In Lumbar Fusion Patients, How Does Establishing a Comfort Function Goal Preoperatively Impact Postoperative Pain Scores?
The purpose of this feasibility study was to determine the impact of establishing a comfort function goal preoperatively on postoperative pain scores and opiate requirements in lumbar fusion patients. A comfort function goal is defined as the pain score identified by the patient describing the level...
| Publicado en: | Pain Management Nursing Vol. 16; no. 6; pp. 841 - 846 |
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| Autores principales: | , , , |
| Formato: | research Journal Article |
| Publicado: |
W B Saunders
Dec2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=111566416&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 111566416 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15249042 H52 jtl: Pain Management Nursing issn: 15249042 maglogo: N pubinfo: dt: Dec2015 vid: 16 iid: 6 pid: 1351 pub: W B Saunders place: Philadelphia, Pennsylvania artinfo: ui: 111566416 111566416 111566416 10.1016/j.pmn.2015.06.007 111566416 ppf: 841 ppct: 5 formats: tig: atl: In Lumbar Fusion Patients, How Does Establishing a Comfort Function Goal Preoperatively Impact Postoperative Pain Scores? aug: au: Hennessy, Winnie Wagner, Elizabeth Dumas, Bonnie P. Handley, Patricia affil: Roper Saint Francis Healthcare, Charleston, South Carolina sug: subj: Postoperative Pain Goal-Setting Lumbar Vertebrae Surgery Spinal Fusion Preoperative Education Analgesics, Opioid Administration and Dosage Human Prospective Studies Experimental Studies Record Review Medical Records Control Group Pilot Studies Hospitals Southeastern United States Southeastern United States Pain Measurement ab: The purpose of this feasibility study was to determine the impact of establishing a comfort function goal preoperatively on postoperative pain scores and opiate requirements in lumbar fusion patients. A comfort function goal is defined as the pain score identified by the patient describing the level of pain tolerance to participate in healing activities such as deep breathing, ambulation and participation in activities of daily living. The design was prospective, nonrandomized, intervention group (n = 30) compared with retrospective chart review as control group (n = 30). Sample included patients scheduled for routine lumbar fusion in an urban southeastern hospital. The study intervention established a comfort function goal during a routine preoperative patient education class. No significant difference in pain score or opiate requirement was found for these data. However, a fundamental clinical question arose surrounding opiate requirements and dosing management. In our hospital, the norm for postoperative pain management is to categorize pain scores as mild (1-3), moderate (4-6), and severe (7-10) pain. Physician orders commonly use this differential to order opiate dose ranges. In this sample, the mean pain score for the intervention group at home is 5.8 and the mean comfort function goal is 4.9. Based on normative categories of pain scores, if a patient's baseline of tolerable pain is 4.9, this has potential impact on clinician responses to managing pain, as 4.9-5.8 is, for this patient, perhaps a mild range of pain, not moderate. If a patient reports a pain score of 7, and their norm is 5.8, the delta is only 1.2. Does this imply that the patient is experiencing mild or severe pain? Does the nurse deliver a dose of pain medication that is in the mild or severe dose range? pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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