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Case Study of a Patient with Acute on Chronic Pain Following Total Abdominal Hysterectomy

Published online by Cambridge University Press:  01 August 2011

Jonathan F. Dee
Jonathan F. Dee*
Affiliation:
Recovery, Main Theatre Suite, Aberdeen Royal Infirmary, Aberdeen, UK
*
Correspondence to: J.F. Dee, Registered Nurse, Recovery, Main Theatre Suite, Aberdeen Royal Infirmary, Westburn Road, Aberdeen AB25 2ZN, UK. Tel: +44 01224 552154; E-mail: jonathan.dee@nhs.net
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Abstract

The aim of this case study is to critically explore the holistic care of a patient who requires pain management in the Post Anaesthetic Care Unit (PACU). The development of chronic pain can have a significant psychological impact as well as a debilitating physical effect. The article examines pain assessment tools used in the PACU as well as barriers to their implementation. Finally, both pharmacological and non-pharmacological holistic care interventions are examined.

Keywords

EndometriosisPost-operative painPain assessment
Type
Original Article
Information
British Journal of Anaesthetic & Recovery Nursing , Volume 12 , Issue 3-4 , August 2011 , pp. 57 - 63
Copyright
Copyright © British Association of Anaesthetic and Recovery Nursing 2012

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References

Allen, C, Hopewell, S, Prentice, A. Non-steroidal anti-inflammatory drugs for pain in women with endometriosis (protocol). Cochrane Database of Systematic Reviews 2004; (Issue 2): CD004753.CrossRefGoogle Scholar
Aubrun, F, Monsel, S, Langeron, O, Coriat, P, Riou, B. Postoperative titration of intravenous morphine in the elderly patient. Anesthesiology 2002; 96(1): 17–23.CrossRefGoogle ScholarPubMed
Bonica, JJ. Pain terms: a list with definitions and notes on usage. Recommended by the IASP Subcommittee on Taxonomy. Pain 1979; 6(1): 249–252.Google Scholar
Brown, D. Pain assessment in the recovery room. Journal of Perioperative Practice 2008; 18(11): 480–489.CrossRefGoogle ScholarPubMed
Buvanendran, A, Kroin, JS. Multimodal analgesia for controlling acute postoperative pain. Current Opinion in Anesthesiology 2009; 22(5): 588–593.CrossRefGoogle ScholarPubMed
Chamberlain, G, Hamilton-Fairley, D. Lecture Notes on Obstetrics and Gynaecology. London: Blackwell Science, 1999.Google Scholar
Ene, K, Nordberg, G, Sjöström, B, Bergh, I. Prediction of postoperative pain after radical prostatectomy. BMC Nursing 2008; 7(14). Retrieved 5 March 2012 from www.biomedcentral.com/1472-6955/7/14.CrossRefGoogle Scholar
Feldt, KS. The checklist of nonverbal pain indicators (CNPI). Pain Management Nursing 2000; 1(1): 13–21.CrossRefGoogle ScholarPubMed
Groudine, S, Fossum, S. The use of intravenous acetaminophen in the treatment of postoperative pain. Journal of PeriAnesthesia Nursing 2011; 26(2): 74–80.CrossRefGoogle ScholarPubMed
Hansen, GR, Streltzer, J. The psychology of pain. Emergency Medicine Clinics of North America 2005; 23: 339–348.CrossRefGoogle ScholarPubMed
Hansen, K, Chalpe, A, Eyster, K. Management of endometriosis-associated pain. Clinical Obstetrics and Gynaecology 2010; 53(2): 439–448.CrossRefGoogle ScholarPubMed
Hatfield, A, Tronson, M. The Complete Recovery Room Book, 4th edn. Oxford: Oxford University Press, 2008.CrossRefGoogle Scholar
Heath, ML, Thomas, VJ. Patient Controlled Analgesia: Confidence in Postoperative Pain Control. New York: Oxford Medical Publications, 1993.Google Scholar
Heikkinen, K, Salanterä, S, Kettu, M, Taittonen, M. Prostatectomy patients’ postoperative pain assessment in the recovery room. Journal of Advanced Nursing 2005; 52(6): 592–600.CrossRefGoogle ScholarPubMed
Herr, K, Coyne, PJ, Key, T et al. . Pain assessment in the non-verbal patient: position statement with clinical practice recommendations. Pain Management Nursing 2006; 7(2): 44–52.CrossRefGoogle Scholar
Huntington, A, Gilmour, G. A life shaped by pain: women and endometriosis. Journal of Clinical Nursing 2005; 14: 1124–1132.CrossRefGoogle ScholarPubMed
Kain, ZN, Sevarino, F, Alexander, GM, Pincus, S, Mayes, LC. Preoperative anxiety and postoperative pain in women undergoing hysterectomy: a repeated measures design. Journal of Psychosomatic Research 2000; 49(6): 417–422.CrossRefGoogle ScholarPubMed
Koya-Rawlinson, C. Pain management: an adolescent scoliosis patient. Journal of Perioperative Practice 2009; 19(7): 205–212.CrossRefGoogle ScholarPubMed
Krenzischek, DA, Windle, P, Mamaril, M. A survey of current perianesthesia nursing practice for pain and comfort management. Journal of PeriAnesthesia Nursing 2004; 19(3): 138–149.CrossRefGoogle ScholarPubMed
Loeser, JD, Melzack, R. Pain: an overview. The Lancet 1999; 353(9164): 1607–1609.CrossRefGoogle ScholarPubMed
McCaffery, M. Nursing Practice Theories Related to Cognition, Bodily Pain, and Man-Environment Interactions. Los Angeles: UCLA Student Store, 1968.Google Scholar
McCaffrey, M. Nursing the Patient in Pain. London: Harper and Row, 1983.Google Scholar
McCaffery, M, Pasero, C. Pain – Clinical Manual, 2nd edn. St Louis: Mosby, 1999.Google Scholar
Macintyre, PE, Schug, SA. Acute Pain Management – A Practical Guide, 3rd edn. Philadelphia: Saunders Elsevier, 2007.Google Scholar
MaClellan, K. Management of Pain: Expanding Nursing and Health Care Practice Series. Cheltenham: Nelson Thornes Ltd, 2006.Google Scholar
Malow, RM, Olson, RE. Changes in pain perception after treatment for chronic pain. Pain 1981; 11: 65–72.CrossRefGoogle ScholarPubMed
Malviya, S, Voepel-Lewis, T, Burke, C, Merkel, S, Tait, AR. The revised FLACC observational pain tool: improved reliability and validity for pain assessment in children with cognitive impairment. Paediatric Anaesthesia 2006; 16: 258–265.CrossRefGoogle ScholarPubMed
Medicines and Healthcare Products Regulatory Agency (MHRA). Intravenous Paracetamol (Perfalgan): Risk of Accidental Overdose, Especially in Infants and Neonates. Drug Safety Update 2010; 3(12). Retrieved 17 May 2011 from http://www.mhra.gov.uk/Safetyinformation/DrugSafetyUpdate/CON088171.Google Scholar
Melzack, R, Wall, PD. The Challenge of Pain, 2nd edn. London: Penguin Books Ltd, 1988.Google Scholar
Merskey, H, Bogduk, N. Classification of Chronic Pain: Descriptions of Chronic Pain Syndromes and Definitions of Pain Terms, 2nd edn. Seattle: IASP Press, 1994.Google Scholar
O'Hara, P. Pain Management for Health Professionals. London: Chapman & Hall, 1996.Google Scholar
Odhner, M, Wegman, D, Freeland, N, Steinmetz, A, Ingersoll, GL. Assessing pain in nonverbal critically ill adults. Dimensions of Critical Care Nursing 2003; 22(6): 260–267.CrossRefGoogle ScholarPubMed
Parsons, G, Preece, W. Principles and Practice of Managing Pain: A Guide for Nurses and Allied Health Professionals. Maidenhead: Open University Press, 2010.Google Scholar
Pasero, C, McCaffery, M. Reversing respiratory depression with Naloxone. American Journal of Nursing 2000; 2(2): 26.Google Scholar
The Practice Committee of the American Society for Reproductive Medicine. Treatment of pain associated with endometriosis. Fertility and Sterility 2008; 90(Supplement 3): S260–S269.CrossRefGoogle Scholar
Rawal, N., ed. Management of Acute and Chronic Pain. Chichester: Wiley-Blackwell, 1998.Google Scholar
Shaw, S. Nursing and supporting patients with chronic pain. Nursing Standard 2006; 20(19): 60–65.CrossRefGoogle ScholarPubMed
Spacek, A. Modern concepts of acute and chronic pain management. Biomedicine & Pharmacotherapy 2006; 60: 329–335.CrossRefGoogle ScholarPubMed
Trounce, J. Clinical Pharmacology for Nurses. London: Harcourt Publishers Ltd, 2000.Google Scholar
Watt-Watson, JH, Donovan, M. Pain Management: Nursing Perspective. St Louis: Mosby Year Book Inc., 1992.Google Scholar
Wicker, P, O'Neil, J. Caring for the Perioperative Patient, 2nd edn. Chichester: Wiley-Blackwell, 2010.CrossRefGoogle Scholar
Wilding, JR, Manias, E, Mccoy, D. Pain assessment and management in patients after abdominal surgery from PACU to the postoperative unit. Journal of PeriAnesthesia Nursing 2009; 24(4): 233–240.CrossRefGoogle Scholar