Charlie Besley1, Hellen Kariuki2, Marie Fallon3. 1. Waterside Health Centre, Hythe, Southampton, UK cbesley@nhs.net. 2. Department Medical Physiology, University of Nairobi, Nairobi, Kenya. 3. Chair of Palliative Medicine Department, University of Edinburgh, Edinburgh, UK.
Abstract
BACKGROUND: Pain is a frequent and distressing symptom in palliative care patients worldwide. Careful assessment is the first vital step to relieve this suffering. Assessment tools form a useful adjunct to pain management, but whether they make a difference to the patient is not known. AIM: The objective of this study was to investigate whether the use of a patient-held pain assessment tool can make a difference in patient's pain control. SETTING AND PARTICIPANTS: AIC Kijabe Hospital, Kenya, has had a nurse-led Palliative Care Service since 2002, with an annual case-load of around 600 patients. Study participants were recruited from among adult palliative care patients attending the Outpatient Department. DESIGN: A quantitative experimental study methodology was employed. In the pre-intervention phase, pain was assessed at study entry and at 2 weeks, following 'standard' care at home; 49 patients were recruited for this phase. In the intervention phase, pain assessments were made at entry, with follow-up assessment after introduction to a patient-held pain assessment tool taken home by each patient; 50 patients were recruited for this phase. Analysis involved a comparison of baseline and 2-week pain scores between the two groups. RESULTS: The results demonstrated that the use of a patient-held pain assessment tool led to an increase in the number of patients reaching satisfactory pain relief, from 30% in the pre-intervention group, to 69% in the intervention group. CONCLUSION: This study has demonstrated that a simple pain assessment tool, when linked to some action, may help achieve better analgesia.
BACKGROUND:Pain is a frequent and distressing symptom in palliative care patients worldwide. Careful assessment is the first vital step to relieve this suffering. Assessment tools form a useful adjunct to pain management, but whether they make a difference to the patient is not known. AIM: The objective of this study was to investigate whether the use of a patient-held pain assessment tool can make a difference in patient's pain control. SETTING AND PARTICIPANTS: AIC Kijabe Hospital, Kenya, has had a nurse-led Palliative Care Service since 2002, with an annual case-load of around 600 patients. Study participants were recruited from among adult palliative care patients attending the Outpatient Department. DESIGN: A quantitative experimental study methodology was employed. In the pre-intervention phase, pain was assessed at study entry and at 2 weeks, following 'standard' care at home; 49 patients were recruited for this phase. In the intervention phase, pain assessments were made at entry, with follow-up assessment after introduction to a patient-held pain assessment tool taken home by each patient; 50 patients were recruited for this phase. Analysis involved a comparison of baseline and 2-week pain scores between the two groups. RESULTS: The results demonstrated that the use of a patient-held pain assessment tool led to an increase in the number of patients reaching satisfactory pain relief, from 30% in the pre-intervention group, to 69% in the intervention group. CONCLUSION: This study has demonstrated that a simple pain assessment tool, when linked to some action, may help achieve better analgesia.
Authors: Anne M Finucane; Emma Carduff; Jean Lugton; Stephen Fenning; Bridget Johnston; Marie Fallon; David Clark; Juliet A Spiller; Scott A Murray Journal: BMC Palliat Care Date: 2018-01-26 Impact factor: 3.234