Integrative review: Postcraniotomy pain in the brain tumour patient

Rebecca Elizabeth Guilkey, Diane Von Ah, Janet Carpenter, Cynthia Stone, Claire Draucker

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Aim: To conduct an integrative review to examine evidence of pain and associated symptoms in adult (≥21 years of age), postcraniotomy, brain tumour patients hospitalized on intensive care units. Background: Healthcare providers believe craniotomies are less painful than other surgical procedures. Understanding how postcraniotomy pain unfolds over time will help inform patient care and aid in future research and policy development. Design: Systematic literature search to identify relevant literature. Information abstracted using the Theory of Unpleasant Symptoms' concepts of influencing factors, symptom clusters and patient performance. Inclusion criteria were indexed, peer-reviewed, full-length, English-language articles. Keywords were 'traumatic brain injury', 'pain, post-operative', 'brain injuries', 'postoperative pain', 'craniotomy', 'decompressive craniectomy' and 'trephining'. Data sources: Medline, OVID, PubMed and CINAHL databases from 2000-2014. Review method: Cooper's five-stage integrative review method was used to assess and synthesize literature. Results: The search yielded 115 manuscripts, with 26 meeting inclusion criteria. Most studies were randomized, controlled trials conducted outside of the United States. All tested pharmacological pain interventions. Postcraniotomy brain tumour pain was well-documented and associated with nausea, vomiting and changes in blood pressure, and it impacted the patient's length of hospital stay, but there was no consensus for how best to treat such pain. Conclusion: The Theory of Unpleasant Symptoms provided structure to the search. Postcraniotomy pain is experienced by patients, but associated symptoms and impact on patient performance remain poorly understood. Further research is needed to improve understanding and management of postcraniotomy pain in this population.

Original languageEnglish (US)
JournalJournal of Advanced Nursing
DOIs
StateAccepted/In press - 2016

Fingerprint

Brain Neoplasms
Pain
Craniotomy
Length of Stay
Decompressive Craniectomy
Trephining
Manuscripts
Policy Making
Information Storage and Retrieval
Pain Management
Postoperative Pain
Research
PubMed
Health Personnel
Brain Injuries
Nausea
Vomiting
Intensive Care Units
Consensus
Patient Care

Keywords

  • Brain tumour
  • Craniotomy
  • Integrative review
  • Literature review
  • Nurses
  • Nursing
  • Pain
  • Theory of unpleasant symptoms

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Integrative review : Postcraniotomy pain in the brain tumour patient. / Guilkey, Rebecca Elizabeth; Von Ah, Diane; Carpenter, Janet; Stone, Cynthia; Draucker, Claire.

In: Journal of Advanced Nursing, 2016.

Research output: Contribution to journalArticle

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