Acute pain management and assessment

Rationale  Pain assessment and treatment is influenced by subjective perception of pain. Despite the international efforts to implement guidelines and protocols for pain management, pain continues to be regarded as a complication rather than a primary problem. The literature pertaining to the adequa...

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Main Author: Zeitoun, Abeer A. (author)
Other Authors: Dimassi, Hani I. (author), Chami, Bahija A. (author), Chamoun, Nibal R. (author)
Format: article
Published: 2012
Online Access:http://hdl.handle.net/10725/2242
http://dx.doi.org/10.1111/j.1365-2753.2012.01860.x
https://onlinelibrary.wiley.com/doi/full/10.1111/j.1365-2753.2012.01860.x
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author Zeitoun, Abeer A.
author2 Dimassi, Hani I.
Chami, Bahija A.
Chamoun, Nibal R.
author2_role author
author
author
author_facet Zeitoun, Abeer A.
Dimassi, Hani I.
Chami, Bahija A.
Chamoun, Nibal R.
author_role author
dc.creator.none.fl_str_mv Zeitoun, Abeer A.
Dimassi, Hani I.
Chami, Bahija A.
Chamoun, Nibal R.
dc.date.none.fl_str_mv 2012
2015-10-02T10:02:05Z
2015-10-02T10:02:05Z
2015-10-02
dc.identifier.none.fl_str_mv 1365-2753
http://hdl.handle.net/10725/2242
http://dx.doi.org/10.1111/j.1365-2753.2012.01860.x
Zeitoun, A. A., Dimassi, H. I., Chami, B. A., & Chamoun, N. R. (2013). Acute pain management and assessment: are guidelines being implemented in developing countries (Lebanon). Journal of Evaluation in Clinical Practice, 19(5), 833-839.
https://onlinelibrary.wiley.com/doi/full/10.1111/j.1365-2753.2012.01860.x
dc.relation.none.fl_str_mv Journal of Evaluation in Clinical Practice
dc.rights.*.fl_str_mv info:eu-repo/semantics/openAccess
dc.title.none.fl_str_mv Acute pain management and assessment
are guidelines being implemented in developing countries (Lebanon)
dc.type.none.fl_str_mv Article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/article
description Rationale  Pain assessment and treatment is influenced by subjective perception of pain. Despite the international efforts to implement guidelines and protocols for pain management, pain continues to be regarded as a complication rather than a primary problem. The literature pertaining to the adequacy of pain management in the Middle East is frail. This study focuses on revealing the implemented practices of initial pain assessment, follow-up and re-evaluation of pain treatment in Lebanese hospitals. Aim and objectives  The objective of this study is to evaluate the presence and effectiveness of acute pain management and its impact on the quality of life in hospitals throughout Lebanon, in both cancer and non-cancer populations. Methods  A Lebanese multi-centre, prospective, chart review study was conducted over a period of 3 months. Data on demographics, pain medication, dose, route, duration and adjunct pain management were collected. Appropriateness of pain management was determined as per World Health Organization guidelines. Institutional Review Board approvals were obtained from each hospital. Results  Results from 582 participants revealed that 50% of initial pain assessment intensity scores were based on the assumptions of health care professionals. Furthermore, as pain severity scores increased, the adequacy of pain management decreased. Only 22% of the patients had a daily follow-up, and the majority of those continued to receive inappropriate therapy. Conclusion  This study reflects the lack of a well-structured system for pain management in Lebanese hospitals. It underlines the need for pain research in the region. It also highlights the need for implementing the recommendations discussed to minimize risk and optimize pain management.
eu_rights_str_mv openAccess
format article
id LAURepo_abf2dbb8d40d68375229d7f7c866e87e
identifier_str_mv 1365-2753
Zeitoun, A. A., Dimassi, H. I., Chami, B. A., & Chamoun, N. R. (2013). Acute pain management and assessment: are guidelines being implemented in developing countries (Lebanon). Journal of Evaluation in Clinical Practice, 19(5), 833-839.
network_acronym_str LAURepo
network_name_str Lebanese American University repository
oai_identifier_str oai:laur.lau.edu.lb:10725/2242
publishDate 2012
repository.mail.fl_str_mv
repository.name.fl_str_mv
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spelling Acute pain management and assessmentare guidelines being implemented in developing countries (Lebanon)Zeitoun, Abeer A.Dimassi, Hani I.Chami, Bahija A.Chamoun, Nibal R.Rationale  Pain assessment and treatment is influenced by subjective perception of pain. Despite the international efforts to implement guidelines and protocols for pain management, pain continues to be regarded as a complication rather than a primary problem. The literature pertaining to the adequacy of pain management in the Middle East is frail. This study focuses on revealing the implemented practices of initial pain assessment, follow-up and re-evaluation of pain treatment in Lebanese hospitals. Aim and objectives  The objective of this study is to evaluate the presence and effectiveness of acute pain management and its impact on the quality of life in hospitals throughout Lebanon, in both cancer and non-cancer populations. Methods  A Lebanese multi-centre, prospective, chart review study was conducted over a period of 3 months. Data on demographics, pain medication, dose, route, duration and adjunct pain management were collected. Appropriateness of pain management was determined as per World Health Organization guidelines. Institutional Review Board approvals were obtained from each hospital. Results  Results from 582 participants revealed that 50% of initial pain assessment intensity scores were based on the assumptions of health care professionals. Furthermore, as pain severity scores increased, the adequacy of pain management decreased. Only 22% of the patients had a daily follow-up, and the majority of those continued to receive inappropriate therapy. Conclusion  This study reflects the lack of a well-structured system for pain management in Lebanese hospitals. It underlines the need for pain research in the region. It also highlights the need for implementing the recommendations discussed to minimize risk and optimize pain management.PublishedN/A2015-10-02T10:02:05Z2015-10-02T10:02:05Z20122015-10-02Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1365-2753http://hdl.handle.net/10725/2242http://dx.doi.org/10.1111/j.1365-2753.2012.01860.xZeitoun, A. A., Dimassi, H. I., Chami, B. A., & Chamoun, N. R. (2013). Acute pain management and assessment: are guidelines being implemented in developing countries (Lebanon). Journal of Evaluation in Clinical Practice, 19(5), 833-839.https://onlinelibrary.wiley.com/doi/full/10.1111/j.1365-2753.2012.01860.xJournal of Evaluation in Clinical Practiceinfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/22422022-03-08T12:20:59Z
spellingShingle Acute pain management and assessment
Zeitoun, Abeer A.
status_str publishedVersion
title Acute pain management and assessment
title_full Acute pain management and assessment
title_fullStr Acute pain management and assessment
title_full_unstemmed Acute pain management and assessment
title_short Acute pain management and assessment
title_sort Acute pain management and assessment
url http://hdl.handle.net/10725/2242
http://dx.doi.org/10.1111/j.1365-2753.2012.01860.x
https://onlinelibrary.wiley.com/doi/full/10.1111/j.1365-2753.2012.01860.x