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Pain Management 2019 & Internal Medicine 2019 International Journal of Anesthesiology & Pain Medicine
ISSN: 2471-982X Page 33
JOINT EVENT
7th Edition of International Conference on
Pain Management
8th Edition of International Conference on
Internal Medicine &
Patient Care
&
March 25-26, 2019
Rome, Italy
What do adult surgical patients who speak italian,
cantonese or portuguese at home really want to know
about pain and pain management?
Patti Kastanias, Arlene Buzon, Binghao Zhang and Sandra Robinson
University of Toronto, Canada
Surgical patients consider information about pain
management to be highly important. At the same
time, evidence indicates that individuals of racial/ethnic
minorities are more likely to experience inadequate
pain management. This study investigated the needs of
Limited English Proficiency (LEP) general day surgery
patients, who spoke primarily Italian, Cantonese, or
Portuguese at home for information about postoperative
pain. LEP subjects who had undergone a day surgery
procedure completed a telephone information needs
survey in their native language (Italian, Portuguese, or
Cantonese) within 72 hours after discharge from a large
urban Canadian hospital center. Composite mean scores
were calculated for each item. Chi-squared analyses
were used to probe for intergroup differences. Sixty-three
subjects in total completed the survey: 41% Italian, 38%
Portuguese, 21% Cantonese. Mean age of the sample
was 70 years old, 89% were born outside of Canada and
52% were male. All survey items were rated as moderate
(5-6/10) to high ( >7/10) importance. Surgical subtype,
health status and age had no effect on the importance of
any item. There were no significant differences between
the three language groups on any of the items. Overall,
the top ranked information items were: the plan for
which drugs to take and when; what I can do if I still have
pain or side effects and side effects I was most likely to
get. When compared with English fluent subjects, LEP
subjects overall placed more importance on information
regarding helpwith paying for painmedication (p = 0.001)
and the side effects they weremost likely to get (p< 0.05).
Due to a paucity of literature in this area, further research
is warranted.
Biography
Patti Kastanias is a Nurse Practitioner at the University of To-
ronto Collaborative Bariatric Surgery program at the Toronto
Western Hospital, University Health Network since 2011 and
is a Lecturer at the Lawrence Bloomberg Faculty of Nursing,
University of Toronto. Prior to this she was a nurse practitioner
for over 10 years in the Toronto Western Hospital Acute Pain
Service. She has published several original articles on pain
management practice and presented nationally and interna-
tionally on the topics of pain management, bariatric and nurse
practitioner practice.
Patti Kastanias et al., Int J Anesth Pain Med 2019, Volume 5
DOI: 10.21767/2471-982X-C1-005