Adequacy of post-operative analgesia following day case breast surgery
Association of Breast Surgery ePoster Library. Mahon-Daly F. 05/13/19; 257176; P134
Dr. Freyia Mahon-Daly
REGULAR CONTENT
Login now to access Regular content available to all registered users.
Abstract
Discussion Forum (0)
Rate & Comment (0)
P134
Topic: Other
Introduction: Adequate post-operative analgesia is an important aspect of day case breast surgery patient care to prevent patient suffering and re-attendance following discharge. Methods Patients were contacted to provide a pain score using the verbal rating scale (VRS) on post-operative days 1-3 (0 = no pain, 10= severe pain), and to provide details of their analgesia use. Patient records were accessed to establish if there was discrepancy between the analgesia prescribed and that taken by the patient.The audit standards used were from The Royal Collage of Anaesthetists audit recipe book:1.100% patients discharged with written and oral instructions regarding pain relief.2.<5% reporting ‘severe' pain on verbal pain score in the first 48 hours after discharge3.>85% reporting ‘none' or ‘mild' pain in the first 48 hours after dischargeResultsAll patients (n=37) were discharged with written instructions explaining analgesia, and 68% (n=25) were also given oral instructions. Severe pain (7-10) was experienced by 21% (n=8) of patients surveyed, 75% of whom (n=6) failed to take the provided analgesia regularly as prescribed. No pain or mild pain (0-3) was reported by41 % (n=15) of respondents.ConclusionThere is a need to educate patients about the importance of regular analgesia. A patient information sheet explaining this in lay terms will be given to patients in addition to the discharge letter, and nursing staff will be asked to encourage adherence when giving patients their medications on discharge. Re-audit following the implementation of these measures is recommended.
Topic: Other
Introduction: Adequate post-operative analgesia is an important aspect of day case breast surgery patient care to prevent patient suffering and re-attendance following discharge. Methods Patients were contacted to provide a pain score using the verbal rating scale (VRS) on post-operative days 1-3 (0 = no pain, 10= severe pain), and to provide details of their analgesia use. Patient records were accessed to establish if there was discrepancy between the analgesia prescribed and that taken by the patient.The audit standards used were from The Royal Collage of Anaesthetists audit recipe book:1.100% patients discharged with written and oral instructions regarding pain relief.2.<5% reporting ‘severe' pain on verbal pain score in the first 48 hours after discharge3.>85% reporting ‘none' or ‘mild' pain in the first 48 hours after dischargeResultsAll patients (n=37) were discharged with written instructions explaining analgesia, and 68% (n=25) were also given oral instructions. Severe pain (7-10) was experienced by 21% (n=8) of patients surveyed, 75% of whom (n=6) failed to take the provided analgesia regularly as prescribed. No pain or mild pain (0-3) was reported by41 % (n=15) of respondents.ConclusionThere is a need to educate patients about the importance of regular analgesia. A patient information sheet explaining this in lay terms will be given to patients in addition to the discharge letter, and nursing staff will be asked to encourage adherence when giving patients their medications on discharge. Re-audit following the implementation of these measures is recommended.
P134
Topic: Other
Introduction: Adequate post-operative analgesia is an important aspect of day case breast surgery patient care to prevent patient suffering and re-attendance following discharge. Methods Patients were contacted to provide a pain score using the verbal rating scale (VRS) on post-operative days 1-3 (0 = no pain, 10= severe pain), and to provide details of their analgesia use. Patient records were accessed to establish if there was discrepancy between the analgesia prescribed and that taken by the patient.The audit standards used were from The Royal Collage of Anaesthetists audit recipe book:1.100% patients discharged with written and oral instructions regarding pain relief.2.<5% reporting ‘severe' pain on verbal pain score in the first 48 hours after discharge3.>85% reporting ‘none' or ‘mild' pain in the first 48 hours after dischargeResultsAll patients (n=37) were discharged with written instructions explaining analgesia, and 68% (n=25) were also given oral instructions. Severe pain (7-10) was experienced by 21% (n=8) of patients surveyed, 75% of whom (n=6) failed to take the provided analgesia regularly as prescribed. No pain or mild pain (0-3) was reported by41 % (n=15) of respondents.ConclusionThere is a need to educate patients about the importance of regular analgesia. A patient information sheet explaining this in lay terms will be given to patients in addition to the discharge letter, and nursing staff will be asked to encourage adherence when giving patients their medications on discharge. Re-audit following the implementation of these measures is recommended.
Topic: Other
Introduction: Adequate post-operative analgesia is an important aspect of day case breast surgery patient care to prevent patient suffering and re-attendance following discharge. Methods Patients were contacted to provide a pain score using the verbal rating scale (VRS) on post-operative days 1-3 (0 = no pain, 10= severe pain), and to provide details of their analgesia use. Patient records were accessed to establish if there was discrepancy between the analgesia prescribed and that taken by the patient.The audit standards used were from The Royal Collage of Anaesthetists audit recipe book:1.100% patients discharged with written and oral instructions regarding pain relief.2.<5% reporting ‘severe' pain on verbal pain score in the first 48 hours after discharge3.>85% reporting ‘none' or ‘mild' pain in the first 48 hours after dischargeResultsAll patients (n=37) were discharged with written instructions explaining analgesia, and 68% (n=25) were also given oral instructions. Severe pain (7-10) was experienced by 21% (n=8) of patients surveyed, 75% of whom (n=6) failed to take the provided analgesia regularly as prescribed. No pain or mild pain (0-3) was reported by41 % (n=15) of respondents.ConclusionThere is a need to educate patients about the importance of regular analgesia. A patient information sheet explaining this in lay terms will be given to patients in addition to the discharge letter, and nursing staff will be asked to encourage adherence when giving patients their medications on discharge. Re-audit following the implementation of these measures is recommended.
Code of conduct/disclaimer available in General Terms & Conditions
{{ help_message }}
{{filter}}