Standardized pain flowsheet: impact on patient-reported pain experiences after cardiovascular surgery.

L. Voigt*, J. A. Paice, J. Pouliot

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

BACKGROUND: Administration of analgesics per patient request or random pain assessments may provide inadequate pain management. OBJECTIVE: To examine the impact of nurses' use of a standardized pain flowsheet to document pain assessment and pharmacologic management on patient-reported pain intensity. METHODS: A pre-post intervention design was used to compare 61 patients. In the preimplementation group, traditional charting of pain presence or absence was documented in the narrative notes and pharmacologic management was recorded on the medication profile. In the postimplementation group, the intensity of pain and pharmacologic management were documented on a pain flowsheet. Within 24 hours after transfer to the step-down unit, patients were interviewed regarding pain intensity experienced in the surgical heart unit and at the time of questioning. The distribution of these pain intensity scores was compared. RESULTS: The postimplementation group reported significantly lower pain intensity ratings for the average amount of pain experienced while in the surgical heart unit, the least amount of pain experienced while in the surgical heart unit, and the pain experienced at the moment of questioning. CONCLUSIONS: Use of a standardized pain flowsheet to assess pain intensity and document pharmacologic intervention may improve pain management in postsurgical cardiovascular patients.

Original languageEnglish (US)
Pages (from-to)308-313
Number of pages6
JournalAmerican journal of critical care : an official publication, American Association of Critical-Care Nurses
Volume4
Issue number4
StatePublished - Jul 1 1995

ASJC Scopus subject areas

  • Critical Care

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