Evaluation of Pain in the Critically Ill Patient

Hamill-Ruth, Robin J.; Marohn, M. Lynn

doi:10.1016/s0749-0704(05)70038-5

Cited by 113 publications

(93 citation statements)

References 32 publications

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“…Evaluation of pain is often hindered by a patient's altered level of consciousness related to induced sedation, head trauma, or altered physiological status. [4][5][6] As such, clinicians are often left to interpret pain-related behaviors without appropriate assessment tools. It is well documented that pain is an undertreated condition in hospitalized patients.…”

Section: Notice To Ce Enrolleesmentioning

confidence: 99%

Patient Satisfaction and Documentation of Pain Assessments and Management After Implementing the Adult Nonverbal Pain Scale

Topolovec-Vranic¹,

Canzian²,

Innis³

et al. 2010

American Journal of Critical Care

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Section: Notice To Ce Enrolleesmentioning

confidence: 99%

Patient Satisfaction and Documentation of Pain Assessments and Management After Implementing the Adult Nonverbal Pain Scale

Topolovec-Vranic¹,

Canzian²,

Innis³

et al. 2010

American Journal of Critical Care

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“…중환자의 통증치료를 어렵게 하는 또 다른 이유는 의료진에 있다. 환자의 통증과 관련한 행동의 변화 등에 대한 지식부족, 통증을 당연시 하는 일, 간호사의 부주의나 태만으로 인하여 환자의 통증은 과소평가되기도 한다 (Hamill & Marohn, 1999). …”

Section: 중환자가 경험하는 통증은 심각한 수준이지만 많은 경우 통증unclassified

Validation of a Korean Translated Version of the Critical Care Pain Observation Tool (CPOT) for ICU Patients

Kwak

2012

J Korean Acad Nurs

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“…Undertreatment of pain can have serious physical and psychological consequences (6)(7)(8). The golden standard for pain assessment is the patient's own description of pain (9,10).…”

mentioning

confidence: 99%

CPOT – verktøy for smertevurdering av intensivpasienter

Storsveen¹,

Hall‐Lord²

2016

Sykepleien

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SUMMARYIntroduction: Research shows that intensive care patients experience pain both at rest and during procedures. Critically ill patients frequently have impaired ability to communicate pain and discomfort, making pain assessment and pain management challenging. Systematic pain assessment with valid tools is essential for good pain management. The Critical-Care Pain Observation Tool (CPOT) is a pain assessment tool with four domains.Objective: To translate The Critical-Care Pain Observation Tool (CPOT) and to examine the tool's validity and reliability.Method: The study has a descriptive quantitative design. The CPOT was first translated into Norwegian using an internationally recommended translation process. Six intensive care nurses were given a one-hour training session in the use of the CPOT, and an instruction video was used to achieve a common understanding of the CPOT scoring system. Independently, two intensive care nurses (in pairs) assessed and scored the patient's pain expression, using the CPOT, before and during a turning procedure. A total of 182 (91 pairwise) CPOT assessments were performed of 18 intensive care patients on mechanical ventilation. The Norwegian version of the CPOT was examined for discriminant validity by comparing the nurses' scores before and during the turning procedure. Research shows that intensive care patients frequently suffer from undertreatment of pain (1)(2)(3)(4)(5). Undertreatment of pain can have serious physical and psychological consequences (6-8). The golden standard for pain assessment is the patient's own description of pain (9, 10). However, the intensive care patient's impaired ability to communicate entails that the patient may experience pain without being able to express it in a way that health care personnel comprehend (4, 7, 11). Patients' inability to self-report pain hinders effective pain management.Systematic pain assessment with valid tools has proven essential to good pain treatment and may be used as a quality indicator of clinical practice (12, 13). There are several tools for assessing pain in adult intensive care patients, but according to international clinical guidelines (14), The Behavior Pain Scale (BPS) (15) and The Critical-Care Pain Observational Tool (CPOT) (16,17) have the highest validity and reliability. Rijkenberg et al. compared the CPOT and the BPS and concluded with a preference for the CPOT, due to better discriminant validity, meaning the tool measures pain better when the intensive care patient is assumed to have pain (19).In the international clinical guidelines, Barr et al. refer to the testing of the two tools' psychometric characteristics (measurement characteristics, user friendliness, the tool's validity and reliability, etc.). The CPOT appeared to be somewhat better, but both the CPOT and the BPS are equally recommended (14). The guidelines recommend that the CPOT and the BPS be translated and validated into more languages (14). The BPS is translated into Norwegian and tested for reliability by Olsen and Rustøen (18). ...

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Evaluation of Pain in the Critically Ill Patient

Cited by 113 publications

References 32 publications

Patient Satisfaction and Documentation of Pain Assessments and Management After Implementing the Adult Nonverbal Pain Scale

Patient Satisfaction and Documentation of Pain Assessments and Management After Implementing the Adult Nonverbal Pain Scale

Validation of a Korean Translated Version of the Critical Care Pain Observation Tool (CPOT) for ICU Patients

CPOT – verktøy for smertevurdering av intensivpasienter

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