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Pain Management Research Paper

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STUDY OVERVIEW
Pain control continues as a major focus in health care. The Joint Commission and the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) identified pain management as a measure of quality healthcare and patient satisfaction, both of which are tied to federal reimbursement. Additionally, the HCAHPS survey publicizes perceptions patients have of their hospital experience by asking questions such as, “How often did hospital staff do everything they could to help you with your pain?” (Hcahpsonline, 2009). OSF Saint Anthony Medical Center (OSF) runs in the xth percentile in the area of pain management. It is imperative, then, that we continue to seek ways to minimize pain that is experienced in the acute hospital …show more content…

These tests are described as the most painful laboratory procedure (Clinical Laboratory Standards Institute, 2004) and are performed, under standard of care, without the benefit of pain management (Lightowler & Elliott, 1997). In a study of 100 critical care patients, obtaining the blood sample for ABG analysis was the most potent factor that moderately or severely worried the participants, and the participants identified this pain as separate from regular pain (Hudson, Dukes, & Reilly, 2006). Furthermore, clinicians are hesitant to use local analgesia due to concerns that the pain from injection of the anesthetic is just as painful as that of the arterial puncture, that infiltration of an anesthetic will hinder the ability to obtain the sample, that it takes too long to administer the anesthetic, or that the pain is no worse than a venipuncture (Hudson et al., 2006; Malley, …show more content…

The risk will be minimized as the nurses will follow the established standards for radial artery access (CLSI, 2004) and will be trained by Ms. Barkley who conducted same procedure for the preceding pilot study. However, there is always a risk of artery cannulation being unsuccessful. In such scenario, no further attempt will be made to access the artery and lab personnel, of the respective hospital, will be contacted to draw the specimen. Risk of infection will be minimized using aseptic technique. We will also review the participant’s medical record and query the patient to assess for allergy to lidocaine or its derivatives prior to administration. The participants’ EMR or sampling site will be assessed within 24 hours to assess for any complications. All complications will be recorded and classified according to

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