A snapshot of children's postoperative tonsillectomy outcomes at home
PURPOSE: To describe home outcomes of pain, medication use, fluid intake, and emesis 24 hr after tonsillectomy and adenoidectomy. The theory of unpleasant symptoms provided a conceptualizing framework. DESIGN AND METHODS: A secondary analysis was conducted. Outcomes for 76 children were recorded on a home diary that included: self-reported pain, analgesic use, fluids ingested, and emesis. Descriptive and inferential statistics were used. RESULTS: Children reported moderate pain. Children who received analgesics received less than recommended standards. Only 11% of the children drank the recommended fluids, and 31% of the children vomited at home. PRACTICE IMPLICATIONS: Parents need to become partners in pain management. Recommend multimodal discharge teaching and follow-up phone call at home to ensure adequate analgesic administration and fluid intake.
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