Assessment of Pain Management in Anaesthesia Practice among Nurse Anaesthetists

By OSCAR JOSHUA JATAUNAO

ABSTRACT
This study was carried out on assessment of pain management among nurse anaesthetists in Dalhatu Araf Specialist Hospital, Lafia. A descriptive, non-experimental survey method was used  to obtain accurate information for the study from the population  The objectives determine ways by which the nurse anaesthetists manage pain, find out how to assess pain on patients, to identify the factors that affect effective pain management in the hospital. Data were collected using questionnaire with 4 sections where sections B, C and D contains ten (10) closed and one (1) ended question. Analysis was done using descriptive tables, inferential statistic of chi-square to test the hypothesis. The descriptive statistics with frequency and percentage distribution is used to present the items. The chi square inferential statistics was used to present the testing of the hypotheses, at 0.05 alpha level of significance. From the findings,the respondents carry out pain assessment on their patients one time or the other but majority do so only when patients complain of pain.  Hence, they need to be consistent and effective in the manner they carry out the assessment of pain for best result. The need to update themselves for new trends in the assessment and management of pain, change of attitude, believe and behavior that contributes to underassessment and under treatment of patients. Unrelieved pain can become a syndrome in person's life and cause a deformity. Therefore, proper assessment and management of pain facilitates quick recovery, prevents additional health complications and improving individual quality of life thereby reducing mortality rate. Based on the above findings, the researcher recommends that, nurse anesthetists should consider the age of the clients when assessing or managing their threshold of pain, because adults has higher pain threshold than the children. The study showed that the higher the clients education the higher their threshold of pain and vice versa. Nurse anaesthetists shoud consider the educational level of clients when assessing/managing threshold of pain.
Key Words: Anaesthesia, Assessment, Knowledge, Pain Management, Practice

• Language: English
• Publisher: NOOGUL ONLINE DIGITAL SERVICES
• Release date: Dec 22, 2022
• ISBN: 9781387383047

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ALL RIGHTS RESERVED

No portion of this Publication may be reproduced in any form, except for brief quotations, without the written permission of the copyright owner.

      Copyright © Joshua Jataunamo OSCAR

  (RN, RM, RNAS, RNE, BNSc, PDGE, MSc, FWACN PhD in View).

Assistant Director Nurse Educator, (Anaesthetist), School of Post Basic Nurse Anaesthesia Programme,

Ahmadu Bello University Teaching Hospital Zaria, Nigeria.

First Published, 2022

ISBN: 978-1-387-38304-7

 978-1-387-38304-7

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Noogul Digital Publishing

Table of Contents

ALL RIGHTS RESERVED

ABSTRACT

INTRODUCTION

Objectives of the Study

Hypotheses

Significance of the Study

LITERATURE REVIEW

The Concept of Management of Intra and Post-Operative Pain

Preoperative Pain Management or Relief:

Intra-Operative Pain Relief:

Post-Operative Pain Management:

Escalation of Analgesia:

The Concept of Balance Analgesia

Potential complications include:

Non — pharmacological method of pain management

Factors that influence the choice of a non-pharmacological approach to pain management

Psychological Approach;

Physical Rehabilitation Approach:

Surgical approach:

Assessment of pain intra and post-operatively

Core principles of pain assessment and management

Common Assessment Tools for Pain measurement

One Dimensional Scales:

Numerical Rating Scale:

Visual Analog Scale:

Categorical Scales:

Neuropathic Pain Scale (NPS):

Multidimensional Tools:

Examples of multidimensional tools include:

Initial pain assessment tool:

Brief pain inventory:

McGill pain questionnaire:

Verbal rating scales:

The visual analogue scale (VAS):

A Binary scale:

Objective assessment:

Subjective assessment:

Example of vertical Numerical rating scale

Mild to moderate pain (pain score < or =3):

Moderate to severe pain

Reassessment of pain:

Scope and method: -

Factors that affect effective management of pain

Health system barriers:

Nurse Anaesthetists pain assessment treatment and documentation practices:

METHODOLOGY

Study Design

Study Setting

Population of the Study

Eligibility Criteria

Sample Size

Sampling Method

Method of Data Collection

Ethical Consideration

Method of Data Analysis

Summary on the factors that affect the effect of pain management.

Statistical Testing of Hypotheses

Discussion of Findings

Implication to Anaesthesia

Conclusion

Recommendations

REFERENCE

List of Figures

Figure 1: Step Down Analgesia 9

Figure 2: Vertical Numerical Rating Scale 20

Figure 3: Drugs use in managing moderate to severe pain has less histamine and advantageous over others 30

Figure 4: Which of these tools do you use in pain assessment 32

Figure 5: Factors affecting the effective pain management in the hospital 35

List of Tables

Table 1: Bio data variables presentation 27

Table 2:  Designation 28

Table 3:Which drug do you use in managing mild to, moderate pain 29

Table 4:one of these drugs use in managing moderate to severe pain has less histamine and advantageous over others 30

Table 5: which among these methods do you adopt in managing post operative