ABSTRACT:
A key objective of post-operative pain management is to have the patient comfortable when he or she arouses from anesthesia, with a comfortable transition from post anaesthesia care to the surgical ward and discharge from Hospital. Enhanced recovery protocols to decrease post-operative complications following major surgeries are becoming more customary which also includes multimodal pain intervention protocols as a critical element as pain relief has important physiological benefits. Inadequately managed postoperative pain may predispose to complications and extended rehabilitation. Suitable pain relief during post-operative period leads to reduced hospital stays, and better patient satisfaction. As a result, the management of postoperative pain is an increasingly monitored as quality measure in health care. As being the primary care contact, nurse plays a significant role in Proper pain assessment and management of the patients.
Cite this article:
Lakshmi Ramamoorthy. Post-operative Pain Management Strategies: Nursing Perspectives. Asian J. Nursing Education and Research. 2021; 11(2):189-192. doi: 10.5958/2349-2996.2021.00046.X
Cite(Electronic):
Lakshmi Ramamoorthy. Post-operative Pain Management Strategies: Nursing Perspectives. Asian J. Nursing Education and Research. 2021; 11(2):189-192. doi: 10.5958/2349-2996.2021.00046.X Available on: https://ajner.com/AbstractView.aspx?PID=2021-11-2-6
REFERENCE:
1. Institute of Medicine Report from the Committee on Advancing Pain Research, Care, and Education: Relieving Pain in America, A Blueprint for Transforming Prevention, Care, Education and Research. The National Academies Press; 2011.
2. Kehlet H. Multimodal approach to control postoperative pathology and rehabilitation. Br J Anaesth. 1997; 78: 606–617.
3. Popping DM, Elia N, Van Aken HK, Marret E, Schug SA, Kranke P, et al. Impact of epidural analgesia on mortality and morbidity after surgery: Systematic review and meta-analysis of randomized controlled trials. Annals of Surgery. 2014; 259(6): 1056–67.
4. Dureja GP, Iyer RN, Das G, Ahdal J, Narang P. Evidence and consensus recommendations for the pharmacological management of pain in India. J Pain Res. 2017; 29(10): 709-736..
5. Gendall KA, Kennedy RR, Watson AJ, et al. The effect of epidural analgesia on postoperative outcome after colorectal surgery. Colorectal Dis. 2007;9:584–598. discussion 598–600.
6. National Center for Injury Prevention and Control, Centers for Disease Control and Prevention. Unintentional Drug Poisoning in the United States. 2010;7:.
7. coulling S. Nurses`and doctors`knowledge of pain after surgery. Art & Science. 2005; 19(34): 41–9.
8. Gerbershagen HJ, Pogatzki-Zahn E, Aduckathil S, Peelen LM, Kappen TH, van Wijck AJ, et al. Procedure-specific risk factor analysis for the development of severe postoperative pain. Anesthesiology. 2014; 120(5): 1237–45.
9. Erlenwein J, Stamer U, Koschwitz R, Koppert W, Quintel M, Meißner W, et al. Acute pain management in German hospitals: results from the national survey. Schmerz. 2014; 28(2): 147–56. 10.1007/s00482-014-1398-2
10. Brill S. Managing surgical pain in long-term opioid patients. Journal of Pain & Palliative Care Pharmacotherapy. 2013;27(2): 185–87
11. Minkowitz HS, Gruschkus SK, Shah M, Raju A. Adverse drug events among patients receiving postsurgical opioids in a large health system: Risk factors and outcomes. American Journal of Health-System Pharmacy. 2014; 71(18): 1556–65.
12. Gerbershagen HJ, Aduckathil S, van Wijck AJ, Peelen LM, Kalman CJ, Meissner W. Pain intensity on the first day after surgery: A prospective cohort study comparing 179 surgical procedures. Anesthesiology. 2013; 118(4): 934–44.
13. Kainzwaldner V, Rachinger-Adam B, Mioc-Curic T, Wöhrle T, Hinske LC, Luchting B, et al. Quality of postoperative pain therapy: Evaluation of an established anesthesiology acute pain service. Anaesthesist. 2013; 62: 453–9
14. Popping DM, Zahn PK, Van Aken HK, Dasch B, Boche R, Pogatzki-Zahn EM. Effectiveness and safety of postoperative pain management: A survey of 18 925 consecutive patients between 1998 and 2006 (2nd revision): A database analysis of prospectively raised data. British Journal of Anaesthesia. 2008; 101(6): 832–40.
15. Vijayan R. Seattle: IASP Press; 2011. Managing acute pain in developing world. Pain clinical updates.
16. Schoenwald A, Clark CR. Acute pain in surgical patients. Contemp Nurse. 2006; 22(1): 97–108.
17. Abdalrahim MS, Majali SA, Stomberg MW, Bergbom I. The effect of postoperative pain management program on improving nurses’ knowledge and attitudes toward pain. Nurse Educ Pract. 2011; 11(4): 250–5.
18. International Association for the Study of Pain (IASP) Managing Acute Pain in the Developing World. Pain: Clinical Update. 2011; 3:7–11
19. Schluter J, Seaton P, Chaboyer W. Critical incident technique: a user’s guide for nurse researchers. J Adv Nurs. 2008; 61(1): 107–14.
20. Argoff CE. Recent management advances in acute postoperative pain. Pain Pract. 2014;14(5): 477–487.
21. Clendon J, Gibbons V. 12h shifts and rates of error among nurses: A systematic review. Int J Nurs Stud. 2015; 52(7): 1231–42.
22. American Society of Anesthesiologists Task Force on Acute Pain Management Practice guidelines for acute pain management in the perioperative setting: an updated report by the American Society of Anes-thesiologists Task Force on Acute Pain Management. Anesthesiology. 2012;116(2): 248–273.
23. Mehdi Ahmadinejad, Hossein Rafiei, Masoud Amiri. Comparison between Intravenous and Epidural Injections of Fentanyl in Critically Ill Patients with Thoracic Trauma: effects on Pain Level, Static Pulmonary Compliance, and Arterial Blood Gas. Asian J. Nur. Edu. & Research 2014; 4(1): 11-14.
24. Hossein Rafiei, Mehdi Ahmadinejad, Masoud Amiri, Mohammad Esmaeili Abdar.Effect of nursing implemented sedation and pain protocol on the level of sedation, pain and amount of sedative and analgesic drugs use among opium addicted critically ill patients. Asian J. Nur. Edu. and Research 2013; 3(1): 37-41.
25. Vijaya M.Effectiveness of Play Therapy in Reducing Postoperative Pain among Children (2-5 yrs) in Selected Pediatric Hospitals Madurai. Asian J. Nur. Edu. & Research 2014; 4(3): 288-289.
26. Priyanka Dekate. To Assess the Knowledge Regarding Effect of Diversional Therapy on pain Management among Mother’s of School Going Children. Asian J. Nursing Education and Research. 2018; 8(3): 415-417.
27. Dinesh Kumar Suganandam, Jasmin Ruby Anand, Amala Rajan, Georgene Singh, Bijesh Kumar Yadav. Procedural Pain on Satisfaction. Asian J. Nursing Education and Research. 2020; 10(2):171-174.
28. Shijila. S, Jean Tresa J. Effect of Dry Cold Application on Pain Perception and Ecchymosis among Patients Receiving Low Molecular Weight Heparin. Asian J. Nur. Edu. and Research.2016; 6(4): 503-505.
29. Sivasubramanian N. Evidence Based Nursing Education and Practice. Asian J. Nur. Edu. & Research 2011; 1(1): 19-22
30. Deepshikha, Vibha. Effect of Foot Reflexology on Post Operative Pain and Sleep among Post Caesarean Mothers. Int. J. Nur. Edu. and Research. 2016; 4(4): 441-444.
31. V. Indra. Effective Pain Management to Improve Patient satisfaction – A Review. Int. J. Nur. Edu. and Research. 2019; 7(4): 613-615.
32. Lijiya Jose, Larisa Martha Sams. A Correlation Study on Patients Satisfaction with their Pain Management and Comfort Level after Open Heart Surgery in selected Hospital at Mangaluru. Int. J. Nur. Edu. and Research 2015; 3(4): 419-422