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Nursing approaches in the postoperative pain management

Year 2011, Volume: 2 Issue: 4, 474 - 478, 01.12.2011
https://doi.org/10.5799/ahinjs.01.2011.04.0100

Abstract

Patients frequently experience moderate to severe pain in the postoperative period. Although the pain management is an integral and important part of the nursing care, studies suggest that, nursing management of postoperative pain remains inadequate. Postoperative care nurses are responsible to assess the patient's pain, teach the patient strategies to deal with the pain, apply the analgesic treatment plan, monitor the results of treatment, educate the patient and the family on pain management and document the pain management outcomes. The nurses\' holistic approach to pain management minimizes the patients\' discomfort caused by pain in the postoperative period after the surgery. In this article, nurses\' approaches to postoperative pain management are discussed. J Clin Exp Invest 2011; 2 (4): 474-478

References

  • 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. Nurse Health Sci 2003;5(1):13-21.
  • Cetin N, Eser I. Hasta kontrollü analjezi yöntemine ilişkin verilen hasta eğitiminin postoperatif ağrinin giderilme- sine etkisinin incelenmesi. Ege Üniversitesi Hemşirelik Yüksek Okulu Dergisi 2006;22 (2):15-25.
  • Young L. Canadian Nurses’ Pain Issues Working Group. 2006. Available at; http://www.fm-cfs.ca/Pain- Aug162005.pdf.
  • Joint Commission Requirements. 2007. Available at; http://www.jointcommission.org/AccreditationPrograms/ Office-BasedSurgery/ Standards/ standards_sampler. htm.
  • American Pain Society (APS). 2003. Pain: the fifth vital sign. Available at; http://www.ampainsoc.org/pub/bulle- tin/jan03/reso3.htm
  • Mularski RA, White-Chu F, Overbay D, Miller L, Asch SM, Ganzini L. Measuring pain as the 5th vital sign does not improve quality of pain management. J General Int Med 2006;21(6):607-12.
  • Plaisance L, Logan C. Nursing student’s knowledge and attitudes regarding pain. Pain Manag Nurs 2006;7(4):167-175.
  • Reimer-Kent J. Improving postoperative pain man- agement by focusing on prevention. Nursing BC 2004;36(4):20-4.
  • Yegin A, Erdoğan A, Hadimoğlu N. Toraks cerrahisinde ameliyat sonrasi analjezi. Türk Göğüs Kalp Damar Cer- rahisi Dergisi 2005;13(4):418-25.
  • Postoperative Pain Management Good Clinical Practice Available at; http://www.esraeurope.org/Postoperative- PainManagement.pdf
  • Kaygusuz K, Gürsoy S, Kunt N, Kafalı H. Yoğun ba- kımda kullanılan sedatif ajanların hemodinami ve oksi- jen transportu üzerine etkileri. Erciyes Tıp Dergisi 2004; 26(4):165-77.
  • Richard N. Merchant. Special announcement: Guide- lines to the practice of anesthesia. Can J Anesth 2010; 57(1):15–7.
  • Eti Aslan F, Badır A. Ağrı kontrol gerçeği: hemşirelerin ağrının doğası, değerlendirilmesi ve geçirilmesine ilişkin bilgi ve inançları. Ağrı 2005; 17(2): 44-51.
  • Wojahn A. 2006. Postoperative Care. Encylopedia of Nursing and Allied Health. Available at; http://findar- ticles.com/p/articles/mi_gGENH/is_/ai_2699003627 / pg_3?tag=artBody;col1
  • Özer S, Akyürek B, Başbakkal Z. Hemşirelerin ağri ile ilgili bilgi, davranişlari ve klinik karar verme yetenekleri- nin incelenmesi. Ağrı 2006;18(4):36-43.
  • Bell L, Duffy A. Pain assessment and management in surgical nursing: a literature review. Br. J. Nurs 2009;18(3):153-6.
  • Pirbudak Çöçelli L., Bacaksız D. B., Ovayolu N. Ağrı Tedavisinde Hemşirenin Rolü. Gaziantep Tıp Dergisi 2008;14(1):53-58.
  • Mularski R, Puntillo K, Varkey B, et al. Pain manage- ment within the palliative and end-of-life care experience in the ICU. CHEST 2009;135:1360-1369 Available at; http://chestjournal.chestpubs.org/content/135/5/1360. full.html
  • Yüceer S. 2008. Hemşirelik öğrencilerinin beşinci ya- şam belirtisi olan ağri ve ameliyat sonras ağrı yöneti- mine ilişkin bilgi düzeylerinin saptanması. Yükseklisans tezi, Ankara.
  • Anestezi Uygulama Klavuzları/Postoperatif Ağrı Teda- visi. 2006. Available at; http://www.tard.org.tr/kilavuz/7. pdf.
  • Sloman R, Rosen G, Rom M, Shir Y. Nurses’ assessment of pain in surgical patients. J Adv Nurs 2005;52(2):125– 32.
  • Herr K, Coyne PJ, Key T et al. Pain assessment in the nonverbal patient: position statement with clinical prac- tice. Pain Manag Nurs 2006;7(2): 44-52.
  • Ahlers SJGM, van Gulik L, van der Veen AM et al. Com- parison of different pain scoring systems in critically ill patients in a general ICU. Crit. Care 2008;12(1):R15.
  • Bucknall T, Manias E, Botti M. Nurses’ reassessment of postoperative pain after analgesic administration. Clin J Pain 2007;23(1):1-7.
  • Williams E. Nursing Perspective on pain management. Essentials of Pain Management 2011, Part 5, 367-377.
  • American Society for Pain Management Nursing (ASP- MN) Position statement use of placebos in pain man- agement. 2004. Available at; http://www.aspmn.org/ pdfs/Use%20of%20Placebos.pdf.
  • American Pain Society (APS). Position statement on the use of placebos in pain management. 2003. Available at; pdf.
  • National Pharmaceutical Council and Joint Commission on Accreditation of Healthcare Organizations. Pain: Current Understanding of Assessment, Management and Treatments. 2001. Available at; http://www.jcaho. org/news +room/health+care+issues/pain+mono_npc.
  • Degirmenci S.2006. Ağrı Kontrolu. Available at; http://www.anh.gov.tr/index.php?option=com_ docman&task=doc_download&gid=49&Itemid=414
  • 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.
  • Yava A. 2004. Postoperatif Ağrı Tedavisinde Hemşirelik Uygulamalarının Etkinliği. Doktora tezi, GATA, Ankara.
  • American Pain Society Quality of Care Task Force. American Pain Society recommendations for improving the quality of acute and cancer pain management. Arch Intern Med 2005;165(10):1574–80.
  • Pasero C, Puntillo K, Li D et. al. Structured ap- proaches to pain managementin the ICU. CHEST 2009;135(12):1665-72
  • Idvall E, Ehrenberg A. Nursing documentation of postop- erative pain management. J Clin Nurs 2002;11(6):734- 42.
  • Dalton JA, Carlson J, Blau W. Documentation of pain assessment and treatment: How are we doing? Pain Manag Nurs 2001;2:54-64.
  • Sherwood GD, McNeill JA, Starck PL, Disnard G. Changing Acute Pain Management Outcomes In Surgi- cal Patients. AORN J 2003;77(2):377-80.
  • Acute Pain Services Guidelines & Protocols. 3rd edi- tion; 2004. http://www.cuhk.edu.hk/med/ans/pain/APS_ guidelines.doc.
  • Dihle A, Bjolseth G, Helseth S. The gap between say- ing and doing in postoperative pain management. J Clin Nurs 2005;15(3):469-79.
  • Ferrell B, McCaffery M. 2005. Knowledge and Attitudes Survey Regarding Pain. Available at; http://prc.coh.org.

Ameliyat sonrası ağrı yönetiminde hemşirelik yaklaşımları

Year 2011, Volume: 2 Issue: 4, 474 - 478, 01.12.2011
https://doi.org/10.5799/ahinjs.01.2011.04.0100

Abstract

Ameliyat sonrası dönemde hastalar sık sık orta ve şiddetli düzeyde ağrı deneyimlemektedir. Ağrı yönetiminin hemşirelik bakımının ayrılmaz ve önemli bir parçası olmasına rağmen yapılan çalışmalar ameliyat sonrası ağrı yönetiminin yetersiz olduğunu göstermektedir. Ameliyat sonrası dönemde hemşire, ağrı değerlendirmesinden, ağrı ile başa çıkma yöntemlerinin hastaya öğretilmesinden, analjezi tedavi planının uygulanmasından, tedavi sonuçlarının izlenmesinden, hasta ve ailesinin ağrı yönetimi konusunda eğitilmesinden ve bu aşamaların kayıt edilmesinden sorumludur. Hemşirenin ağrı yönetimindeki bütüncül yaklaşımı hastanın ameliyat sonrasındaki rahatsızlığını en aza indirmektedir. Bu makalede hemşirenin ameliyat sonrası ağrı yönetimindeki yaklaşımları tartışılmıştır.

References

  • 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. Nurse Health Sci 2003;5(1):13-21.
  • Cetin N, Eser I. Hasta kontrollü analjezi yöntemine ilişkin verilen hasta eğitiminin postoperatif ağrinin giderilme- sine etkisinin incelenmesi. Ege Üniversitesi Hemşirelik Yüksek Okulu Dergisi 2006;22 (2):15-25.
  • Young L. Canadian Nurses’ Pain Issues Working Group. 2006. Available at; http://www.fm-cfs.ca/Pain- Aug162005.pdf.
  • Joint Commission Requirements. 2007. Available at; http://www.jointcommission.org/AccreditationPrograms/ Office-BasedSurgery/ Standards/ standards_sampler. htm.
  • American Pain Society (APS). 2003. Pain: the fifth vital sign. Available at; http://www.ampainsoc.org/pub/bulle- tin/jan03/reso3.htm
  • Mularski RA, White-Chu F, Overbay D, Miller L, Asch SM, Ganzini L. Measuring pain as the 5th vital sign does not improve quality of pain management. J General Int Med 2006;21(6):607-12.
  • Plaisance L, Logan C. Nursing student’s knowledge and attitudes regarding pain. Pain Manag Nurs 2006;7(4):167-175.
  • Reimer-Kent J. Improving postoperative pain man- agement by focusing on prevention. Nursing BC 2004;36(4):20-4.
  • Yegin A, Erdoğan A, Hadimoğlu N. Toraks cerrahisinde ameliyat sonrasi analjezi. Türk Göğüs Kalp Damar Cer- rahisi Dergisi 2005;13(4):418-25.
  • Postoperative Pain Management Good Clinical Practice Available at; http://www.esraeurope.org/Postoperative- PainManagement.pdf
  • Kaygusuz K, Gürsoy S, Kunt N, Kafalı H. Yoğun ba- kımda kullanılan sedatif ajanların hemodinami ve oksi- jen transportu üzerine etkileri. Erciyes Tıp Dergisi 2004; 26(4):165-77.
  • Richard N. Merchant. Special announcement: Guide- lines to the practice of anesthesia. Can J Anesth 2010; 57(1):15–7.
  • Eti Aslan F, Badır A. Ağrı kontrol gerçeği: hemşirelerin ağrının doğası, değerlendirilmesi ve geçirilmesine ilişkin bilgi ve inançları. Ağrı 2005; 17(2): 44-51.
  • Wojahn A. 2006. Postoperative Care. Encylopedia of Nursing and Allied Health. Available at; http://findar- ticles.com/p/articles/mi_gGENH/is_/ai_2699003627 / pg_3?tag=artBody;col1
  • Özer S, Akyürek B, Başbakkal Z. Hemşirelerin ağri ile ilgili bilgi, davranişlari ve klinik karar verme yetenekleri- nin incelenmesi. Ağrı 2006;18(4):36-43.
  • Bell L, Duffy A. Pain assessment and management in surgical nursing: a literature review. Br. J. Nurs 2009;18(3):153-6.
  • Pirbudak Çöçelli L., Bacaksız D. B., Ovayolu N. Ağrı Tedavisinde Hemşirenin Rolü. Gaziantep Tıp Dergisi 2008;14(1):53-58.
  • Mularski R, Puntillo K, Varkey B, et al. Pain manage- ment within the palliative and end-of-life care experience in the ICU. CHEST 2009;135:1360-1369 Available at; http://chestjournal.chestpubs.org/content/135/5/1360. full.html
  • Yüceer S. 2008. Hemşirelik öğrencilerinin beşinci ya- şam belirtisi olan ağri ve ameliyat sonras ağrı yöneti- mine ilişkin bilgi düzeylerinin saptanması. Yükseklisans tezi, Ankara.
  • Anestezi Uygulama Klavuzları/Postoperatif Ağrı Teda- visi. 2006. Available at; http://www.tard.org.tr/kilavuz/7. pdf.
  • Sloman R, Rosen G, Rom M, Shir Y. Nurses’ assessment of pain in surgical patients. J Adv Nurs 2005;52(2):125– 32.
  • Herr K, Coyne PJ, Key T et al. Pain assessment in the nonverbal patient: position statement with clinical prac- tice. Pain Manag Nurs 2006;7(2): 44-52.
  • Ahlers SJGM, van Gulik L, van der Veen AM et al. Com- parison of different pain scoring systems in critically ill patients in a general ICU. Crit. Care 2008;12(1):R15.
  • Bucknall T, Manias E, Botti M. Nurses’ reassessment of postoperative pain after analgesic administration. Clin J Pain 2007;23(1):1-7.
  • Williams E. Nursing Perspective on pain management. Essentials of Pain Management 2011, Part 5, 367-377.
  • American Society for Pain Management Nursing (ASP- MN) Position statement use of placebos in pain man- agement. 2004. Available at; http://www.aspmn.org/ pdfs/Use%20of%20Placebos.pdf.
  • American Pain Society (APS). Position statement on the use of placebos in pain management. 2003. Available at; pdf.
  • National Pharmaceutical Council and Joint Commission on Accreditation of Healthcare Organizations. Pain: Current Understanding of Assessment, Management and Treatments. 2001. Available at; http://www.jcaho. org/news +room/health+care+issues/pain+mono_npc.
  • Degirmenci S.2006. Ağrı Kontrolu. Available at; http://www.anh.gov.tr/index.php?option=com_ docman&task=doc_download&gid=49&Itemid=414
  • 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.
  • Yava A. 2004. Postoperatif Ağrı Tedavisinde Hemşirelik Uygulamalarının Etkinliği. Doktora tezi, GATA, Ankara.
  • American Pain Society Quality of Care Task Force. American Pain Society recommendations for improving the quality of acute and cancer pain management. Arch Intern Med 2005;165(10):1574–80.
  • Pasero C, Puntillo K, Li D et. al. Structured ap- proaches to pain managementin the ICU. CHEST 2009;135(12):1665-72
  • Idvall E, Ehrenberg A. Nursing documentation of postop- erative pain management. J Clin Nurs 2002;11(6):734- 42.
  • Dalton JA, Carlson J, Blau W. Documentation of pain assessment and treatment: How are we doing? Pain Manag Nurs 2001;2:54-64.
  • Sherwood GD, McNeill JA, Starck PL, Disnard G. Changing Acute Pain Management Outcomes In Surgi- cal Patients. AORN J 2003;77(2):377-80.
  • Acute Pain Services Guidelines & Protocols. 3rd edi- tion; 2004. http://www.cuhk.edu.hk/med/ans/pain/APS_ guidelines.doc.
  • Dihle A, Bjolseth G, Helseth S. The gap between say- ing and doing in postoperative pain management. J Clin Nurs 2005;15(3):469-79.
  • Ferrell B, McCaffery M. 2005. Knowledge and Attitudes Survey Regarding Pain. Available at; http://prc.coh.org.
There are 39 citations in total.

Details

Primary Language Turkish
Journal Section Collection
Authors

Sevilay Yüceer This is me

Publication Date December 1, 2011
Published in Issue Year 2011 Volume: 2 Issue: 4

Cite

APA Yüceer, S. (2011). Ameliyat sonrası ağrı yönetiminde hemşirelik yaklaşımları. Journal of Clinical and Experimental Investigations, 2(4), 474-478. https://doi.org/10.5799/ahinjs.01.2011.04.0100
AMA Yüceer S. Ameliyat sonrası ağrı yönetiminde hemşirelik yaklaşımları. J Clin Exp Invest. December 2011;2(4):474-478. doi:10.5799/ahinjs.01.2011.04.0100
Chicago Yüceer, Sevilay. “Ameliyat Sonrası ağrı yönetiminde hemşirelik yaklaşımları”. Journal of Clinical and Experimental Investigations 2, no. 4 (December 2011): 474-78. https://doi.org/10.5799/ahinjs.01.2011.04.0100.
EndNote Yüceer S (December 1, 2011) Ameliyat sonrası ağrı yönetiminde hemşirelik yaklaşımları. Journal of Clinical and Experimental Investigations 2 4 474–478.
IEEE S. Yüceer, “Ameliyat sonrası ağrı yönetiminde hemşirelik yaklaşımları”, J Clin Exp Invest, vol. 2, no. 4, pp. 474–478, 2011, doi: 10.5799/ahinjs.01.2011.04.0100.
ISNAD Yüceer, Sevilay. “Ameliyat Sonrası ağrı yönetiminde hemşirelik yaklaşımları”. Journal of Clinical and Experimental Investigations 2/4 (December 2011), 474-478. https://doi.org/10.5799/ahinjs.01.2011.04.0100.
JAMA Yüceer S. Ameliyat sonrası ağrı yönetiminde hemşirelik yaklaşımları. J Clin Exp Invest. 2011;2:474–478.
MLA Yüceer, Sevilay. “Ameliyat Sonrası ağrı yönetiminde hemşirelik yaklaşımları”. Journal of Clinical and Experimental Investigations, vol. 2, no. 4, 2011, pp. 474-8, doi:10.5799/ahinjs.01.2011.04.0100.
Vancouver Yüceer S. Ameliyat sonrası ağrı yönetiminde hemşirelik yaklaşımları. J Clin Exp Invest. 2011;2(4):474-8.