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Clinical RESEARCH/AUDIT
Measuring outcomes with complex
patients: an audit of the effect of
Actiform Cool on painful wounds
Sarah Bradbury, Nicola Ivins, Keith Harding, Anna Turner
Abstract
Background: There is growing awareness surrounding the importance of wound pain, recognised by the publication of
recent international studies (White, 2008). Wound pain has been identified as an outcome important to patients, in
addition to physiological endpoints. It can be difficult to use randomised controlled trials to measure subjective outcomes
such as pain, particularly with complex patients. An audit was therefore used to explore the effect of Actiform Cool
on wound-related pain. Methods: Change in wound-related pain was assessed using a modified Short-Form McGill Pain
Questionnaire pre- and post-application of Actiform Cool, and patients were asked to report on any changes in their pain
experience, and the effects of this on their activities of daily living. Results: Results indicated that 12 patients reported an
overall decrease in pain levels following use of the dressing. Four patients reduced their analgesia requirements with one
discontinuing opiate analgesics. Five patients reported improvement in their sleep patterns and three reported improved
mobility. Conclusion: The overall outcome reinforces that Actiform Cool has the potential to reduce pain in some patients
when used as part of a pain management plan. Conflict of interest: This audit was funded by Activa Healthcare Ltd.
It is becoming more widely be more important than healing (Hyland
recognised that outcomes that are and Thomson, 1994; Hofman et al, 1997;
KEY WORDS considered important to health Husband, 2001).
Outcome measur
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