The complexity of pain assessment and management in the first 24 hours after cardiac surgery: implications for nurses. Part I

Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses
H Hancock

Abstract

Pain has been recognised as a problem within the realms of health care for many years (Szanto & Heaman 1972, Melzack 1973). The management of pain in the immediate postoperative period remains one of the most serious inadequacies of health care today (Royal College of Surgeons 1990). Recent evidence suggests that up to 75% of hospitalised patients fail to receive adequate pain relief (Carr 1990), with postoperative cardiac patients reporting detailed recollections of their pain experiences during their stay in critical care areas (Ferguson 1992). To accountable health care professionals these figures are humiliating and cannot be allowed to continue (Hollinworth 1994). Indeed, the persistance of postoperative pain can seriously compromise the status of postoperative cardiac patients (Wild 1992). An exploration of current practices in pain management for adult individuals following cardiac surgery included a review of the methods of assessment and treatment interventions employed at three English critical care units. With the literature providing substantial evidence of research into post-operative pain management the persistence of postoperative pain was questioned. Inadequacies in nursing knowledge were identified in all areas...Continue Reading

Citations

Feb 26, 2004·Heart & Lung : the Journal of Critical Care·Janelle YorkeBrad McLean
Dec 29, 2000·Journal of Pain and Symptom Management·M E de RondM J Muller
Jan 16, 2003·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Audrey BlenkharnAngela Morgan
Mar 8, 2003·Journal of Advanced Nursing·Elizabeth Manias
Dec 1, 1996·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·H Hancock
Feb 16, 2021·Nursing in Critical Care·Eileen GilderRachael L Parke

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