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Criteria for Discharge from the Hospital from the Chronic Pain Perspective 

Criteria for Discharge from the Hospital from the Chronic Pain Perspective
Chapter:
Criteria for Discharge from the Hospital from the Chronic Pain Perspective
Author(s):

Ankit Maheshwari

and Richard D. Urman

DOI:
10.1093/med/9780199349302.003.0029
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date: 25 August 2019

Abstract: This chapter discusses challenges of acute on chronic pain management for hospitalized patients. These patients have more hospital admissions, longer hospital stays, and avoidable trips to the emergency department. Higher doses of analgesics are associated with lower patient satisfaction scores. Pain scores themselves are not predictive of higher patient satisfaction scores. Increased patient satisfaction, however, is associated with higher mortality, along with other negative outcomes. Exploring the mechanisms of anger and dissatisfaction in pain sufferers might improve patient experience and provide evidence for more effective pain management. Suggested approaches to balancing adequate pain control with patient satisfaction include expectation management, use of clear algorithms of care, active patient involvement in decisions regarding their pain control, attention to nurses’ job satisfaction, and early involvement of comprehensive inpatient pain management and expert resources, such as pain services.

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