Chest drains are routinely inserted during thoracic surgery and to con
servatively manage spontaneous pneumothorax. An extensive search of th
e literature revealed only a small number of highly prescriptive artic
les to advise the nurse on the specific care needs of this patient gro
up. An exploratory study undertaken with 18 patients drew attention to
the persistent discomfort and pain experienced by patients throughout
the entire time that the chest drain remained an situ. Most of the pa
tients also experienced short-lasting but intense pain when the chest
drain was removed. Patients appeared ill-prepared for their experience
s despite opportunities to obtain verbal and written information from
staff.