Shaping attitudes to postoperative pain relief: the role of the acute pain team

Journal of Pain and Symptom Management
G A McLeodJ R Colvin

Abstract

Postoperative pain relief is often inadequate. Ignorance and misconceptions about opioids by ward staff contribute to this poor management. The introduction of acute pain teams has done much to improve pain relief for patients. It may also have contributed to changes in attitudes and knowledge of medical and nursing staff. We questioned 48 doctors and nurses on their knowledge and beliefs about postoperative pain relief. Staff members were questioned on two units, one with access to an acute pain team and one without. Over half those on the unit using traditional postoperative care thought patients did not receive adequate pain relief (58%). In comparison, only one respondent from the unit with the pain team thought this was the case (P < 0.001). More staff members that had experience of patient-controlled analgesia (PCA) were optimistic about its benefits than those in the unit with no experience; they were also less concerned about possible side effects. Only one respondent on the unit using PCA thought it carried a risk of drug dependence, compared to over half (55%) of those on the unit with no experience in this technique (P < 0.001). Over two-thirds of staff familiar with PCA thought nursing workload had decreased. Acute ...Continue Reading

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Citations

Jul 23, 2003·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Carmen R Green, John R C Wheeler
Apr 23, 2004·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·C R GreenE Guerrero
Apr 24, 2003·Journal of Clinical Nursing·Ann McDonnellSusan M Read
Oct 29, 2002·Anesthesia and Analgesia·Mads U WernerHenrik Kehlet
Nov 15, 2001·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·D B GordonD K Foley

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