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Oligoanalgesia in Adult Colles Fracture Patients Admitted to the Emergency Department Open Access


Other title
Colles fracture
Pain management
Type of item
Degree grantor
University of Alberta
Author or creator
Pasiorowski, Ashley A
Supervisor and department
Dr. Karin Olson, Faculty of Nursing
Examining committee member and department
Dr. Lisa Cranley (Faculty of Nursing)
Dr. Sunita Ghosh (Oncology, Faculty of Medicine & Dentistry)
Dr. Karin Olson (Faculty of Nursing)
Dr. Jude Spiers (Faculty of Nursing)
Dr. Lynne Ray (Faculty of Nursing)
Faculty of Nursing
Date accepted
Graduation date
Master of Nursing
Degree level
Pain is the most common reason that patients frequent the Emergency Department. Pain is a complex symptom to assess properly and according to research, it appears to be poorly managed in the Emergency Department. The majority of research has focused on the incidence of oligoanalgesia in large samples of patients with heterogeneous injuries. Pain management will differ depending on the type of injury a patient has sustained. The occurrence of oligoanalgesia in a homogeneous injury, such as Colles fracture, has yet to be explored. This is a pilot study using a retrospective chart review to determine the incidence of oligoanalgesia in adult Colles fracture patients admitted to two urban Emergency Departments in Western Canada. One hundred and fifty charts from site 1 and site 2 were analyzed from the last five years to determine the occurrence of oligoanalgesia. There was no statistical difference in age groups, who received analgesia, and females were more likely to receive analgesia, but this was not significant. Age and sex were not significantly associated with receipt of an opioid. Age and sex were significant predictors of pain assessment. Neither age nor sex were significant predictors of pain reassessment. Pain reassessment was only completed in 47% of patients who received an initial pain assessment, This was significant when compared to the best practice standard.
Permission is hereby granted to the University of Alberta Libraries to reproduce single copies of this thesis and to lend or sell such copies for private, scholarly or scientific research purposes only. The author reserves all other publication and other rights in association with the copyright in the thesis and, except as herein before provided, neither the thesis nor any substantial portion thereof may be printed or otherwise reproduced in any material form whatsoever without the author's prior written permission.
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