Journal article

A nurse-initiated pain protocol in the ED improves pain treatment in patients with acute musculoskeletal pain

Jorien GJ Pierik, Sivera A Berben, Maarten J IJzerman, Menno I Gaakeer, Fred L van Eenennaam, Arie B van Vugt, Carine JM Doggen

International Emergency Nursing | ELSEVIER SCI LTD | Published : 2016

Abstract

While acute musculoskeletal pain is a frequent complaint, its management is often neglected. An implementation of a nurse-initiated pain protocol based on the algorithm of a Dutch pain management guideline in the emergency department might improve this. A pre-post intervention study was performed as part of the prospective PROTACT follow-up study. During the pre- (15 months, n = 504) and post-period (6 months, n = 156) patients' self-reported pain intensity and pain treatment were registered. Analgesic provision in patients with moderate to severe pain (NRS ≥4) improved from 46.8% to 68.0%. Over 10% of the patients refused analgesics, resulting into an actual analgesic administration increas..

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