Journal of PeriAnesthesia Nursing
Volume 24, Issue 4 , Pages 233-240 , August 2009

Pain Assessment and Management in Patients After Abdominal Surgery From PACU to the Postoperative Unit

  • Jane R. Wilding, RN, MN, Dip App Sci (Nsg), Grad Dip Nsg (Periop), Dip Bus

      Affiliations

    • Corresponding Author InformationAddress correspondence to Jane R. Wilding, Barwon Health, Centre for Education and Practice Development, PO Box 281, Geelong, Victoria 3220, Australia
  • ,
  • Elizabeth Manias, RN CertCritCare, BPharm, MPharm, MNStud, PhD, FRCNA
  • ,
  • Diarmuid G.L. McCoy, MB BCh, BAO(NUI), FFARCSI, FFPMANZCA, DPM(CARCSI)

References 

  1. Klopper H, Andersson H, Minkkinen M, et al. Strategies in assessing post operative pain—A South African study. Intensive Crit Care Nurs. 2006;22:12–21
  2. Persson K, Östman M. The Swedish version of the PACU-Behavioural Pain Rating Scale: A reliable method of assessing postoperative pain?. Scan J Caring Sci. 2004;18:304–309
  3. Krenzischek DA, Windle P, Mamaril M. A survey of current perianesthesia nursing practice for pain and comfort management. J Perianesth Nurse. 2004;19:138–149
  4. Aubrun F, Langeron O, Quesnel C, et al. Relationships between measurement of pain using visual analog score and morphine requirements during postoperative intravenous morphine titration. Anesthesiology. 2003;98:1415–1421
  5. Chung JWY, Lui JCZ. Postoperative pain management: Study of patients' level of pain and satisfaction with health care providers' responsiveness to their reports of pain. Nurs Health Sci. 2003;5:13–42
  6. MacLellan K. Postoperative pain: strategy for improving patient experiences. J Adv Nurs. 2004;46:179–185
  7. Sloman R, Rosen G, Rom M, et al. Nurses' assessment of pain in surgical patients. J Adv Nur. 2005;52:125–132
  8. Seers K, Crichton N, Carroll D, et al. Evidence-based postoperative pain management in nursing: Is a randomized-controlled trial the most appropriate design?. J Nurs Manag. 2004;12:183–193
  9. Manias E. Medication trends and documentation of pain management following surgery. Nurs Health Sci. 2003;5:85–94
  10. Manias E. Pain and anxiety management in the postoperative gastro-surgical setting. J Adv Nurs. 2003;41:585–594
  11. Dihle A, Bjølseth G, Helseth S. The gap between saying and doing in postoperative pain management. J Clin Nurs. 2006;15:469–479
  12. Aubrun F, Monsel S, Langeron O, et al. Postoperative titration of intravenous morphine. Eur J Anaesthesiol. 2001;18:159–165
  13. Ravaud P, Kieta H, Porcher R, et al. Randomized clinical trial to assess the effect of an educational programme designed to improve nurses' assessment and recording of postoperative pain. Br J Surg. 2004;91:692–698
  14. Svensson I, Sjöström B, Haljamäe H. Assessment of pain experiences after elective surgery. J Pain Symptom Manag. 2000;20:193–201
  15. Manias E, Botti M, Bucknall T. Observation of pain assessment and management—The complexities of clinical practice. J Clin Nurs. 2002;11:726–733
  16. al-Hassan M, Alkhalil MS, al Ma'aitah R. Jordanian nurses' role in the management of postoperative pain in the postanesthesia care unit. J Perianesth Nurs. 1999;14:384–389
  17. Barwon Health. Care Concern Community: A focus on people annual report 2004/05. Available at: http://www.barwonhealth.org.au/App_CmsLib/Media/Lib/0803/M2198_v1_633422343743046250.pdf. Accessed May 11, 2009.
  18. Pallant J. SPSS Survival Manual. Crows Nest, Australia: Allen & Unwin; 2002;
  19. Lynn MR. Determination and quantification of content validity. Nurs Res. 1986;35:382–385
  20. Dahmani S, Dupont J, Desmonts JM, et al. Predictive factors of early morphine requirements in the post-anaesthesia care unit (PACU). Br J Anaesth. 2001;87:385–389
  21. Truong L, Moran JL, Blum P. Post anaesthesia care unit discharge: A clinical scoring system versus traditional time-based criteria. Anaesth Intensive Care. 2004;32:33–43
  22. Sarton E, Olofsen E, Romberg R, et al. Sex differences in morphine analgesia. Anesthesiology. 2000;93:1245–1254
  23. Schafheutle EI, Cantrill JA, Noyce PR. The nature of informal pain questioning by nurses—A barrier to post-operative pain management?. Pharm World Sci. 2004;26:12–17
  24. Edwards HE, Nash RE, Najman JM, et al. Determinants of nurses' intention to administer opioids for pain relief. Nurs Health Sci. 2001;3:149–159

PII: S1089-9472(09)00245-7

doi: 10.1016/j.jopan.2009.03.013

Journal of PeriAnesthesia Nursing
Volume 24, Issue 4 , Pages 233-240 , August 2009