Pain is defined as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage”. Many patients present to the Emergency Department (ED) in pain. In addition, the management of pain constitutes an essential skill of nurses in general and emergency nurses in particular. However, the accurate assessment of pain intensity and relief represents a clinically
challenging undertaking. The objective of this study was to evaluate the most common symptoms that appear in the emergency department, with focus in pain symptom, which require adequate educational preparation and knowledge to deliver safe and quality patient care. This cross sectional observational study was conducted in the emergency department of the Vlore Regional Hospital, Albania during March and June 2016. A standard questionnaire based on the literature was used to assess symptoms of the patient. The administration was made by nursing students while performing their teaching practice in hospital. The numeric 0–10 scale was used for the evaluation of symptoms (0=not at all; 5=moderate; 10=worst possible). A total of 45 patients were the study sample. They were excluded patients in critical condition and those who could not respond to answers. An oral consent was given by each patient after they were informed. Average age of patients was (55.11 ± 17.7) years.
Pain: cut point 6 for the 26.26% (n=12) of patients, while cut point 7 and 8 of pain reported by the same percentage 15.56% (n=7). The pain in head and chest were the most common clinical presentation, respectively
(46.67%) and (40%). Most frequent diagnoses were High blood pressure and Vertiginous Syndrome. A coordinated care intervention with the primary care to reduce emergency department presentations among
chronically ill patients, and knowledge of the most common symptoms of patients by staff nurses, with focus in the management of pain, operating in the emergency care are essential for the improvement of patient health outcomes.
Keywords: pain, emergency department, symptom, wellbeing, nurse, tiredness.
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