Comfort Cart: The use of non-pharmalogical adjuncts for pain relief
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Christina Hoddinott, MSN, RN, CEN, CPEN; Deb Wambold, RN
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Poster presentation
Session A presented Monday, September 30, 10:00-11:00 am
Purpose: The Comfort Cart is a pain management tool that is portable and contains non-pharmacologic pain relief adjuncts such as heating pads, ice packs, stress balls, eye pillows, ear plugs, as well as distraction tools such as magazines, reading materials, adult coloring books and guided imagery for pain relief. The objective of this initiative was to improve pain relief in patients who report pain using non-pharmacological adjuncts; sometimes in addition to pain medications appropriate to the patient complaint/diagnosis/presentation.
Design: Quality Improvement project.
Setting: urban level 3 trauma center.
Participants/Subjects: All ED staff participated. All patients with a report of pain were included, no exclusions were stated.
Methods: After conducting evidence-based research on pain, the nurses deducted that if pharmacologic and nonpharmacologic methods are combined a more effective pain control may occur for the patient. With this knowledge the nurses developed and implemented a Comfort Cart. The Comfort Cart is a pain management tool that is portable and contains non-pharmacologic pain relief adjuncts such as heating pads, ice packs, stress balls, eye pillows, ear plugs, as well as distraction tools such as magazines, reading materials, and adult coloring books. An iPad was purchased, and guided imagery was installed on it, allowing patients the ability to use guided imagery for pain relief. All staff were educated on the cart, its purpose, the contents and the ways in which they may address and manage patients’ pain while in the emergency department. This education was done through mandatory staff education, emails, flyers posted throughout the department, etc.
Results/Outcomes: The purpose of the project is to improve pain control utilizing non-pharmacologic methods. Press Ganey Patient Satisfaction score for “how well was your pain controlled” improved significantly from 40.9 in June 2018 to 59.1 in November 2018.
Implications: Based on the data and improvement scores (Press Ganey Patient Satisfaction 40.9 to 59.1 in 6 months), we have concluded that non-non-pharmacological methods enhance and improve pain management in patients who report pain in the emergency setting. The implication for emergency nursing is to adapt use of non-pharmacological adjuncts into practice. The recommendation is for management to ensure all nursing staff are educated on use of non-pharmacologic adjuncts and how non-pharmacologic adjuncts improve patient care. The implication for nursing is to understand the importance of non-pharmacologic adjunct use and how the affects of its adaption into practice can have many implications for the patient- from decrease in opioid use to increase in pain relief.
Type | Poster |
Format | Text-based Document |
Evidence Level | N/A |
Research Approach | N/A |
Keywords | Non-pharmacological; Comfort; Pain |
Name | Emergency Nursing 2019 |
Host | Emergency Nurses Association |
Location | Austin, Texas, USA |
Date | 2019 |
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