Pain Reassessment Analysis
Institutional policy requires pain reassessment and documentation within 60 minutes of administering pain medication; but nursing adherence to this standard-of-practice is only
47% (Osterbrink, J., 2014). Pain is defined by the patient and can be experienced and expressed in multiple ways. Pain reassessments are crucial in providing patient satisfaction with their medical care. Our PICO question asks, “Among hospitalized adults with pain, how do different pain reassessments versus lack of reassessments impact pain control?” The University of Michigan provides guidelines for timing and assessment of pain. However, multiple research articles show that proper guidelines were not being utilized in clinical care. Research findings show sufficient …show more content…
According to, Osterbrink, J. (2014), gaps between actual practice and evidence-based standard was found. Written reassessment schedules were not present in the various facilities and pain reassessments were not conducted on a consistent basis. In addition, observational tools for the cognitively impaired patients were missing in most facilities. This study was a convenience sample, therefore it was not very representative. Nonresponders were due to high workload, failure to see participation as beneficial, and participation was on a voluntary basis. Pain and pain location was not assessed routinely every four hours according to Herr, K. (2004). Additionally, pain reassessments after an intervention was not routinely assessed. In conclusion, nurses identified a difficulty in communicating as the greatest challenge in treating pain. The use of an auditory cue reminds nurses to perform and implement an intervention. According to Beaver, C. (2015), the results of using an auditory cue displayed an increase in patient reassessments from 47% to 93.5% compliance. This increase resulted in overall patient satisfaction. The National Guideline Clearinghouse, (2016), promotes an improvement in the quality of care and to serve as a foundation for practice. Research calls for a “regular and systemic” pain assessment. Our overall research proves that there is an issue with pain reassessments and that there are possibilities to narrow the gap and to improve the nurse and patient relationship in order to satisfy quality of
47% (Osterbrink, J., 2014). Pain is defined by the patient and can be experienced and expressed in multiple ways. Pain reassessments are crucial in providing patient satisfaction with their medical care. Our PICO question asks, “Among hospitalized adults with pain, how do different pain reassessments versus lack of reassessments impact pain control?” The University of Michigan provides guidelines for timing and assessment of pain. However, multiple research articles show that proper guidelines were not being utilized in clinical care. Research findings show sufficient …show more content…
According to, Osterbrink, J. (2014), gaps between actual practice and evidence-based standard was found. Written reassessment schedules were not present in the various facilities and pain reassessments were not conducted on a consistent basis. In addition, observational tools for the cognitively impaired patients were missing in most facilities. This study was a convenience sample, therefore it was not very representative. Nonresponders were due to high workload, failure to see participation as beneficial, and participation was on a voluntary basis. Pain and pain location was not assessed routinely every four hours according to Herr, K. (2004). Additionally, pain reassessments after an intervention was not routinely assessed. In conclusion, nurses identified a difficulty in communicating as the greatest challenge in treating pain. The use of an auditory cue reminds nurses to perform and implement an intervention. According to Beaver, C. (2015), the results of using an auditory cue displayed an increase in patient reassessments from 47% to 93.5% compliance. This increase resulted in overall patient satisfaction. The National Guideline Clearinghouse, (2016), promotes an improvement in the quality of care and to serve as a foundation for practice. Research calls for a “regular and systemic” pain assessment. Our overall research proves that there is an issue with pain reassessments and that there are possibilities to narrow the gap and to improve the nurse and patient relationship in order to satisfy quality of