Conversations about analgesics in the emergency department: A qualitative study

Patient Education and Counseling
Danielle M McCarthyKenzie A Cameron

Abstract

We sought to characterize conversations about analgesics in the Emergency Department (ED) setting. A secondary analysis of 47 audio-recorded ED visits containing conversations about analgesics was performed. Data were collected at an urban, academic medical center among adults with one of four diagnoses. Visit transcripts were analyzed qualitatively using content and constant comparative analysis. The speaker, medication being discussed, and overall conversation concordance were categorized. Among the 47 transcripts there were 1102 unique statements related to analgesics. Thirteen codes were identified; however, four codes (discussing details of administration, forecasting, side effects, past history) accounted for over 65% of the conversations. Patient requests, statements related to chronic pain and contentious conversations occurred infrequently, but were present (17% discordant conversations, 83% concordant). Medical providers dominated the conversations with patients' contributions equaling only a quarter of total coded conversation. These findings characterize the narrow range of topics discussed about analgesics and demonstrate that many risks of opioid medications were not discussed. Increased counseling about opioids m...Continue Reading

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Citations

Feb 6, 2018·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Stephen G Henry, Marianne S Matthias
Nov 20, 2019·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Danielle M McCarthyMichael S Wolf
Dec 8, 2020·Patient Education and Counseling·Elise OmakiUNKNOWN My Healthy Choices Decision Aid Team
Jun 29, 2021·Journal of the American Pharmacists Association : JAPhA·Tanvee Thakur, Betty Chewning
Feb 10, 2021·Journal of Addiction Medicine·Peter T SerinaDanielle M McCarthy

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