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Medicating the postoperative elderly: how do nurses make their decisions?

L M Short, M L Burnett, A M Egbert

    Journal of Gerontological Nursing
    |July 1, 1990
    PubMed
    Summary

    Elderly patients often receive undertreated postoperative pain, getting less than a quarter of prescribed narcotics. Nurses

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    Area of Science:

    • Pain Management
    • Geriatric Medicine
    • Postoperative Care

    Background:

    • Postoperative pain management is frequently inadequate.
    • Elderly patients may experience significant undertreatment of pain compared to younger patients.
    • Elderly patients receive less than 25% of their prescribed narcotic within 24 hours post-surgery.

    Purpose of the Study:

    • To investigate factors influencing narcotic administration decisions for elderly postoperative patients.
    • To identify potential reasons for the undertreatment of pain in this demographic.

    Main Methods:

    • Observational study analyzing nurse decision-making in narcotic administration.
    • Focus on patients over 60 years old.

    Main Results:

    • Type of surgery and patient vital signs were primary factors in nurses' decisions.
    • Patient age itself was not a significant factor in narcotic administration decisions for nurses.
    • Elderly patients received substantially less than the prescribed narcotic dose.

    Conclusions:

    • Undertreatment of postoperative pain in the elderly is a significant issue.
    • Nurse decision-making regarding narcotics is influenced by clinical factors, not patient age.
    • Further research is needed to address pain management disparities in elderly surgical patients.

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