A pilot study investigating the effect of a patient-held pain assessment tool in palliative care outpatients attending a rural Kenyan hospital.
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Date
2014Author
Besley, C
Kariuki, H
Fallon, M
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
BACKGROUND:
Pain is a frequent and distressing symptom in palliative care patients worldwide. Careful assessment is the first vital step to relieve this suffering. Assessment tools form a useful adjunct to pain management, but whether they make a difference to the patient is not known.
AIM:
The objective of this study was to investigate whether the use of a patient-held pain assessment tool can make a difference in patient's pain control.
SETTING AND PARTICIPANTS:
AIC Kijabe Hospital, Kenya, has had a nurse-led Palliative Care Service since 2002, with an annual case-load of around 600 patients. Study participants were recruited from among adult palliative care patients attending the Outpatient Department.
DESIGN:
A quantitative experimental study methodology was employed. In the pre-intervention phase, pain was assessed at study entry and at 2 weeks, following 'standard' care at home; 49 patients were recruited for this phase. In the intervention phase, pain assessments were made at entry, with follow-up assessment after introduction to a patient-held pain assessment tool taken home by each patient; 50 patients were recruited for this phase. Analysis involved a comparison of baseline and 2-week pain scores between the two groups.
RESULTS:
The results demonstrated that the use of a patient-held pain assessment tool led to an increase in the number of patients reaching satisfactory pain relief, from 30% in the pre-intervention group, to 69% in the intervention group.
CONCLUSION:
This study has demonstrated that a simple pain assessment tool, when linked to some action, may help achieve better analgesia.
Citation
Besley, Charlie, Hellen Kariuki, and Marie Fallon. "A pilot study investigating the effect of a patient-held pain assessment tool in palliative care outpatients attending a rural Kenyan hospital." Palliative medicine (2014): 0269216314536947.Publisher
University of Nairobi,
Collections
- Faculty of Health Sciences (FHS) [10387]