Pain in Ventrogluteal vs Dorsogluteal IM injection sites

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Pain in Ventrogluteal vs. Dorsogluteal IM injection sites Braydon Bird, Fawn Beatty, Jentry Neilsen,

Pain in Ventrogluteal vs. Dorsogluteal IM injection sites Braydon Bird, Fawn Beatty, Jentry Neilsen, Lawrence Merket, Ryanne May Dixie State University Nursing decreased risk of complications and injury Abstract Identified Potential Complications with Site Most Frequently Used (Small, 2004. )Though current evidence is Many people are afraid of needles. Maybe suggesting use of the ventrogluteal site, there are many other factors that contribute to it’s the sight of the needle, maybe it’s the nurses still using the dorsogluteal site for IM blood often associated, or maybe it’s the injections. In a survey conducted in 2007 of pain. This paper addresses the pain 264 nurses indicated that 71% of nurses associated with IM injection in the gluteal stated they preferred to use the dorsogluteal region. The question is whether the site. Reasons for this include comfort with dorsogluteal or ventrogluteal site is less the dorsogluteal site versus the ventrogluteal painful. Five studies which focus on this site, lack of training , ease of finding the subject are reviewed. The findings indicate dorsogluteal site, comfort of the patient risk of that the ventrogluteal site for IM injection complications associated with each injection carries less risk for injury, and may cause site and number of instances when these less pain than the dorsogluteal site. complications occurred (Walsh & Brophy, Research reveals however, that the 2011. ) ventrogluteal site is used much less by nurses than the dorsogluteal site. More Conclusion education about the decreased pain and Figure 1 Walsh & Brophy, 2011. risk for injury associated with the ventrogluteal site for IM injection should be There is not sufficient evidence to conclude References provided to nurses. Education will help whether the dorsogluteal site or the nurses learn and follow evidence based ventrogluteal site is more painful in IM Small, S. (2004). Preventing sciatic nerve Carter-Templeton, H. , & Mc. Coy, T. (2008). practice. injections. Are we on the same page? : a comparison of injury from intramuscular injections: literature Objectives review. Journal Of Advanced Nursing, 47(3), 287 intramuscular injection explanations in Recommendations -296. doi: 10. 1111/j. 1365 -2648. 2004. 03092. x nursing fundamental texts. MEDSURG Determine by literary review whether the Nursing, 17(4), 237 -240. Walsh, L. , & Brophy, K. (2011). Staff nurses' dorsolgluteal site or the ventrolgluteal site After review of subject, it is determined is a less painful site for IM injections. sites of choice for administering intramuscular Cocoman, A. , & Murray, J. (2008). that more research needs to be done to injections to adult patients in the acute care Intramuscular injections: a review of best determine the pain level of IM in injections setting. Journal Of Advanced Nursing, 67(5), practice for mental health nurses. Journal Of Results at each site to determine which will be 1034 -1040. doi: 10. 1111/j. 1365 Psychiatric & Mental Health Nursing, 15(5), best for the patient as it relates to pain and 2648. 2010. 05527. x 424 -434. doi: 10. 1111/j. 1365 Review of the articles indicated more discomfort. 2850. 2007. 01236. x research needs to be done to determine which site is more painful for the patient. Greenway, K. , Merriman, C. , & Statham, D. However, research indicates that while the (2006). Using the ventrogluteal site for dorsogluteal site is the most utilized site and intramuscular injections. Learning Disability preferred by practicing registered nurses, the Practice, 9(8), 34 -37. ventrogluteal site is associated with