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Nursing pain assessment in non verbal intensive care patient

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Anastasia Villioti, Antonia Kalogianni, Dimitrios Papageorgiou, Edison Jahaj
Anastasia Villioti, Antonia Kalogianni, Dimitrios Papageorgiou, Edison Jahaj

Abstract


Introduction:  It has been found out that pain is one of the most important issues that patients have to deal with while they are hospitalized in an intensive care unit (ICU), especially when they are non-communicative. Nurses play the most important role in the pain assessment through the everyday contact with patients and with the use of a variety of pain assessment tools as well.

Aim:  The purpose was to determine nurses’ level of knowledge about the use of pain assessment tools (especially pain scales) in the unconscious intensive care patients – To investigate the level of pain assessment tools application in the daily nursing routine by the ICU nurses.

Material and Method: A systematic review in the followed database was applied: Pubmed-Medline-Embase. The entry criteria in the review were: a) Publication date: 1990-2017 b) Greek or English language c) the sample of research must necessarily include experienced nurses who work exclusively in an intensive care unit. d) the use of pain assessment tools for non verbal patients should be included in the nursing interventions e) nurses should be responsible for the daily care of non verbal patients f) the results must be concern exclusively non communicative patients.

Results: From the research four studies have emerged which met the standards of the review. The common findings among these researches result in the fact that although nurses believe that an effective pain assessment is important to a great extent, very few of them use pain assessment tools according to protocols especially in the unconscious patients.

Conclusions:  Nursing pain assessment concerning non verbal patients still remain inadequate and doesn’t seem to be a priority during the daily nursing routine. The promotion of education of nurses concerning pain assessment is required and the use of protocols as well in order to ease the process of a reliable and valid pain assessment.


Keywords


Intensive Care Unit; pain assessment; critical ill patient

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References


McKinley S, Botti M, Nurses’ assessment of pain on hospitalized patients. The Australian Journal of Advanced Nursing 1991; 9(1): 8-14.

Booker P, Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. Journal of Clinical Nursing 2016 : 278-281.

Aslan F, Badir A, Selimen D. How do intensive care nurses assess patients’ pain? Nursing in Critical Care 2003; 8(2): 62-67.

Kaiser KS.Assessment and management of pain in the critically ill trauma patient. Clinical Care Nursing Quarterly 1992; 15(2): 13-34.

Ferreira-Valente M, Pais-Ribeiro J, Jensen M. Validity of four pain intensity rating scales 2011; 152 (10): 2399-2404.

Coyer, M, Wheeler M, Wetzig Z et al.. Nursing Care of the mechanically ventilated patient: What does the evidence say? Part two. Intensive and Critical Care Nursing 2007; (23): 71-80.

Rose L. Smith O, Gelinas, C et al. Critical Care Nurses’ Pain Assessment and Management Practices: A survey In Canada. American Journal of Critical Care Nurses 2012; 21(4): 251-260.

Puntillo K. Managing pain, delirium and sedation. Critical Care Nurse, February Supplement 2007: 8-15.

McCaffery M, Pasero C. . Assessment. Underlying complexities, misconceptions, and practical tools 1999: 35-102

Herr K, Bjoro K, Decker S. Tools for assessment of pain in nonverbal older adults with dementia: a state of the science review. Journal of Pain and Symptom Management 2006; 31(2): 170-192.

Pasero C, McCaffery M. No self-report means no pain-intensity rating. The American Journal of Nursing 2005; 105(3.10): 50-55.

Lindenbaum, L, Milia, D. Pain management in the ICU. Surgical Critical Care 2012; 92(6): 1621-1636.

Jacobi J, Fraser GL, Coursin D B, Riker R R, Fontaine D, Wittbrodt E T et al. Clinical practice guidelines for the sustained use of sedatives and analgesics in the critically ill adult. Critical Care Medicine 2002; 30(1):119-141.

Kletsiou E, Mpouzika M, Papathanassoglou ED. E.Use of behavioral pain scales in coronary and critical care patients. A comparative validation study. European Journal of Cardiovascuar Nursing 2009; 8 (1).

Payen F, Bru O, Bosson J et al. Assessing pain in critically ill sedated patients using a behavioral pain scale. Critical Care Medicine 2001; 29(12):2258-2263.

Gelinas C, Fillion L, Puntillo K et al. Validation of the Critical-Care Observation Toll in adult patients. American Journal of Critical Care 2006; 15(4): 420-427.

Odhner M, Wegman D, Freeland N et al. Assessing pain control in nonverbal critically ill adults. Dimensions of Critical Care Nursing 2003; 22, (6):260-271.

Puntillo K, Miaskowski C, Kehrle K, et al. Relationship between behavioural and physiological indicators of pain and opioid administration. Critical Care Medicine, 25,(7):1159-1166.

Puntillo K, Stannard D, Miaskowski C et al. Use of a pain assessment and intervention notation (P.A.I.N.) tool in critical care nursing practices: Nurses’ evaluations. Heart and Lung: The Journal of Acute and Critical Care 2002; 31(4): 303-314.

Puntillo K, Morris A, Thompson C et al. Pain behaviours observed during six common procedures: Results from thunder project part II. Critical Care Medicine 2004; 32(2): 421-427.

Blenkharn A, Faughhnan S, Morgan A. Developing a pain assessment tool for use by nurses in an adult intensive care unit. Intensive Critical Care Nursing 2002; 18(6): 332-341.

Pudas-Tahka S, Axelin A, Aanta R, et al. Pain assessment tools for unconscious or sedated intensive care patients: a systematic review. Journal of Advanced Nursing 2009; 65(5): 946-958.

Souza RCS, Garcia DM, Sanches MB, Gallo AMA, Martins CPB, Siqueira ILCP. Nursing team Knowledge on behavioral assessment of pain in critical care patients. Rev Gaúcha Enferm. 2013; 34(3):55-63.

Kizza IB, Muliira JK, Kohi TW, Nabirye RC. Nurses’ knowledge of the principles of acute pain assessment in critically ill adult patients who are able to self report. International Journal of Africa Nursing Sciences 2016; 4: 20-27.

Indrah GM. Onwong’a. Nurses’ Knowledge related to pain assessment for critically ill patients at a public sector hospital in Johannesburg, research report submitted to the Faculty of Health Sciences, 2014.


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