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Pain management documenting the decision making process

C J Malek1, R J Olivieri

  • 1Boston College School of Nursing, Chestnut Hill, MA 02167, USA. MALEK@hermes.bc.edu

Nursing Case Management : Managing the Process of Patient Care
|May 1, 1996
PubMed
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Nurses provided less than half of prescribed narcotic pain relief doses and documented only 25% of ideal pain assessments for orthopedic surgery patients. Insufficient documentation hinders effective pain management and patient outcomes.

Area of Science:

  • Nursing
  • Pain Management
  • Health Services Research

Background:

  • Pain is a critical symptom for nurse case managers from patient admission to discharge.
  • Effective pain management is crucial for patient recovery after orthopedic surgery.

Purpose of the Study:

  • To examine nurses' decision-making in pain management for post-orthopedic surgery patients.
  • To identify documentation gaps in pain assessment and management.

Main Methods:

  • Descriptive study utilizing a Nurses' Pain Management Audit Tool.
  • Analysis of clinical records for patients post-orthopedic surgery.

Main Results:

  • Patients received less than 50% of available narcotic doses within 24 hours post-surgery.

Related Experiment Videos

  • Nurses documented less than 25% of ideal pain assessment occurrences.
  • Insufficient documentation was identified as a barrier to effective pain management.

    • Conclusions:

    • Inadequate pain management documentation impacts patient outcomes.
    • Nurse case managers can drive quality improvement initiatives in pain management.
    • Enhanced commitment to pain management is essential for optimal patient care.