View Entire Collection
By Clinical Topic
Diabetes – Summer 2012
Future of Nursing Initiative
Heart Failure - Fall 2011
Influenza - Winter 2011
Nursing Ethics - Fall 2011
Trauma - Fall 2010
Traumatic Brain Injury - Fall 2010
Fluids & Electrolytes
THURSDAY, July 23 (HealthDay News) -- In older adults with hip fractures, pain assessment and management practices in emergency departments have improved since new standards were issued by the Joint Commission on Accreditation of Healthcare Organizations, but the level of care still does not consistently meet best practice guidelines, according to a study published in the July Journal of Emergency Nursing.
Keela Herr, Ph.D., of the University of Iowa in Iowa City, and colleagues abstracted medical records on 1,454 patients who were admitted through the emergency department at 12 acute care hospitals during 2000, 2001, and 2002.
Between 2000 and 2002, the researchers observed that the rate at which pain was assessed with a numeric rating scale had increased from 16.5 to 54.4 percent. However, they were concerned that the number of patients not receiving any analgesic had only decreased from 32 to 24 percent, and that the number of patients receiving the preferred treatment for moderate-to-severe pain -- opioids -- remained below 60 percent during all three time periods.
"Ideas for future research include how to improve the use of evidence-based practices for acute pain management of older adults in the emergency department setting; how to best educate the patient regarding importance of treating acute pain and the use of pain assessment scales in the emergency department; improving behavioral assessment approaches in the emergency department; identifying barriers to use of evidence-based practices; and improving collaboration with physicians to provide optimal acute pain assessment and management in this setting of care," the authors conclude.
Full Text (subscription or payment may be required)
Find in-depth content on major issues provided by leading companies in partnership with NursingCenter.com
BD Safety Beyond Needlestick Prevention Learning Center
Sponsored by BD Medical
Sign up for our free enewsletters to stay up-to-date in your area of practice - or take a look at an archive of prior issues
Join our CESaver program to earn up to 100 contact hours for only $34.95
Explore a world of online resources
Back to Top