Oligoanalgesia in Adult Colles Fracture Patients Admitted to the Emergency Department

  • Author / Creator
    Pasiorowski, Ashley A
  • 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.

  • Subjects / Keywords
  • Graduation date
  • Type of Item
  • Degree
    Master of Nursing
  • DOI
  • License
    This thesis is made available by the University of Alberta Libraries with permission of the copyright owner solely for non-commercial purposes. This thesis, or any portion thereof, may not otherwise be copied or reproduced without the written consent of the copyright owner, except to the extent permitted by Canadian copyright law.
  • Language
  • Institution
    University of Alberta
  • Degree level
  • Department
    • Faculty of Nursing
  • Specialization
    • Aging
  • Supervisor / co-supervisor and their department(s)
    • Dr. Karin Olson, Faculty of Nursing
  • Examining committee members and their departments
    • Dr. Sunita Ghosh (Oncology, Faculty of Medicine & Dentistry)
    • Dr. Lynne Ray (Faculty of Nursing)
    • Dr. Lisa Cranley (Faculty of Nursing)
    • Dr. Karin Olson (Faculty of Nursing)
    • Dr. Jude Spiers (Faculty of Nursing)