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Conference Proceedings - School of Nursing & Midwifery - Trinity ...

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<strong>School</strong> <strong>of</strong> <strong>Nursing</strong> & <strong>Midwifery</strong>, <strong>Trinity</strong> College Dublin: 8 th Annual Interdisciplinary Research <strong>Conference</strong><br />

Transforming Healthcare Through Research, Education & Technology: 7 th – 9 th November 2007<br />

<strong>Conference</strong> <strong>Proceedings</strong><br />

Back to contents page<br />

Experiences <strong>of</strong> Post-Operative Pain by Adult Patients<br />

Following a Total Hip Replacement<br />

Noreen Quilty RGN, Dip <strong>Nursing</strong>, BSc <strong>Nursing</strong>, MSc <strong>Nursing</strong><br />

Studies (Clinical Practice)<br />

Staff Nurse<br />

HSE Midwestern Regional Hospital<br />

Dooradoyle<br />

Limerick<br />

Ireland<br />

+ 353 (0) 61 301111<br />

noreenquilty@hotmail.com<br />

Pr<strong>of</strong>essor Geraldine Mc Carthy (PhD)<br />

Catherine McAuley <strong>School</strong> <strong>of</strong> <strong>Nursing</strong> and <strong>Midwifery</strong><br />

Brookfield<br />

UCC<br />

Cork<br />

Tel: 021 4901554<br />

g.mccarthy@ucc.ie<br />

Abstract<br />

For patients, pain management is both a right and an expectation.<br />

For nurses it is a fundamental aspect <strong>of</strong> patient care. Postoperative<br />

pain remains one <strong>of</strong> the greatest concerns for surgical<br />

patients and presents a considerable challenge in assuring quality.<br />

It has been reported that up to 75% <strong>of</strong> all surgical patients<br />

experience moderate to severe pain while in hospital (Klopfenstein<br />

et al, 2000). Only three studies exist which have used qualitative<br />

designs to explore post-operative pain from the patients’<br />

perspective (Carr, 1997, Zalon, 1997 & Santy, 2001). There is no<br />

Irish study that investigated post-operative pain experiences by<br />

adult patients following a total hip replacement. The aim <strong>of</strong> this<br />

study was to gain an understanding <strong>of</strong> the meaning <strong>of</strong> postoperative<br />

pain experiences <strong>of</strong> adult patients following a total hip<br />

replacement. A qualitative phenomenological approach was used<br />

with semi-structured interviews employed to gather data. The<br />

purposive sample consisted <strong>of</strong> both male and female patients (n=6)<br />

aged 50-70years and who recently had a total hip replacement.<br />

Collaizzi’s, (1978) framework was used to analyze the data. Six<br />

themes emerged from the analysis <strong>of</strong> data (i) Severity <strong>of</strong> Pain,<br />

(ii)Movement and Pain, (iii) Expectations & Experiences <strong>of</strong> Pain,<br />

(iv)Satisfaction with Information, (v) Security and Comfort<br />

(Emotional Support & ‘Presencing’) and (vi) Non-Pharmacological<br />

Strategies used (Heat & Distraction). Strategies for effective pain<br />

management <strong>of</strong> surgical patients are Recommended.<br />

Back to contents page<br />

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