Current state of pain care for hospitalized patients at end of life.

The American Journal of Hospice & Palliative Care
Yingwei YaoDiana J Wilkie

Abstract

We report findings on the current state of pain care in hospitals for end-of-life (EOL) patients using longitudinal data from 8 diverse medical-surgical units located in 4 different Midwestern hospitals over 24 months. We identified 1425 EOL care episodes, 596 (41.3%) of which had a pain diagnosis. The percentage of EOL patients with pain varied significantly across units (P < .001) and was even lower (27.7%) for those with "acute confusion." Additionally, 30% of EOL patients had severe or significant pain at death or discharge to hospice and only 42.7% actually met the expected pain-related outcome ratings. Pain often improved within 48 hours of admission (P < .005), the improvement, however, stagnated following this initial time period (P = .92). A sizable gap between pain science and clinical practice continues.

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Citations

Mar 19, 2016·International Journal of Nursing Knowledge·Helena KisvetrováDavid Školoudík
Aug 31, 2013·The American Journal of Hospice & Palliative Care·Pavan BhatrajuLaura Evans
Jun 13, 2019·Journal of the American Medical Informatics Association : JAMIA·Tamara G R MacieiraGail M Keenan
Jan 24, 2020·Nursing Research·Tamara G R MacieiraGail M Keenan
Jul 15, 2016·Computers, Informatics, Nursing : CIN·Maria Müller-StaubWolter Paans
Sep 1, 2015·Journal of Nursing Care Quality·Karen Dunn LopezGail M Keenan
Jan 18, 2017·International Journal of Nursing Knowledge·Gail M KeenanDiana J Wilkie

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