Inadequate pain meds in ER for patients with long-bone fractures

Inadequate pain meds in ER for patients with long-bone fractures

(HealthDay) -- The majority of patients with long-bone fractures receive inadequate pain medication in the emergency department, and disparities in management exist, according to a study published in the May issue of the Journal of Emergency Nursing.

To investigate the adequacy of pain management for patients with long-bone fractures seen in the , Ptlene Minick, Ph.D., R.N., from Georgia State University in Atlanta, and colleagues conducted an exploratory, correlation design study using data from 218 patients (61 percent female; 63 percent white, 28 percent black, 9 percent other minorities) from two major urban medical centers. The pain management index (PMI) was calculated and used to assess the adequacy of pain management.

The investigators found that, while in the emergency department, 36 percent of patients received no medication, despite having a mean of 6.9 (on a scale of 0 to 10). The 126 patients who did receive an analgesic had to wait for an average of 1.76 hours for the medication. Of the patients who received , black patients, younger patients, and those with higher were more likely to receive inadequate pain management compared with white patients.

"A large portion of patients in this cohort did not receive any medication for pain while in the emergency department. Even when patients received an analgesic, one measure of adequate treatment, the PMI, did not meet recommendations for care in the emergency department," the authors write. "Because patients admitted to the emergency department often are especially vulnerable, interventions focusing on improving pain management for that population need to be developed."

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Racial differences found in care of children in ED

Apr 29, 2012

Black children are less likely than white children to receive medication for abdominal pain in the emergency department (ED) even when they report severe pain, according to a study presented at the Pediatric Academic Societies ...

Recommended for you

What are the chances that your dad isn't your dad?

Apr 16, 2014

How confident are you that the man you call dad is really your biological father? If you believe some of the most commonly-quoted figures, you could be forgiven for not being very confident at all. But how ...

New technology that is revealing the science of chewing

Apr 15, 2014

CSIRO's 3D mastication modelling, demonstrated for the first time in Melbourne today, is starting to provide researchers with new understanding of how to reduce salt, sugar and fat in food products, as well ...

After skin cancer, removable model replaces real ear

Apr 11, 2014

(HealthDay)—During his 10-year struggle with basal cell carcinoma, Henry Fiorentini emerged minus his right ear, and minus the hearing that goes with it. The good news: Today, the 56-year-old IT programmer ...

Italy scraps ban on donor-assisted reproduction

Apr 09, 2014

Italy's Constitutional Court on Wednesday struck down a Catholic Church-backed ban against assisted reproduction with sperm or egg donors that has forced thousands of sterile couples to seek help abroad.

User comments