Related Experiment Video
Updated: Jul 26, 2026
07:45
Severe Burn Injury in a Swine Model for Clinical Dressing Assessment
Published on: November 6, 2018
Pain and anxiety with burn dressing changes: patient self-report
K Weinberg1, C Birdsall, D Vail
1Saint Barnabas Medical Center, Livingston, NJ 07039, USA.
The Journal of Burn Care & Rehabilitation
|February 7, 2001
Summary
Pain and anxiety are significant during burn dressing changes, often increasing until day 4. Patient self-reports reveal pain and anxiety are perceived similarly, highlighting the need for better pain management strategies.
Area of Science:
- Burn care
- Pain management
- Patient experience
Background:
- Pain and anxiety are common during burn dressing changes.
- Understanding patient perspectives is crucial for improving care.
- Self-reported data offers valuable insights into patient experiences.
Purpose of the Study:
- To describe the patient experience of pain and anxiety during burn dressing changes.
- To measure the relationship between self-reported pain and anxiety.
- To evaluate the effectiveness of pain management interventions.
Main Methods:
- Descriptive study design.
- Inclusion of 24 patients with uncomplicated flame or scald wounds.
- Self-reported pain and anxiety scores collected before, immediately after, and 1/2 hour after dressing changes.
Main Results:
- Pain and anxiety levels increased up to day 4.
- A significant correlation was found between pain and anxiety.
- Patients perceived pain and anxiety similarly.
- Pain scores immediately after dressing changes exceeded 3 on all study days.
Conclusions:
- Self-reported pain and anxiety scores are valuable for assessing patient experiences and medication effectiveness.
- Current pain management during burn dressing changes may be insufficient.
- Further research is needed to optimize pain management strategies for burn patients.
Related Concept Videos
01:14SBAR II: Application of SBAR
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
01:22Burn Injuries
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
01:18Anxiety: Overview
Anxiety is a common mental disorder featuring excessive worry, fear, and apprehension, significantly affecting daily life. People with anxiety disorders experience persistent and intense anxiety, interrupting their everyday functioning.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
01:25Pericarditis IV: Nursing Management
Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
01:26Peripheral Artery Disease IV: Nursing Management
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses, temperature changes,...
01:23Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...