Acute pain management and assessment

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dc.contributor.author Zeitoun, Abeer A.
dc.contributor.author Dimassi, Hani I.
dc.contributor.author Chami, Bahija A.
dc.contributor.author Chamoun, Nibal R.
dc.date.accessioned 2015-10-02T10:02:05Z
dc.date.available 2015-10-02T10:02:05Z
dc.date.copyright 2012
dc.date.issued 2015-10-02
dc.identifier.issn 1365-2753 en_US
dc.identifier.uri http://hdl.handle.net/10725/2242
dc.description.abstract 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. en_US
dc.title Acute pain management and assessment en_US
dc.type Article en_US
dc.description.version Published en_US
dc.title.subtitle are guidelines being implemented in developing countries (Lebanon) en_US
dc.author.school SOP en_US
dc.author.idnumber 200603781
dc.author.idnumber 200201071
dc.author.woa N/A en_US
dc.author.department Pharmacy en_US
dc.description.embargo N/A en_US
dc.relation.journal Journal of Evaluation in Clinical Practice en_US
dc.journal.volume 19 en_US
dc.journal.issue 5 en_US
dc.article.pages 833-839 en_US
dc.keywords Appropriateness en_US
dc.keywords Assessment en_US
dc.keywords Hospitals en_US
dc.keywords Lebanon en_US
dc.keywords Management en_US
dc.keywords Pain en_US
dc.identifier.doi http://dx.doi.org/10.1111/j.1365-2753.2012.01860.x en_US
dc.identifier.ctation 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. en_US
dc.author.email hani.dimassi@lau.edu.lb
dc.author.email nibal.chamoun@lau.edu.lb
dc.identifier.url https://onlinelibrary.wiley.com/doi/full/10.1111/j.1365-2753.2012.01860.x
dc.orcid.id https://orcid.org/0000-0003-1827-2453
dc.orcid.id https://orcid.org/0000-0002-0987-296X

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