Implementation of a multidimensional tool for pain assessment in the global triage process: a pilot study
DOI:
https://doi.org/10.54103/dn/19940Keywords:
triage, pain assessment, pain scale , pain score, nurseAbstract
INTRODUCTION: In the triage, the detection of pain is fundamental as required by the guidelines and Ministerial Recommendation 15, which specifies the need for the use of an assessment methodology that allows the correct assignment of the triage code without over/underestimation while maintaining quality and safety, including through the correct assessment of pain. In the Manchester Triage System (MTS) method, the Manchester Pain Ruler Scale (MPRS), a multidimensional instrument also validated in Italian for adult and pediatric patients, is used to determine the priority code.
MATERIALS AND METHODS: Prospective cohort study of adult adults who accessed the PS presenting pain as their main symptom with high stability of basic vital functions.
RESULTS: On the totality of cases, MPRS is more sensitive in assessing pain in the overall triage process; in fact, in 40% of cases (42/104), this score was congruent with treatment. NRS was found to rank adequately in 10% of cases (11/104). In addition, MPRS appears to be more specific for first- and third-level pain. MPRS allows us to observe a reduction in under/over triage compared with NRS.
CONCLUSIONS: New questions regarding the assessment of pain in triage emerged from this study. However, data found MPRS more sensitive and specific than NRS despite using a different global triage model than MTS. In addition, MPRS more accurately describes pain in triage concerning certain age groups and gender, reducing over/under triage.
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Copyright (c) 2023 laura cartello, Gianluca Ghiselli, Daniele Pasquariello, Marco Attivissimo, Devis Pasquariello, Cristina Di Maria
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Accepted 2023-04-18
Published 2023-07-31
