Dr Musarat Shaheen, Dr Ansar Abbas, Dr Muhammad Farooq Umer Chhena
Introduction: Pain is associated with substantial disability from reduced mobility, avoidance of activity, falls, depression and anxiety, sleep impairment, and isolation. Objectives: The main objective of the study is to clinically audit the pain manifestation and its management in adults. Methods: The data was collected from a large number of patients undergoing intermediate to major surgery and thus have high analgesic requirements. Medical folders that were not available or had This cross sectional clinical audit was done in Independent Medical College, Faisalabad during June 2019 January 2020. missing notes were excluded. The folders were requested from the Medical Records Department and reviewed by four investigators. Results: The data was collected from 169 patients. The mean age of the patients was 38 years. Pain was assessed in 85 of the 168 patients (51%) (62 of the 110 urogynaecology patients; 23 of the 58 orthopaedic patients) and reassessed in 55 of the 85 patients (65%) who had received an initial pain assessment. The ward doctor (intern, registrar or specialist) assessed pain in 67% of the 85 patients evaluated. Conclusion: It is concluded that a significant proportion of the pain interventions appeared to be based on the professional knowledge of the practitioner and not supported by evidence-based guidelines of pain management.