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Patient Education for Better Pain Management
Patient Education for
Better Pain Management

Aurora Davis, RN, BSN, BA, OCN Oncology/Bone Marrow Transplant

How are we doing managing pain?
How are we doing managing pain?

The Oncology/BMT Unit is not currently meeting its combined HCAPS goal: 74.3% of patients report pain is “always” well controlled and that staff “always” do everything to help.

Oncology Pain HCAPS FY2014

90% 80% 70% 60% 50% 40%
90%
80%
70%
60%
50%
40%

BMT Pain HCAPS FY2014

90% 80% 70% 60% 50% 40%
90%
80%
70%
60%
50%
40%

Jul-13

Aug-13

Sep-13

Oct-13

Nov-13

Dec-13

Jan-14

Jul-13

Aug-13

Sep-13

Oct-13

Nov-13

Dec-13

Jan-14

  • Pain well controlled

 
  • Pain well controlled

 
  • Staff do everything to help with pain

 
  • Staff do everything to help with pain

 
Pain Management Pain Management

Pain Management

 
Pain Management Pain Management

Pain Management

 
How are we doing managing pain?
How are we doing managing pain?

UCH as a whole is not currently meeting its combined HCAPS goal: 77% of patients report pain is “always” well controlled and that staff “always” do everything to help.

How are we doing managing pain? • UCH as a whole is not currently meeting its
What does the literature show?
What does the literature show?

Lack of education can be a barrier to proper pain management. 1,2

Proper patient education significantly increases overall patient satisfaction regarding pain management. 1,2

Patient education reduces barriers to adherence, which improves outcomes. 1,2

Do we educate patients now?
Do we educate patients now?

It is an expectation of nursing staff that patients are educated regarding pain control every shift.

However, adherence to documentation of patient education in EPIC is poor.

Currently no admission handouts regarding pain are being distributed to patients on the

Oncology/BMT unit.

What do our patients say?
What do our patients say?

A study is currently underway at UCH regarding patients’ pain experiences.

Initial data (N=106) shows that 43% of study participants report they did not receive ANY information about pain treatment options. 3

New Pain Teaching Tool
New Pain Teaching Tool
• • • New Pain Teaching Tool Approved by Pain Committee, Acute Pain Service, and Patient

Approved by Pain

Committee, Acute Pain

Service, and Patient

Education Committee.

To be translated into Spanish and printed on bright orange paper.

• • • New Pain Teaching Tool Approved by Pain Committee, Acute Pain Service, and Patient
• • • New Pain Teaching Tool Approved by Pain Committee, Acute Pain Service, and Patient

Discusses pain scale, alternative therapies, comfort-function goal, and emphasizes a team approach to pain management.

How should it be presented?
How should it be presented?

Single page that can be included in Admission Packets when patient arrives on an inpatient

unit.

Should not be simply handed to a patient, but instead used to open a dialogue regarding a

patient’s overall Pain Management Plan, including a Comfort-Function Goal. Use in conjunction with patient’s white board. A Tip Sheet is available.

Recommendation for Roll Out
Recommendation for Roll Out

Present at staff meetings via a slideshow.

Send out the Pain Education Tool with teaching via email.

Educate PSCs: place the tool in patient’s admission packet, have hard copies available.

Available through Documents on Demand.

PED05219

Questions? Feedback?
Questions? Feedback?
References
References
  • 1. Chapman, S. (2012). Cancer pain part 2: assessment and management. Nursing Standard, 26(48), 44-49. (LOE 8)

  • 2. Chou, P. & C. Lin. (2011). A pain education programme to improve patient satisfaction with cancer pain management: a randomised control trial. Journal of Clinical Nursing, 20, 1858-1869. (LOE 2).

  • 3. Fink, R & B. Krumbach. (2013). The Patient’s Pain Experience at UCH and Psychometric Validation of the Revised American Pain Society Patient Outcome Questionnaire [PowerPoint Slides]. (LOE 6).