Further Validation of the Nonverbal Pain Scale in Intensive Care Patients

Kabes, Anne Marie; Graves, Janet K.; Norris, Joan

doi:10.4037/ccn2009992

Cited by 69 publications

(72 citation statements)

References 10 publications

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“…A nonverbal pain scale at the bedside or taped to the head of the bed reminds nurses of the rating scale and the policy for pain assessment. 9 Ask only one question at a time. For example, do not ask "Are you having pain in your chest or in your hip?"…”

Section: Anticipate Patients' Needsmentioning

confidence: 99%

Promoting Effective Communication for Patients Receiving Mechanical Ventilation

Grossbach

Stranberg

Chlan

2011

Critical Care Nurse

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Communicating effectively with ventilator-dependent patients is essential so that various basic physiological and psychological needs can be conveyed and decisions, wishes, and desires about the plan of care and end-of-life decision making can be expressed. Numerous methods can be used to communicate, including gestures, head nods, mouthing of words, writing, use of letter/picture boards and common words or phrases tailored to meet individualized patients’ needs. High-tech alternative communication devices are available for more complex cases. Various options for patients with a tracheostomy tube include partial or total cuff deflation and use of a speaking valve. It is important for nurses to assess communication needs; identify appropriate alternative communication strategies; create a customized care plan with the patient, the patient’s family, and other team members; ensure that the care plan is visible and accessible to all staff interacting with the patient; and continue to collaborate with colleagues from all disciplines to promote effective communication with nonvocal patients.

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Section: Anticipate Patients' Needsmentioning

confidence: 99%

Promoting Effective Communication for Patients Receiving Mechanical Ventilation

Grossbach

Stranberg

Chlan

2011

Critical Care Nurse

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“…Both the original and the revised NVPS showed significant differences between ratings before, during, and after the painful procedure (original, 135.86; P<.001; n=121; revised, 145.05; P<.001; n=121). 21 Correlations between NVPS scores and self-report scores were not determined.…”

Section: Definition Amentioning

confidence: 99%

“…The ability of a screening instrument to correctly identify noncases In a study by Kabes et al, 21 a revised version of the NVPS was compared with the original NVPS for reliability and validity testing. The revised NVPS includes a new "respiratory" category that replaces the physiological II dimension of the original scale.…”

Section: Definition Amentioning

confidence: 99%

Observational Pain Scales in Critically Ill Adults

Stites

2013

Critical Care Nurse

103

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Pain is a common and distressing symptom in critically ill patients. Uncontrolled pain places patients at risk for numerous adverse psychological and physiological consequences, some of which may be life-threatening. A systematic assessment of pain is difficult in intensive care units because of the high percentage of patients who are noncommunicative and unable to self-report pain. Several tools have been developed to identify objective measures of pain, but the best tool has yet to be identified. A comprehensive search on the reliability and validity of observational pain scales indicated that although the Critical-Care Pain Observation Tool was superior to other tools in reliably detecting pain, pain assessment in individuals incapable of spontaneous neuromuscular movements or in patients with concurrent conditions, such as chronic pain or delirium, remains an enigma.

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“…22 This tool has been used in ICU patients, and construct validity and interrater reliability have recently been demonstrated. 24 Before the study, no acceptable standardized tool was in place to assess pain in the trauma and neurosurgical ICU at the study hospital. Although communicative patients were asked to self-report their pain by using the numerical rating scale, nurses felt that no valid tool was available to assess pain in noncommunicative, sedated, or headinjured patients.…”

Section: Notice To Ce Enrolleesmentioning

confidence: 99%

“…ICU nurses completed a questionnaire to determine their satisfaction with current practices for pain assessment and management in the ICU. Concurrently, patients who had been admitted to the ICU during the 4-week period before implementation were approached to complete a questionnaire within 24 Patients' satisfaction with pain management in the intensive care unit was assessed after transfer from that unit.…”

Section: Study Proceduresmentioning

confidence: 99%