Hildt, Alyssa; Anderson, Abby; Miles, Leslie; Valentine, Julie (Brigham Young University)
Faculty Advisor: Miles, Leslie (Brigham young University, Nursing); Valentine, Julie (Brigham Young University, Nursing)
Purpose: To describe characteristics that impacted sexual assault (SA) patients' reports of pain and subsequent pain treatment.
Research Question(s) / hypotheses: 1. What percentage of SA patients complaining of pain received any treatment? 2. What associations exist between SA variables and reports of pain and pain treatment?
Methodology: Retrospective chart review (n=1,652) of SA examinations (2017-2018) was conducted in several counties in Utah, representing 80% of the state. 241 variables were entered into SPSS. Approximately 64% of SA cases reported pain. Descriptive statistical analysis of SA patients reporting pain was conducted on the following variables: pain location, pain severity, gender, race, age, relationship to suspect, pre-existing medical conditions, pre-existing mental illness, suspect actions, time between assault and exam, physical injuries, anogenital injuries, and pain treatment (pharmacological and non-pharmacological).
Findings: On a scale of zero to ten, reported pain mean level 5.68 with a median of six. Eight percent of patients who reported pain did not have a documented pain level, signifying an incomplete pain assessment. Three most common pain locations were the genitals (40%), abdomen/pelvis (31%), and head (24%). Those with mental illness, medical problems, or reported history of SA prior to age 14, were more likely to report pain. Despite the prevalence of pain amongst SA patients, a large majority (78%) received no documented pain treatment. However, some patients received the following: 16% NSAIDs or Tylenol; 5% narcotics; and only 0.1% received non-pharmacological treatment.
Implications: All SA patients should be assessed and treated for pain. SA examination forms should include treatment type, including treatment provided by the emergency department. Nurses should take the lead in advocating for pain treatment in SA patients.
Conclusion: This is the largest study of SA patients' pain assessment and treatment and helps create a comprehensive picture to understand patient and variables that impact pain.