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Pressure ulcer pain: assessment and quantification

L Dallam, C Smyth, B S Jackson

    Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society
    |September 1, 1995
    PubMed
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    Many patients with pressure ulcers experience pain, but a significant portion do not report it, potentially due to cognitive impairment. Few patients received analgesics for pressure ulcer pain.

    Area of Science:

    • Nursing
    • Pain Management
    • Gerontology

    Background:

    • Pressure ulcers are a common concern in acute care settings.
    • Accurate pain assessment is crucial for effective patient management.
    • Cognitive impairment can affect pain reporting in vulnerable populations.

    Purpose of the Study:

    • To investigate the perception of pressure ulcer pain in patients within an acute care environment.
    • To explore the relationship between cognitive status and pain reporting.
    • To determine the prevalence of analgesic use for pressure ulcer pain.

    Main Methods:

    • A cross-sectional study involving 132 acute care patients.
    • Utilized Folstein Mini-Mental State Examination, Beck's Depression Inventory, Faces Pain Rating Scale, and Visual Analog Scale.

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  • Reviewed patient charts for demographic data and treatments.

    • Main Results:

    • Of 44 responsive subjects, 59% reported pressure ulcer pain, while 41% denied it.
    • Cognitive impairment (Folstein score < 24) was present in 48% of respondents.
    • Only 2% of patients received analgesics for pressure ulcer pain within 4 hours of assessment.

    Conclusions:

    • A substantial number of patients with pressure ulcers may underreport or deny pain.
    • Cognitive status significantly influences pain perception and reporting.
    • Inadequate pain management for pressure ulcers is evident, with limited analgesic administration.