Standards of analgesic treatment versus hospital practice

Anna Lewandowska, Anna Misiąg, Tomasz Lewandowski, Barbara Laskowska

Abstract


Introduction: Pain remedying is a fundamental patient law. Modern medicine is acknowledging the mechanism and the warp of pain, commanding more efficient therapeutic means allowing to control the pain.  Multidirectional pain therapy uses variable techniques and medicines which enables to maximize the analgesic effect during the reduction of side effects of each method.

Objective: Evaluation of applying standards of analgesic treatment in hospital practice.

Material and methods: There were 100 people with severe pain who underwent surgical and orthopedic treatment, as well as, the ones with chronic pain, staying in neurological ward who took part in the examination. Choice of examined patients was random and embraced hospitals patients in the Podkarpackie voivodeship with “Szpital bez Bólu” (eng.: Hospital without pain) certificate.  Examined group comprised of : 57% of women and 44% of men, living in rural (56%) and urban (44%) area. Research methods used in the examinations, were diagnostic opinion poll, records analysis and pain measurements.

Results: 42 % of patients can feel the pain intermittently, 37% is not able to estimate how often do pain ailments occur, however, 21% of people suffer from chronic pain ailments. Patients have estimated their pain as follows: severe (26%), difficult to determine (20%), shooting (16%), burning (15%), radiating (10%), dull (8%), stinging (3%) and the one which appears when touched (2%). Having estimated the pain intensity, 53% of respondents claimed that they feel medium pain intensity and 33% claimed to have felt great pain. Nurses in the post-op (54%) and anesthesiologist (26%) are the one, to inform patient about possibilities and eventual methods of post-operative pain management.

Conclusions: Pain limits physical functioning of patient. Five-stage scales included in the examination, were VAS and VRS which are sufficient in prophylaxis and pain alleviation but not entirely readable and understandable for all patients. Education of patient influences on the awareness and abilities of evaluating the pain.


Keywords


pain, neoplastic disease, standards

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References


Wordliczek J, Dobrogowski J. Leczenie bólu. PZWL, Warszawa; 2012.

Misiołek H, Karpe J, Daszkiewicz A, Misiołek A. Obiektywizacja oceny bólu u dzieci i dorosłych. Ból 2013; 3:20-24.

Jocham HR, Dassen T, Widdershoven G, Halfens R. Evaluating palliative care – a review of the literature. Palliat Care Res Treat 2009; 3:5-12.

Kehlet H, Wilmore DW. Multimodal strategies to improve surgical outcome. The American Journal of Surgery 2002; 183: 630 – 641.

Koszewski W. Leczenie bólu w różnych schorzeniach. Wydawnictwa Medyczne Termedia, Poznań; 2009.

Lundh Hagelin C, Seiger A, Fürst CJ. Quality of life in terminal care – with special reference to age, gender and marital status. Support Care Cancer 2006; 14:320-328.

Czaplińska M. Ból choroba sama w sobie. Magazyn Pielęgniarki i Położnej 2010; 1(2):34-37.

Gaszyński W, Żaryski W, Gaszyński T. Współczesne metody farmakologicznego leczenia bólu pooperacyjnego. Ordynator Leków 2005; 11(12):49-50.

Watson MS, Lukas CF, Hoy AM, Back JN. Opieka paliatywna. Urban & Partner, Wrocław; 2005.

Paszkiewicz-Mes E. Rola pielęgniarki w leczeniu bólu po zabiegu operacyjnym. Pielęgniarstwo XXI wieku 2011; 4(37):37-39.

Wołowicka D. Anestezjologia i Intensywna Opieka. PZWL, Warszawa; 2008.

Bromley L, Bradner B. Ból ostry. MediPage, Warszawa; 2013.




DOI: http://dx.doi.org/10.5281/zenodo.825215

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