An Evaluation Of Acute Pain Management On Postoperative Patients In Surgical, Obstetrics And Private Wing Wards In Kenyatta National Hospital (knh)
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Date
2013-06Author
Gikore, Peninah
Munyoro, Esther
Type
ThesisLanguage
enMetadata
Show full item recordAbstract
Despite major advances in the knowledge and development of efficient techniques
for pain control, many patients still suffer from modest to severe pain following
surgery. Indeed,a pain audit conducted at KNH (2006) revealed that up to 13%
of the postsurgical patients complained of severe acute pain.
Acute postoperative pain is known to cause delayed mobilization of surgical
patients resulting to prolonged hospital stay and impacting negatively on the
national economy.
Advantages of effective post-operative pain management include patient’s
comfort hence satisfaction, earlier mobilization, fewer cardiac and pulmonary
complications, reduced risk of
There is need to carry out a study to assess the magnitude of postoperative pain,
the analgesics in use and their effectiveness, and the level of patient satisfaction
with the pain-care given at Kenyatta National hospital.
This study was carried out to assess the above parameters. Findings from
this study will be used to inform and influence acute pain management in the
institution.
Objectives
• To determine the mode of analgesia used perioperatively at KNH
• To determine effectiveness of pain control achieved on postoperative patients
• To assess patients’ satisfaction with pain care given post operatively
Methods: Patients above 15 years of age from the respective units were recruited
after informed consent was obtained. A standardized questionnaire was used
to record patient’s details which included sociodemographic, and past/present
medical details. Patients were followed into the operating room and the type of
anaesthesia used was noted plus intraoperative analgesia administered. In the
postoperative care unit (PACU),pain control achieved was noted attime zero,
30min and 60min post-surgery. In the wards patients were followed up on the 1st
and 2nd postoperative days and pain control achieved and patient’s satisfaction
to services offered were noted. Acute pain assessment was done using the verbal
rating scale.
Citation
Peninah Gikore, Esther Munyoro;An Evaluation Of Acute Pain Management On Postoperative Patients In Surgical, Obstetrics And Private Wing Wards In Kenyatta National Hospital ;presented at the 2nd International Scientific Conference, Chs And Knh, 19th - 21st June 2013.Publisher
University of Nairobi College of Health Sciences
Description
An Evaluation Of Acute Pain Management On Postoperative Patients In Surgical, Obstetrics And Private Wing Wards In Kenyatta National Hospital ;presented at the 2nd International Scientific Conference, CHS And KNH, 19th - 21st June 2013.