post-graduation. Involving parents/caregivers to assess postoperative pain was the most common strategy used by respondents (n=69, 87.3%), and most of them (n=67, 84.8%) do not make use of any pain assessment tools.  Non-pharmacologic strategies for postoperative pain management were applied/prescribed sometimes (n=20, 25%) or rarely (n=20, 25%). Paracetamol and NSAIDs were the commonest non-opioid analgesics used while pentazocine was the commonly used opioid. Many respondents (n=66, 83.5%) had never prescribed morphine for postoperative analgesia in children. Seventeen percent of respondents do not prescribe postoperative analgesia to newborns. Conclusion: Findings of this study show that the practice in our institution falls short of the recommended multimodal approach to paediatric postoperative pain care. Development of standard protocols and training of providers of postoperative care are recommended.

scholarly journals Congruence between nurses' and patients' assessment of postoperative pain: a literature review

2020 ◽  
Vol 29 (4) ◽  
pp. 212-220
Author(s):  
Sarah Wooldridge ◽  
Jonathan Branney
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Literature Review ◽  
Pain Assessment ◽  
Educational Interventions ◽  
Inclusion Criteria ◽  
Negative Attitudes ◽  
Quasi Experimental ◽  
Education Interventions ◽  
Randomised Controlled

Postoperative pain remains poorly managed for many patients. Effective pain management begins with accurate pain assessment, with patient self-reporting considered the most accurate measure of pain. This literature review aimed to identify how congruent nurses' assessments of pain were with patients' self-reporting. A search identified six observational studies and one quasi-experimental study that met the inclusion criteria. The findings from these studies were summarised under two themes: nurses' underestimation of patients' pain and nurses' knowledge and understanding of pain assessment. Some nurses' pain management knowledge was deemed inadequate, with evidence of negative attitudes towards managing pain in certain groups of patients. Educational interventions have so far had limited impact on correcting the ethical and professional problem of inadequate pain relief in many patients postoperatively. Randomised controlled trials are required to identify effective education interventions that can contribute to ending this avoidable suffering.

scholarly journals O39 Unidimensional and functional pain assessment tools in postoperative adult patients: a systematic review of their development and utility

2021 ◽  
Vol 108 (Supplement_5) ◽  
Author(s):  
R M Baamer ◽  
A Iqbal ◽  
D N Lobo ◽  
R D Knaggs ◽  
N A Levy ◽  
...  
Keyword(s):  
Measurement Error ◽  
Postoperative Pain ◽  
Pain Assessment ◽  
Rating Scale ◽  
Assessment Tools ◽  
Measurement Properties ◽  
Health Measurement ◽  
Functional Pain ◽  
The Impact ◽  
Quality Evidence

Abstract Introduction The Visual Analogue Scale (VAS), Numeric Rating Scale (NRS), Verbal descriptor scale, and faces pain scale are used to measure postoperative pain in adults. However, their utility in this population has not been reviewed systematically. We aimed to summarise and appraise the evidence relating to the measurement properties of unidimensional tools when used for this population and to identify available tools assessing the impact of pain on the restoration of function. Method Four databases (MEDLINE, EMBASE, CINAHL, PsycINFO) were searched up to August 2020 for relevant studies. Two reviewers independently screened articles and assessed risk of bias using the COensus-based Standards for the selection of health Measurement Instruments (COSMIN) checklist. Result Thirty-one studies were included. Only one study included an objective pain score; a tool assessing pain interference with function and reported low-quality evidence for construct validity. Studies looked at unidimensional tools were underpinned by low or very low-quality evidence for reliability, and all displayed a low quality of evidence of indeterminate responsiveness. Measurement error was only reported for VAS in one study of moderate quality. Interpretability results were available only for VAS and NRS. Feasibility results varied based on the included population. Conclusion Despite the extensive use of unidimensional tools, there is no evidence to suggest that any of these tools has superior measurement properties for postoperative pain. Therefore, future studies should be prioritised to assess their validity, measurement error and responsiveness. Validation studies of pain assessment tools that promote function are needed. Take-home Message Take home message: Functional pain scores should be assessed and validated for postoperative pain.

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