Pressure ulcer related pain in community populations: a prevalence survey

Elizabeth McGinnis, Michelle Briggs, Michelle Collinson, Lyn Wilson, Carol Dealey, Julia Brown, Susanne Coleman, Nikki Stubbs, Rebecca Stevenson, E Andrea Nelson, Jane Nixon

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Abstract

BACKGROUND: Pressure ulcers are costly to the healthcare provider and can have a major impact on patient's quality of life. One of the most distressing symptoms reported is pain. There is very little published data on the prevalence and details of pain experienced by patients with pressure ulcers, particularly in community populations. The study was conducted in two community NHS sites in the North of England.

METHODS: The aim was to estimate the prevalence of pressure area related pain within a community population. We also explored the type and severity of the pain and its association with pressure ulcer classification. A cross-sectional survey was performed of community nurses caseloads to identify adult patients with pressure ulcers and associated pain. Consenting patients then had a full pain assessment and verification of pressure ulcer grade.

RESULTS: A total of 287 patients were identified with pressure ulcers (0.51 per 1000 adult population). Of the 176 patients who were asked, 133 (75.6%) reported pain. 37 patients consented to a detailed pain assessment. Painful pressure ulcers of all grades and on nearly all body sites were identified. Pain intensity was not related to number or severity of pressure ulcer. Both inflammatory and neuropathic pain were reported at all body sites however the proportion of neuropathic pain was greater in pressure ulcers on lower limbs.

CONCLUSIONS: This study has identified the extent and type of pain suffered by community patients with pressure ulcers and indicates the need for systematic and regular pain assessment and treatment.

Original languageEnglish
Number of pages10
JournalPractice Nursing
Volume13
Issue number16
DOIs
Publication statusPublished - 21 Jun 2014

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Pressure Ulcer
Pain
Population
Pain Measurement
Neuralgia
Surveys and Questionnaires
England
Health Personnel
Lower Extremity
Cross-Sectional Studies
Nurses
Quality of Life
Pressure

Keywords

  • pressure ulcer
  • pain
  • prevalence
  • community

Cite this

McGinnis, E., Briggs, M., Collinson, M., Wilson, L., Dealey, C., Brown, J., ... Nixon, J. (2014). Pressure ulcer related pain in community populations: a prevalence survey. Practice Nursing, 13(16). https://doi.org/10.1186/1472-6955-13-16
McGinnis, Elizabeth ; Briggs, Michelle ; Collinson, Michelle ; Wilson, Lyn ; Dealey, Carol ; Brown, Julia ; Coleman, Susanne ; Stubbs, Nikki ; Stevenson, Rebecca ; Nelson, E Andrea ; Nixon, Jane. / Pressure ulcer related pain in community populations: a prevalence survey. In: Practice Nursing. 2014 ; Vol. 13, No. 16.
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McGinnis, E, Briggs, M, Collinson, M, Wilson, L, Dealey, C, Brown, J, Coleman, S, Stubbs, N, Stevenson, R, Nelson, EA & Nixon, J 2014, 'Pressure ulcer related pain in community populations: a prevalence survey', Practice Nursing, vol. 13, no. 16. https://doi.org/10.1186/1472-6955-13-16

Pressure ulcer related pain in community populations: a prevalence survey. / McGinnis, Elizabeth; Briggs, Michelle; Collinson, Michelle; Wilson, Lyn; Dealey, Carol; Brown, Julia; Coleman, Susanne; Stubbs, Nikki; Stevenson, Rebecca; Nelson, E Andrea; Nixon, Jane.

In: Practice Nursing, Vol. 13, No. 16, 21.06.2014.

Research output: Contribution to journalArticle

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T1 - Pressure ulcer related pain in community populations: a prevalence survey

AU - McGinnis, Elizabeth

AU - Briggs, Michelle

AU - Collinson, Michelle

AU - Wilson, Lyn

AU - Dealey, Carol

AU - Brown, Julia

AU - Coleman, Susanne

AU - Stubbs, Nikki

AU - Stevenson, Rebecca

AU - Nelson, E Andrea

AU - Nixon, Jane

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Y1 - 2014/6/21

N2 - BACKGROUND: Pressure ulcers are costly to the healthcare provider and can have a major impact on patient's quality of life. One of the most distressing symptoms reported is pain. There is very little published data on the prevalence and details of pain experienced by patients with pressure ulcers, particularly in community populations. The study was conducted in two community NHS sites in the North of England.METHODS: The aim was to estimate the prevalence of pressure area related pain within a community population. We also explored the type and severity of the pain and its association with pressure ulcer classification. A cross-sectional survey was performed of community nurses caseloads to identify adult patients with pressure ulcers and associated pain. Consenting patients then had a full pain assessment and verification of pressure ulcer grade.RESULTS: A total of 287 patients were identified with pressure ulcers (0.51 per 1000 adult population). Of the 176 patients who were asked, 133 (75.6%) reported pain. 37 patients consented to a detailed pain assessment. Painful pressure ulcers of all grades and on nearly all body sites were identified. Pain intensity was not related to number or severity of pressure ulcer. Both inflammatory and neuropathic pain were reported at all body sites however the proportion of neuropathic pain was greater in pressure ulcers on lower limbs.CONCLUSIONS: This study has identified the extent and type of pain suffered by community patients with pressure ulcers and indicates the need for systematic and regular pain assessment and treatment.

AB - BACKGROUND: Pressure ulcers are costly to the healthcare provider and can have a major impact on patient's quality of life. One of the most distressing symptoms reported is pain. There is very little published data on the prevalence and details of pain experienced by patients with pressure ulcers, particularly in community populations. The study was conducted in two community NHS sites in the North of England.METHODS: The aim was to estimate the prevalence of pressure area related pain within a community population. We also explored the type and severity of the pain and its association with pressure ulcer classification. A cross-sectional survey was performed of community nurses caseloads to identify adult patients with pressure ulcers and associated pain. Consenting patients then had a full pain assessment and verification of pressure ulcer grade.RESULTS: A total of 287 patients were identified with pressure ulcers (0.51 per 1000 adult population). Of the 176 patients who were asked, 133 (75.6%) reported pain. 37 patients consented to a detailed pain assessment. Painful pressure ulcers of all grades and on nearly all body sites were identified. Pain intensity was not related to number or severity of pressure ulcer. Both inflammatory and neuropathic pain were reported at all body sites however the proportion of neuropathic pain was greater in pressure ulcers on lower limbs.CONCLUSIONS: This study has identified the extent and type of pain suffered by community patients with pressure ulcers and indicates the need for systematic and regular pain assessment and treatment.

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DO - 10.1186/1472-6955-13-16

M3 - Article

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VL - 13

JO - Practice Nursing

JF - Practice Nursing

SN - 0964-9271

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McGinnis E, Briggs M, Collinson M, Wilson L, Dealey C, Brown J et al. Pressure ulcer related pain in community populations: a prevalence survey. Practice Nursing. 2014 Jun 21;13(16). https://doi.org/10.1186/1472-6955-13-16