Advertisement
ED Patient Views on Pain Care

ED Patient Views on Pain Care

Pain continues to be one of the top reasons for patients seeking care at EDs, but little is known about their perspectives and experiences when being treated for pain in this setting. For a qualitative study published in Annals of Emergency Medicine, Zachary F. Meisel, MD, MPH, MS, and colleagues examined important themes surrounding the perspectives and experiences of patients receiving pain treatment in the ED. The authors conducted structured, open-ended telephone interviews with 23 patients who were discharged from the Hospital of the University of Pennsylvania after being seen in the ED during a 4-month period. Most patients were women and between the ages of 18 and 65, and participants were included if they were discharged for pain relating to kidney stones or musculoskeletal injuries.   Key Themes Study participants discussed a variety of topics relating to their experiences with communication around pain, including views on opioid dependence and addiction as well as patient-provider communication about pain management. “Patients felt that using the typical 1-to-10 pain rating scale was problematic because it limited their interactions with emergency physicians,” says Dr. Meisel. “From the patient perspective, emergency physicians also did not typically discuss alternative pain management options or adequately describe risks of opioid dependence.” Four overarching themes surrounding patients views on opioid dependence emerged in the study, including: Fears of developing dependence or addition. Worries about following prescribed dosing to prevent potential addiction. Relying on media and other individuals as sources of information about opioids rather than on healthcare providers. Awareness of the broad tensions that healthcare providers face relating to the prescription of opioid therapy. In addition, patients...
[ HIDE/SHOW ]