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Biomedical subjects

E A Sengstaken

Publications and source records attributed to E A Sengstaken.

5 recordsLinked to original sources
PubMed1994

Primary care physicians and pain: education during residency.

OBJECTIVE: This study examines whether family practice residents are receiving adequate training in the evaluation and treatment of pain during their residencies. DESIGN: A survey of the training directors of all family practice residency programs in the United States (n = 390) was conducted by mail. Questions were included regarding the residency programs and training in and knowledge of common pain conditions and therapies. PARTICIPANTS: Of all the training directors surveyed, 258 (66%) responded. MAIN OUTCOME MEASURE: The relationship between adequate training in pain and the characteristics of the residency programs was examined. RESULTS: Twenty-nine percent of the training directors who responded considered that their residents received adequate training in the recognition and treatment of pain. Adequate training correlated with rotation through pain services and the number of hours of lecture on pain provided. While the majority of program directors reported that their trainees were receiving training in many of the common pain syndromes and the use of analgesic medications, significantly fewer (p < 0.001) considered it to be adequate. CONCLUSIONS: Family practice training directors do not believe their residents are receiving adequate training in pain. In light of previous studies indicating the importance of providing proper pain treatment, enhanced teaching on this subject during residency appears to be needed.

Family Practice↗
PubMed1994

Pain medication.

Explore the source record for details and available documents.

Antidepressive Agents, Tricyclic↗
PubMed1993

The problems of pain and its detection among geriatric nursing home residents.

OBJECTIVE: To assess physicians' detection of pain among geriatric nursing home residents and to determine if there are factors that may interfere with their ability to do this. DESIGN: Chart review and patient interview. SETTING: Geriatric nursing home. PARTICIPANTS: One hundred nursing home residents age 65 or older. Seventy-six were communicative. MEASUREMENTS: Demographic information, diagnoses, and medication use were compared for several groups of residents to determine their effects on the detection of pain. RESULTS: Sixty-six percent of the communicative residents were identified as having chronic pain. Treating physicians did not detect this problem in 34% of these residents. Those whose pain was not so identified were more likely to have a neurologic disorder other than dementia. When non-communicative residents were compared with those who were communicative, the physicians were found to have identified pain less frequently in the former cohort. CONCLUSIONS: Chronic pain is a common problem among geriatric nursing home residents and is frequently undetected. Identification of this problem among communicative residents may be markedly improved by direct questioning about this problem at frequent intervals. New methods of assessing pain need to be created to assist in its detection among the non-communicative population.

Aged↗