Skausmo valdymas skubiosios medicinos pagalbos praktikoje

Striogaitė, Karolina; Stučinskaitė, Neringa

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Skausmo valdymas skubiosios medicinos pagalbos praktikoje

Striogaitė, Karolina; Stučinskaitė, Neringa

URI: http://dspace.kaunokolegija.lt//handle/123456789/1502

Data: 2019-04-12

Santrauka:

Literatūriškai aprašomas skausmas, skausmo vertinimo, malšinimo būdai, šalutiniai reiškiniai po medikamentų vartojimo, teisiniai dokumentai, reglamentuojantys skausmo malšinimą skubiojoje medicinos pagalboje, slaugytojų vaidmenys valdant skausmą. Tyrimo metu siekiama nustatyti skausmo valdymą skubiojoje medicinos pagalbos praktikoje slaugytojų požiūriu ir atskleisti praktinius slaugytojų, dirbančių skubiojoje medicinos pagalboje, naudojamus skausmo vertinimo, malšinimo, medikamentų pasirinkimo ir vartojimo aspektus bei šalutinius reiškinius stebėjimo būdu.

Description:

Project’s aim is to reveal the aspects of pain management in medical emergency care. Project’s tasks are: 1. Analysing the source of pain, assessment, suppression of pain and any side effects of drugs administered. 2. Logging the legal documents regulating pain relief in emergency practice and the role of nurses in managing the patient’s pain. 3. Identifying pain management in medical emergency practice from the point of view of nurses. 4. Revealing practical aspects of pain assessment, suppression, drug selection and side effects used by nurses working in emergency care by monitoring the patient. Survey contingent: The case study was attended by all of town X medical emergency service specialists (15 in total). Qualitative research - semi-structured interview and monitoring - was selected for the project. The study aims to find out the reasons why patients are calling the emergency services, what pain scales are used by the emergency staff, ways of assessing pain in patients who are unconscious, elderly or suffering from dementia, are there side effects when treating the pain, what non-pharmacological pain relief measures are used in emergency medical care, what other problems staff encounter when treating patients with pain, how often they are transported to Accidents & Emergency Department because of pain and what kind of pains are most common. Results and conclusions of the study: During the study we found that chest pain is most common. When assessing the pain of conscious patients, the emergency nursing staff usually choose a numerical rating scale. In pain relief, almost all nursing professionals use not only medication, but also non-pharmaceutical pain relief. Problems with pain relief: Patients may fear injections, refuse medication, or even refuse to go to hospital. During the observation period, it was found that the patients’ pain was usually assessed using a numerical rating scale. Medications are prescribed only after assessing the severity of the pain and not all ambulance staff have used non-pharmaceutical tools.

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