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Burn pain management: a guideline-based approach

J F Ulmer1

  • 1University of Pennsylvania School of Nursing, Philadelphia, USA.

The Journal of Burn Care & Rehabilitation
|April 29, 1998
PubMed
Summary

Poor burn pain management is common. Implementing guideline-based approaches improves pain assessment, analgesic knowledge, and documentation for better patient outcomes.

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Area of Science:

  • Pain Management
  • Burn Care
  • Healthcare Guidelines

Background:

  • Burn injury and its treatment are associated with significant pain, frequently managed inadequately.
  • Common issues in pain management include poor assessment, insufficient analgesic knowledge, and incomplete records.

Purpose of the Study:

  • To review existing pain management guidelines for burn injuries.
  • To demonstrate how a guideline-based approach can enhance burn pain management.
  • To identify key factors contributing to pain mismanagement.

Main Methods:

  • Retrospective audit of patient data to identify causes of pain mismanagement.
  • Review of recommendations from the Agency for Health Care Policy and Research's Acute Pain Management Guidelines.

Main Results:

  • Inadequate pain assessment, knowledge deficits regarding analgesics, and poor documentation are significant contributors to pain mismanagement.
  • Guideline-based initiatives are more effective than education alone in improving pain management quality.

Conclusions:

  • Burn pain management requires broad guidelines adaptable to patient populations and recovery phases.
  • Guideline-based strategies are essential for making pain visible and ensuring provider accountability in burn care.

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