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Den underbehandlade patientens akuta smärta på akutmottagningar: En litteraturstudie
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2016 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Background In healthcare worldwide, pain continues to be undertreated. Undertreated pain has both and its physiological and physical impact on the individual, and the health care can reduce the risk of unnecessary suffering through good care routines. 

Aim The purpose of this study was to investigate the prevalence and experiences of under treatment of pain in patients who visited emergency departments, and if there were any prevalent specific risk factors leading to the low levels of pain treatment.

Method The PubMed database was used to search for articles relevant for this study. Some of the keywords used were; “Emergency service AND hospital”, “pain measurement” and “Pain undertreated”. Twenty-two articles were found, with eight articles being excluded since they fell within the scope of the exclusion criteria. The fourteen included articles were quality assessed by the reviewers using two different criteria templates for quantitative and qualitative studies. Beauchamp and Childress theory “Four principles of medical ethics” has been used as theoretical framework.

Result The study showed that patients with pain are consistently undertreated in emergency departments. In total, approximately 20-83% of patients were undertreated, and 20-60% are discharged with more pain than acceptable. Factors such as waiting time, proper medical treatment, communication, and information were essential for a high-quality patient experience. Patients that falls into the groups “aged over 70”, “abdominal pain”, “fracture” and/or “mental instability” had a lower probability of obtaining pain relief during their hospital stay in comparison to patients with another diagnosis.

Conclusion The emergency department is the patient's first contact with the health service system and pain is often the most common cause for getting in contact with the healthcare system. More knowledge and good care routines are needed for patients to get the right care and treatment.

Place, publisher, year, edition, pages
2016. , p. 39
Keywords [sv]
smärta, underbehandling, akutmottagning, riskfaktorer
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-311531OAI: oai:DiVA.org:uu-311531DiVA, id: diva2:1060335
Subject / course
Caring Sciences
Educational program
Registered Nurse Programme
Supervisors
Examiners
Available from: 2016-12-28 Created: 2016-12-28 Last updated: 2016-12-28Bibliographically approved

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CiteExportLink to record
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Citation style
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