To Receive or Not to Receive Analgesics in the Emergency Department: The Importance of the XXXX Intensity Assessment and Initial Nursing Assessment.

@entity1 @entity158 @entity490
UNASSIGNED: @entity1 seeking emergency care for @entity490 still experience poor @entity158 management. @entity158 intensity is not always seen as a mandatory parameter in the initial nurse assessment. Despite the development of nurse-initiated analgesic protocols, many @entity1 do not receive analgesics in the emergency department. The aim of this study was to describe initial nursing assessment related to @entity158 management and to identify predictors for receiving or not receiving analgesics in the emergency department. The sample consists of 100 @entity1 from an intervention group in a previously undertaken Swedish intervention study. The main findings were that the registered nurses assessed 62 @entity1 as being in need of analgesics, and that 52 of these obtained analgesics. The majority of the @entity1 assessed as not being in need of analgesics did not receive analgesics because they did not want medication. Median value for @entity158 intensity at initial assessment was 6 on the numerical rating scale. The results for the logistic regression (n  =  80) showed significant differences between receiving analgesics/not receiving analgesics and the predictor @entity158 intensity (measured at initial nurse assessment). Nurses in emergency departments play a crucial role, in that their initial assessment is of specific importance for the @entity1 's further care and whether the @entity1 may or may not receive analgesics. However, more attention has to be paid to @entity1 ' experiences and their expectations regarding the @entity158 management in the emergency department. These complex questions have to be studied further in a more systematic way.
