Oligoanalgesia in Adult Colles Fracture Patients Admitted to the Emergency DepartmentReport as inadecuate




Oligoanalgesia in Adult Colles Fracture Patients Admitted to the Emergency Department - Download this document for free, or read online. Document in PDF available to download.

Colles fracture, Pain management, Oligoanalgesia

Pasiorowski, Ashley A

Supervisor and department: Dr. Karin Olson, Faculty of Nursing

Examining committee member and department: Dr. Lisa Cranley Faculty of Nursing Dr. Sunita Ghosh Oncology, Faculty of Medicine and Dentistry Dr. Karin Olson Faculty of Nursing Dr. Jude Spiers Faculty of Nursing Dr. Lynne Ray Faculty of Nursing

Department: Faculty of Nursing

Specialization: Aging

Date accepted: 2015-07-13T13:25:46Z

Graduation date: 2015-11

Degree: Master of Nursing

Degree level: Master's

Abstract: Pain is the most common reason that patients frequent the Emergency Department. Pain is a complex symptom to assess properly and according to research, it appears to be poorly managed in the Emergency Department. The majority of research has focused on the incidence of oligoanalgesia in large samples of patients with heterogeneous injuries. Pain management will differ depending on the type of injury a patient has sustained. The occurrence of oligoanalgesia in a homogeneous injury, such as Colles fracture, has yet to be explored. This is a pilot study using a retrospective chart review to determine the incidence of oligoanalgesia in adult Colles fracture patients admitted to two urban Emergency Departments in Western Canada. One hundred and fifty charts from site 1 and site 2 were analyzed from the last five years to determine the occurrence of oligoanalgesia. There was no statistical difference in age groups, who received analgesia, and females were more likely to receive analgesia, but this was not significant. Age and sex were not significantly associated with receipt of an opioid. Age and sex were significant predictors of pain assessment. Neither age nor sex were significant predictors of pain reassessment. Pain reassessment was only completed in 47% of patients who received an initial pain assessment, This was significant when compared to the best practice standard.

Language: English

DOI: doi:10.7939-R3PK0768C

Rights: Permission is hereby granted to the University of Alberta Libraries to reproduce single copies of this thesis and to lend or sell such copies for private, scholarly or scientific research purposes only. The author reserves all other publication and other rights in association with the copyright in the thesis and, except as herein before provided, neither the thesis nor any substantial portion thereof may be printed or otherwise reproduced in any material form whatsoever without the author's prior written permission.





Author: Pasiorowski, Ashley A

Source: https://era.library.ualberta.ca/


Teaser



Oligoanalgesia in Adult Colles Fracture Patients Admitted to the Emergency Department by Ashley Ann Pasiorowski A thesis submitted in partial fulfillment of the requirements for the degree of Master of Nursing in Aging Faculty of Nursing University of Alberta ©Ashley Pasiorowski, 2015   ii     Abstract Pain is the most common reason that patients frequent the Emergency Department.
Pain is a complex symptom to assess properly and according to research, it appears to be poorly managed in the Emergency Department.
The majority of research has focused on the incidence of oligoanalgesia in large samples of patients with heterogeneous injuries.
Pain management will differ depending on the type of injury a patient has sustained.
The occurrence of oligoanalgesia in a homogeneous injury, such as Colles fracture, has yet to be explored. This is a pilot study using a retrospective chart review to determine the incidence of oligoanalgesia in adult Colles fracture patients admitted to two urban Emergency Departments in Western Canada.
One hundred and fifty charts from site 1 and site 2 were analyzed from the last five years to determine the occurrence of oligoanalgesia.
There was no statistical difference in age groups, who received analgesia, and females were more likely to receive analgesia, but this was not significant.
Age and sex were not significantly associated with receipt of an opioid. Age and sex were significant predictors of pain assessment.
Neither age nor sex were significant predictors of pain reassessment.
Pain reassessment was only completed in 47% of patients who received an initial pain assessment, This was significant when compared to the best practice standard.             iii     Dedication This work is dedicated to the patients who suffer in pain and for those who may endure unrelieved pain in the future.
Also to the Emergency Department staff who work in a chaotic and unpredictable environment.
This th...





Related documents