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A prospective audit project into the adequacy of pain assessment in the medical and surgical wards in a North London District General Hospital

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Abstract
Background: Accurate assessment of pain is associated with improved pain management, which can
lead to better patient outcomes. It has been recommended that all patients have their pain assessed and
the scores documented as the ‘fifth vital sign’.
Method: All inpatients in the medical and surgical wards in our hospital were asked directly to score
their pain according to the hospital-wide scoring system. Their observation charts and drug charts were
then reviewed in order to determine the accuracy of documented pain assessments and the subsequent
analgesic management.
Results: Of the 208 patients reviewed, 20 (15%) patients on medical wards and 26 (38%) patients on
surgical wards were in moderate to severe pain. Documentation of pain scores was not universal, with
29 (14%) patients having no score documented with their last set of observations. Of those with a score
recorded, it was not found to correlate with the scores reported on direct questioning in 41% of medical
patients and 71% of surgical patients. Provision of analgesia was also found to differ between medical
and surgical wards.
Discussion: The care of pain in the wards falls below the standards set by the Royal College of Anaesthetists.
It is necessary to undertake a programme of education to increase awareness of the problem and
to improve assessment and management to enhance the patient experience.

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Ketersediaan

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Informasi Detail

Judul Seri

Pain

No. Panggil

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Penerbit

: SAGE, British Journal of Pain., 2013

Deskripsi Fisik

British Journal of Pain 2014, Vol 8(2) 78– 83 © The British Pain Society 2013

Bahasa

English

ISBN/ISSN

DOI: 10.1177/2049463

Klasifikasi

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Tipe Isi

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Tipe Media

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Tipe Pembawa

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Edisi

(2013), Vol 8(2)

Subjek

Pain

Info Detail Spesifik

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Pernyataan Tanggungjawab

deliza

Versi lain/terkait

Lampiran Berkas

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