A PROSPECTIVE OBSERVATIONAL STUDY OF PAIN ASSESSMENT AND MANAGEMENT IN ACCIDENTAL CASES IN TERITIARY CARE HOSPITAL

Vallabdas Sreyasri, Shaista Nazmeen and D. Venkata Ramana*

ABSTRACT

Aim: To evaluate the Pain assessment and management in accidental cases. Objectives: To Evaluate the pain assessment and management in accidental cases. To study and observe pain score by using different pain scales and prescribing patterns in the management of pain in accidental cases. Method: The study was a prospective observational study on pain assessment by using different scales and management of pain in accidental cases at the Kims sunshine hospital, Secunderabad. Collecting information regarding pain assessment using different scales and initial treatment or the STAT medications prescribed for patients with acute pain in the accidental cases was done. The information pain assessment and prescribing patterns was studied, analyzed, and evaluated. Results: A Study population of 200 was enrolled in our study based on the inclusion and exclusion criteria. Among the 200, the percentage of males was 62% and females were 36%. Most of the patients were from the department of orthopaedics (98.5%). Most of the patients were assessed with pain score 4 was moderate (53%). Based on the assessment of the pain, paracetamol was the mostly employed medication (28.5%) in patients with mild pain, moderate pain and severe pain. Mostly employed dosage forms of medication is paracetamol injection (36.5%) (intravenous). Most of the patients assessed with pain score 4 more in orthopaedics department (63%). Conclusion: Our study has revealed that most of the cases belonged to the department of Orthopaedics (98.5%). Non opioids and NSAIDS were widely used class of drugs in treating pain. A numerical rating scale (NRS) was employed for the assessment of pain. Most of the study population were assessed with pain score 4 which is moderate.

Keywords: A Prospective Observational Study, Pain Assessment, Accidental Cases, Teritiary care hospital.