Background and Objectives:
Acute pain assessment andmanagement in trauma victims isoften overlooked in emergencydepartment (ED). Visual analoguescale is the preferred scale forassessment and management ofpain however, its role in a busyED is limited. The objective of this study was toevaluate the feasibility of verbal and visual analoguescale among emergency care providers.
The emergency care givers were instructedto use both pain scales wherever feasible forassessment, management and monitoring of pain in100 non consecutive alert patients. Separate pre-tested survey questionnaire addressing the feasibilityof each pain scales was surveyed among emergencycare provider (emergency physicians, nursing staff).
Research:To Evaluate the Feasibility of Verbal Analogue Scale among Emergency Care Providers in Assessment andManagement of Acute Pain in Trauma VictimsMs.Geeta Adhikari,Emergency Dept
war.Onbeing discharged,SAPNA provides the patientswith clothes,
fare for travelling home ifthe patient can go on hisown, medicines,
medicalaids likeSuctionMachines,Water Beds, Arm Slings and
Wheelchairs etc. Wehave alsobeen helping patientsbyfinancing Vac-
SAPNAis thankfultotheChief, JPNATCfor
giving theirteam an office withinthecampusof theHospital.Along
with theoffice has takenup the responsibility ofmanaging theWait-
SAPNAtakes care of the Sanitationand Cleanliness ofthe
Theoffice has allowedusto help patientsand their attendantsby
guiding themwiththeprocedures oftheHospital.The office also
helps us toextendsupporttothe poor patients as they now know
where they canapproachus.
Wetryto providethe poorest of thepoor patients with medicines,
medicalaids andany other support thatthey need. Also for the past
one monthwe arehelping extremely poor patientsby providingthem
lunch coupons sothat theycan have at leastone squaremeal every
day.SAPNAhelps to performthe Last Rites ofthedeceased who
die while they areadmittedat the Trauma Centre.SAPNA alsofunds
and arranges for thetransportation of thebodiesof the deceased
patients whose families areknownand canbe contacted.
Overall SAPNAtries tobeaSupport to theStaff and Doc-
tors of theHospital.SAPNAalso triesto makethe stay of thepa-
tients at the Hospital ascomfortableand hasslefree as possible.And
SAPNA triesto help as manylives theycan.
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Likert scale [from 1 to 5] was assessed forcooperativeness, availability of time for assessment,the format, the peak period feasibility, the monitoringease and the amount of work load. Binary scale [yesand no] was used to measure the overall utility inassessment and management of pain.
Out of 100 patients enrolled, verbal analoguescore was used in all patients and visual analogue scorewas used in 30 patients. The average likert scale scorefor verbal analogue score questionnaire was 1.7 andthe average likert scale score for visual analogue scorequestionnaire was 3.9. On the overall utility bothscales were found to be useful in all patients.
Both the scales were found to be useful inoverall assessment and management of pain. However,there was a favorable trend towards using verbalanalogue scale among emergency care providers.
SAPNA started working at theJai Prakash Narayan
T rauma Centre,AIIMS since2007with theaim of helpingthe un-
known (Patients whose identities could not beknown), unattended
patients. On anaverage a total of
patients are sup-ported by SAPNA
SAPNA takes care
by providing them
toothbrush,toothpaste, oil,clothes and anyotheritems needed by the patient.SAPNA alsotakesthe responsi-
bility ofgettingthesepatients dischargedand arranges tosend
their homes or rehabilitatingpatients to shelter homes.Ourwork-
ers personallygo to dropall patients after they are discharged
from the Hospital.A largenumberof patients who arerehabilitated
are sent to the Home for SickandDestitute,Vijay Mandir, Alwar
which is again an initiative of SAPNA. RecentlySAPNAhas also
started rehabilitating Neuro Surgery Patients at theirhome inAl-
SAPNA-Hope of Life In Trauma Center