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Scientific paper - Original scientific paper
Pain relief in medical patients: does clinical judgment and prescribing knowledge suffice?
Collegium Antropologicum, 35 (2011), 2; 363-368. urn:nbn:hr:105:371912
Erdeljić, Viktorija; Francetić, Igor; Makar-Aušperger, Ksenija; Likić, Robert; Macolić Šarinić, Viola

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Erdeljić, V., Francetić, I., Makar Aušperger, K., Likić, R. & Macolić Šarinić, V. (2011). Pain relief in medical patients: does clinical judgment and prescribing knowledge suffice? . Collegium Antropologicum, 35. (2), 363-368. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:371912

Erdeljić, Viktorija, et al. "Pain relief in medical patients: does clinical judgment and prescribing knowledge suffice? ." Collegium Antropologicum, vol. 35, no. 2, 2011, pp. 363-368. https://urn.nsk.hr/urn:nbn:hr:105:371912

Erdeljić, Viktorija, Igor Francetić, Ksenija Makar Aušperger, Robert Likić and Viola Macolić Šarinić. "Pain relief in medical patients: does clinical judgment and prescribing knowledge suffice? ." Collegium Antropologicum 35, no. 2 (2011): 363-368. https://urn.nsk.hr/urn:nbn:hr:105:371912

Erdeljić, V., et al. (2011) 'Pain relief in medical patients: does clinical judgment and prescribing knowledge suffice? ', Collegium Antropologicum, 35(2), pp. 363-368. Available at: https://urn.nsk.hr/urn:nbn:hr:105:371912 (Accessed 26 November 2024)

Erdeljić V, Francetić I, Makar Aušperger K, Likić R, Macolić Šarinić V. Pain relief in medical patients: does clinical judgment and prescribing knowledge suffice? . Collegium Antropologicum [Internet]. 2011 June [cited 2024 November 26];35(2):363-368. Available at: https://urn.nsk.hr/urn:nbn:hr:105:371912

V. Erdeljić, I. Francetić, K. Makar Aušperger, R. Likić and V. Macolić Šarinić, "Pain relief in medical patients: does clinical judgment and prescribing knowledge suffice? ", Collegium Antropologicum, vol. 35, no. 2, pp. 363-368, June 2011. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:105:371912. [Accessed: 26 November 2024]

Metadata
Title (english)Pain relief in medical patients: does clinical judgment and prescribing knowledge suffice?
Title (croatian)Liječenje boli u internističkih bolesnika: da li su klinička procjena i znanje o propisivanju analgetika dovoljni?
AuthorViktorija Erdeljić
AuthorIgor Francetić
AuthorKsenija Makar-Aušperger
AuthorRobert Likić
AuthorViola Macolić Šarinić
Author's institutionUniversity of Zagreb
School of Medicine
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Abstract (english)
The aim of this study was to evaluate the quality of pain management in hospitalised patients. A cross-sectional study design that included all medical patients experiencing pain was used. Out of 167 patients hospitalized at the Department of Medicine at the University Hospital Zagreb, 41 patients were experiencing pain and 40 out of them received analgesics. Twenty-two out of 38 patients were treated for malignant pain, 16 for non-malignant pain, and 2 patients could not be classified. Adequate pain relief was reported in less than 25% of patients in both groups. Our study revealed under-prescribing of combination therapy, low utilization rates of strong opioids and prevailing "as needed" prescribing practice. In conclusion, unsatisfactory pain management in medical patients is often present if left solely to the clinical judgement and knowledge of the prescribing physician. Regular pain assessment, evidence-based guidelines, education and regular audits of implementation of these measures are a prerequisite for effective pain treatment, and should all be employed in patients experiencing pain.
Abstract (croatian)
Svrha ovog istraživanja bila je procijeniti kvalitetu liječenja boli u hospitaliziranih internističkih bolesnika. Istraživanje je dizajnirano kao presječno, a uključilo je sve internističke bolesnike hospitalizirane na Internoj klinici Kliničkog bolničkog centra Zagreb koji su trpjeli bol. Od ukupno 167 hospitaliziranih bolesnika na Internoj klinici Kliničkog bolničkog centra Zagreb, 41 bolesnika koji su naveli da trpe bolove, 40 bolesnika primalo je analgetike. Dvadeset i dva od 8 bolesnika liječeno je zbog maligne boli, 16 bolesnika zbog nemaligne boli, dok se za 2 bolesnika uzrok boli nije mogao svrstati u jednu od navedenih skupina. Primjerena kontrola boli zabilježena je u manje od 25% bolesnika u obje istraživane skupine. Naše je istraživanje ukazalo na nedovoljno propisivanje kombinirane analgetske terapije, nisku stopu propisivanja jakih opioida te prevladavajuće prepisivanje analgetika »prema potrebi«. Zaključno, liječenje boli u internističkih bolesnika često je prepušteno samo kliničkoj procjeni i znanju liječnika koji propisuje analgetik. Redovita procjena boli, smjernice za liječenje boli temeljene na dokazima, edukacija i redovite kontrole provo|enja uvedenih mjera su pretpostavke za učinkovito liječenje boli, i trebaju biti primijenjeni u svih bolesnika koji trpe bol.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleCollegium Antropologicum
Numberingvol. 35, no. 2, pp. 363-368
p-ISSN0350-6134
URN:NBNurn:nbn:hr:105:371912
Publication2011-06
Document URLhttps://hrcak.srce.hr/68946
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2024-03-27 19:07:45