Nurses' assessment of pain intensity and choice of analgesic dose

Margo McCaffery
Appointee, World Health Organization Expert Committee on Cancer Pain Relief and Active Supportive Care

Betty R Ferrell
Associate Research Scientist, City of Hope National Medical Centre, Duarte, California, United States of America

PP: 068 - 074

Abstract

Under-treatment of all types of pain has been identified in many countries throughout the world. For example, the World Health Organization states that unrelieved cancer pain is an international problem.

Lack of education of health care professionals, including nurses, is frequently cited as a major reason for under-treatment of pain. This survey of 517 Australian nurses suggests that they have some of the same educational needs as nurses in North America, such as how to assess pain intensity and how to select a dose of an opioid analgesic that is appropriate for the individual patient.

| More

Keywords

analgesics, nurse, opioid, pain, pain assessment, pain management


View references

References

Agency for Health Care Policy and Research (1992) Acute pain management: Operative or medical procedures and trauma. US Department of Health and Human Services, Rockville, Maryland.

American Pain Society (1992) Principles of analgesic use in the treatment of acute pain and cancer pain 3rd edn. American Pain Society, Skokie, Illinois.

Barth JG (1982) 'The influences of age on pain relief in post-surgical patients'. Unpublished Master's thesis, University of IIlinois Medical Center, Chicago.

Bonica JJ (1985) Treatment of cancer pain: Current status and future needs. In Fields HL, Dubner R and Cervero F (eds) Advances in pain research and therapy. Raven Press, New York 9: 589-616.

Charap AD (1978) The knowledge attitudes and experience of medical personnel treating pain in the terminally ill. Mt Sinai Journal of Medicine (NY) 45: 561-580.

Cohen FL (1980) Postsurgical pain relief: Patients' status and nurses' medication choices. Pain 9: 265-274.

Dalton JA (1989) Nurses' perceptions of their pain assessment skills, pain management practices, and attitudes toward pain. Oncology Nursing Forum 16: 225-231.

Donovan M, Dillon P and McGuire L (1987) Incidence and characteristics of pain in a sample of medical-surgical inpatients, Pain 30(1): 69-78.

Faherty BS and Grier MR (1984) Analgesic medication for elderly people post-surgery. Nursing Research 33(6): 369-372.

Ferrell BR, Eberts MT, McCaffery M and Grant M (1991) Clinical decision making and pain. Cancer Nursing 14(6): 289-297.

Fox L (1982) Pain management in the terminally ill cancer patient: An investigation of nurses' attitudes knowledge and clinical practice. Military Medicine 147: 455-460.

Jacox A (1979) Assessing pain. American Journal of Nursing 79: 865-900.

McCaffery M (1990) Pain management: Nurses lead the way to new priorities. American Journal of Nursing 90: 45-50.

McCaffery M and Ferrell B (1991a) How would you respond to these patients in pain? Nursing 91 21 (June): 34-37.

McCaffery M and Ferrell B R (1991b) Patient age: Does it affect your pain-control decisions? Nursing 91 21(September): 44-48.

McCaffery M and Ferrell B R (1992b) Opioid analgesics: Nurses' knowledge of doses and psychological dependence. Journal of Nursing Staff Development 8(March/April): 77-84.

McCaffery M and Ferrell BR (1992a) Opiod analgesics - Addiction. Age Concern 1(5): 1, 4.

McCaffery M, Ferrell B, O'Neil E, Lester M and Ferrell B (1990) Nurses' knowledge of opiod analgesics and psychological dependence. Cancer Nursing 13(February): 21-27.

Marks RM and Sachar EJ (1973) Undertreatment of medical inpatients with narcotic analgesics. Annals of Internal Medicine 78: 173-181.

National Health and Medical Research Council (1988) Management of severe pain control in hospitalized postsurgical patients diagnosed with cancer. Cancer Nursing 14(6): 298-305.

Paice JA, Mahon SM and Faut-Callahan M (1991) Factors associated with adequate pain control in hospitalized postsurgical patients diagnosed with cancer. Cancer Nursing 14(6): 298-305.

Short LM, Burnett MS, Egbert AM and Parks LH (1990) Medicating the postoperative elderly: How do nurses make their decisions? Journal of Gerontological Nursing 16(7): 12-17.

Sriwatanakul K, Weis OF, Alloza JL, Kelvie W, Weintraub M and Lasagna L (1983) Analysis of narcotic analgesic usage in the treatment of postoperative pain Journal of the American Medical Association 250: 926-929.

World Health Organization (1986) Cancer pain relief. World Health Organization, Geneva.



Sign Me Up

*Email Address
First Name
Surname

Web Feed

Latest Articles

Special Issues

Indigenous Health Care (2nd edn)
Volume 37/1


Nursing Workforce and Workplaces
Volume 36/1
Summary


Modeling of Clinical Nursing Care
Volume 35/1
Summary


Advances in Contemporary Mental Health Nursing – Second Edition
Volume 34/2
Summary | Contents


Advances in Contemporary Nursing and Gender
Volume 33/2
Summary | Contents


Advances in Contemporary Nurse Education
Volume 32/1-2
Summary | Contents


Advances in Contemporary Nursing: History of Nursing and Midwifery in Australasia
Volume 30/2
Summary | Contents


Advances in Contemporary Transcultural Nursing: Pathways to Cultural Awareness (2nd edn)
Volume 28/1-2
Summary | Contents


Advances in Contemporary Palliative and Supportive Care
Volume 27/1
Summary | Contents


Advances in Contemporary Aged Care: Retirement to End of Life
Volume 26/2
Summary | Contents


Advances in Contemporary General Practice Nursing: Role of the Practice Nurse
Volume 26/1
Summary | Contents


Advances in Contemporary Nurse Recruitment and Retention: Problems and Challenges in Human Capacity Development
Volume 24/2
Summary | Contents


Advances in Contemporary Community and Family Health Care
Volume 23/2
Summary | Contents


Advances in Contemporary Indigenous Health Care (1st edn)
Volume 22/2
Summary | Contents


Advances in Contemporary Nursing and Interpersonal Violence
Volume 21/2
Summary | Contents


Advances in Contemporary Mental Health Nursing (1st edn)
Volume 21/1
Summary | Contents


Advances in Contemporary Child and Family Care
Volume 18/1-2
Summary | Contents


Advances in Contemporary Transcultural Nursing (1st edn)
Volume 15/3
Summary | Contents




Website by Arrowsmith Websites. Business, Government & Corporate Websites, Web Hosting, Domain Names & SEO. Maleny, Sunshine Coast, Australia.