Pain is a complex symptom to assess properly and it is often poorly managed in the Emergency Department. The majority of research has focused on exploring oligoanalgesia in samples of patients with heterogeneous injuries. The occurrence of oligoanalgesia in a homogeneous injury, such as Colles fracture, has yet to be explored. A retrospective chart review was conducted to determine the incidence of oligoanalgesia in adults with Colles fractures admitted to two urban Emergency Departments in Western Canada. Data were collected from one hundred fifty charts from a 5-year period (2009-2014). Age and gender predicted of pain assessment (p = .019), but were not significantly associated with receipt of an opioid or pain reassessment. Pain reassessment was only completed in 47% of patients who received an initial pain assessment; this was significantly different from current best practice standards (p = .0002).
AllioneA.MelchioR.MartiniG.DuttoL.RiccaM.BernardiE.. . . TartaglinoB. (2011). Factors influencing desired and received analgesia in emergency department. Internal and Emergency Medicine, 6, 69-78. doi:10.1007/s11739-010-0463-9
2.
AllioneA.PivettaE.PizzolatoE.LorenzatiB.PomeroF.BaruttaL.. . . TartaglinoB. (2017). Determinants of inappropriate acute pain management in old people unable to communicate verbally in the emergency department. Turkish Journal of Emergency Medicine, 17, 160-164. doi:10/1016/j.tjem.2017.08.001
3.
AltizerL. L. (2008). Colles’ fracture. Orthopaedic Nursing, 27, 140-145. doi:10.1097/01.NOR.0000315631.30676.2b
4.
BendalR. B.AffifiA. A. (1977). Comparison of stopping rules in forward regression. Journal of the American Statistical Association, 72, 46-53. doi:10.2307/2286904
5.
BrownJ. C.KleinE. J.LewisC. W.JohnstonB. D.CummingsP. (2003). Emergency department analgesia for fracture pain. Annals of Emergency Medicine, 42, 197-205. doi:10.1067/mem.2003.275
6.
DennyD. L.GuidoW. (2012). Undertreatment of pain in older adults: An application of beneficence. Nursing Ethics, 19, 800-809. doi:10.1177/0969733012447015
7.
DohrenwendP. B.FiesselerF. W.CochraneD. G.AllegraJ. R. (2007). Very young and elderly patients are less likely to receive narcotic prescriptions for clavicle fractures. American Journal of Emergency Medicine, 25, 651-653. doi:10.1016/j.ajem.2006.11.040
8.
EderS. C.SloanE. P.ToddK. (2003). Documentation of ED patient pain by nurses and physicians. American Journal of Emergency Medicine, 21, 253-257. doi:10.1016/S0735-6757(03)00041-X
9.
EvansC. (2004). Improving assessment of pain in older people. Emergency Nurse, 12, 18-21. doi:10.7748/en2004.09.12.5.18.c1163
10.
GueantS.TalebA.Borel-KuhnerJ.CautermanM.RaphaelM.NathanG.Ricard-HibonA. (2011). Quality of pain management in the emergency department: Results of a multicenter prospective study. European Society of Anaesthesiology, 28, 98-105. doi:10.1097/EJA.0b013e3283418fb0
11.
HeinsJ. K.HeinsA.GrammasM.CostelloM.HuangK.MishraS. (2006). Disparities in analgesia and opioid prescribing for patients with musculoskeletal pain in the emergency department. Journal of Emergency Medicine, 32, 219-224. doi:10.1016/j.jen.2006.01.010
12.
HerrK.TitlerM. (2009). Acute pain assessment and pharmacological management practices for the older adult with a hip fracture: Review of ED trends. Journal of Emergency Nursing, 35, 312-320.
13.
HwangU.Platts-MillsT. (2013). Acute pain management in older adults in the emergency department. Clinics in Geriatric Medicine, 29, 151-164. doi:10.1016/j.cger.2012.10.006
14.
HwangU.RichardsonL. D.HarrisB.MorrisonS. (2010). The quality of emergency department care for older adult patients. Journal of the American Geriatrics Society, 58, 2122-2128. doi:10.1111/j.1532-5415.2010.03152.x
15.
HwangU.RichardsonL. D.SonuyiT. O.MorrisonR. S. (2006). The effect of emergency department crowding on the management of pain in older adults with hip fracture. Journal of the American Geriatrics Society, 54, 270-275. doi:10.1111/j.1532-5415.2005.00587.x
16.
IyerR. G. (2011). Pain documentation and predictors of analgesic prescribing for elderly patients during emergency department visits. Journal of Pain and Symptom Management, 41, 367-373. doi:10.1016/j.jpainsymman.2010.04.023
NellansK. W.KowalskiE.ChungK. C. (2012). The epidemiology of distal radius fractures. Hand Clinics, 28, 113-125. doi:10.1016/j.hcl.2012.02.001
21.
NormanG. R.StreinerD. L. (2008). Biostatistics: The bare essentials. Shelton, CT: People’s Medical Publishing House.
22.
PatilA.SrinivasaranganM.RavindraP.MundadaH. (2017). Studying protocol-based pain management in the emergency department. Journal of Emergencies, Trauma, and Shock, 10, 180-188.
23.
Platts-MillsT.EssermanD. A.BrownD. L.BortsovA. V.SloaneP. D.McLeanS. A. (2012). Older US emergency department patients are less likely to receive pain medication than younger patients: Results from a national survey. Annals of Emergency Medicine, 60, 199-206. doi:10.1016/j.annemergmed.2011.09.014
24.
RafteryK. A.Smith-CogginsR.ChenA. H. (1995). Gender associated differences in emergency department pain management. Annals of Emergency Medicine, 26, 414-442.
