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Hip fracture care clinical care standard indicators: 2a-Evidence of local arrangements for timely and effective pain management for hip fracture

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this term Indicator 2a-Evidence of local arrangements for timely and effective pain management for hip fracture
METeOR identifier:Help on this term628076
Registration status:Help on this termHealth, Standard 12/09/2016
Description:Help on this term

Evidence of local arrangements for timely and effective pain management for hip fracture.

Rationale:Help on this term

Acute pain and injury of various types are inevitably interrelated and if severe and prolonged, the injury response becomes counterproductive and can have adverse effects on outcome (Macintyre et al. 2010).

Specific early analgesic interventions may reduce the incidence of chronic pain after surgery (Macintyre et al. 2010).

Indicator set:Help on this termClinical care standard indicators: hip fracture Health, Standard 12/09/2016
Australian Commission on Safety and Quality in Health Care, Superseded 18/06/2018
Outcome area:Help on this termPain management Health, Standard 12/09/2016

Collection and usage attributes

Computation description:Help on this term

Documented local arrangements that include a written clinical protocol to ensure patients with hip fracture receive prompt and effective pain management. The protocol should:

  • Take account of the hierarchy of pain management medicine that should be considered for managing pain associated with hip fracture, aiming to minimise the use of opioid medicine.
  • Include prescribed intervals for assessment of pain amongst hip fracture patients, as follows:
    • immediately upon presentation to hospital, and
    • within 30 minutes of administering initial analgesia, and
    • hourly until settled on the ward, and
    • regularly as part of routine nursing and other clinicians’ observations throughout admission.
  • Include the use of a standardised pain assessment system, which specifically addresses the assessment of pain for patients with cognitive impairment and those unable to communicate pain, particularly with regard to minimising the use of opioid medicine in this group.
Computation:Help on this term

Yes/No

Representational attributes

Representation class:Help on this termCount
Data type:Help on this termReal
Unit of measure:Help on this termService event
Format:Help on this term

Yes/No

Source and reference attributes

Submitting organisation:Help on this term

Australian Commission on Safety and Quality in Health Care

Reference documents:Help on this term

Macintyre PE, Scott DA, Schug SA, Visser EJ, Walker SM; Working Group of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine 2010. Acute Pain Management: Scientific Evidence 3rd edn, Melbourne: ANZCA & FPM.

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