Subjective Descriptions of Chest Pain in Men and Women Experiencing Myocardial Infarctions
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The purpose of this clinical project was to write a research proposal that would investigate how myocardial infarction patients describe chest pain differently and to describe gender differences. Substantial gender differences exist in patients with coronary artety disease. The poor prognosis and lack of treatment for coronary artety disease in the female is strongly present in the clinical literature. Early recognition and treatment of a myocardial infarction can reduce reinfarction or myocardial complications and improve survivability of the event. Absence of relevant clinical research exists regarding the study of chest pain descriptions in female patients presenting with myocardial infarctions. The goals of this clinical research project proposal are: 1) Describe how men and women express their chest discomfort differently to health care workers, 2) Identify if women utilize more emotional adjectives in describing chest pain than men, 3) Describe pain location differences on a human anatomical figure between genders, and 4) Describe visual analog pain scale rating differences between men and women. The pain assessment instnunent, the Pain-O-Meter, was identified for the data collection procedure. The instnunent contains sensory and affective adjectives which are selected by subjects. The adjectives are assigned intensity values and totaled for intensity scores. A visual analog scale and human figure are also included on the instnunent for pain intensity, location and pain duration calculation. Permission was granted by the instnunent developer for the purpose of the clinical project. A nonprobability, purposive convenience sample was identified for the design type. Permission was granted at tertiary care hospital in eastern Washington for the study's completion in the hospital's emergency department. Human subjects consideration criteria was met for the clinical project. Institutional Review Board approval was obtained by the graduate student.