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Implementation and evaluation of a quality improvement process to improve pain management in a hospice setting

Stephen F. Austin State University, Division of Nursing, DSN Student UT Houston Health Sciences Center, Nacogdoches, Texas

Christine Alden, RN, BSN, CRNH

Nacogdoches Medical Center Hospice Care, Nacogdoches, Texas

The purpose of this article is to describe the implementation and evaluation of a quality improvement process to improve pain management in a hospice setting. A retrospective chart audit of 702 patient visits pre- and 536 patient visits post-implementation of quality improvement strategies measured five aspects of pain management: complaints of pain, severity of pain, changes in patient’s pain medication regime required, patient and family teaching, and use of complementary therapies. Of these measures a significant change was found in the documentation of pain assessment, recognition of changes required in the medication regime, and patient and family teaching.

American Journal of Hospice and Palliative Medicine®, Vol. 15, No. 4, 209-216 (1998)
DOI: 10.1177/104990919801500406


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