This descriptive study explored how patients communicate their pain and pai
n management needs after surgery. Thirty postoperative patients were interv
iewed. The majority described avoiding or delaying communicating their pain
at some point during their hospitalization. Reasons for decreased pain com
munication included not wanting to complain: not wanting to take the provid
er away from other patients; avoiding unpleasant analgesic side effects; an
d not wanting to take "drugs." Postoperative patients may be unclear about
their role in pain management. Pain management communication problems ident
ified in this study could be used to design intervention studies to improve
pain communication and consequent pain relief. Copyright (C) 2000 by W.B.
Saunders Company.