Behavioral Pain Assessment Tool for Critically Ill Adults Unable to Self-Report Pain

Rose, Louise; Haslam, Lynn; Dale, Craig; Knechtel, Leasa; McGillion, Michael

doi:10.4037/ajcc2013200

Cited by 52 publications

(56 citation statements)

References 31 publications

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“…76 Systematic pain assessment can improve patients' outcome, and several assessment tools are now available. 77 In a Canadian investigation 78 based on 802 surveys, researchers nevertheless found that a considerable proportion of ICU nurses did not use any pain assessment tool for patients who were unable to verbalize their needs. Moreover, respondents' awareness of published guidelines for pain management was limited.…”

Section: Pain Assessment and Controlmentioning

confidence: 99%

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Insights and Advances in Multidisciplinary Critical Care: A Review of Recent Research

Blot

Afonso

Labeau

2014

American Journal of Critical Care

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The intensive care unit is a work environment where superior dedication is pivotal to optimize patients' outcomes. As this demanding commitment is multidisciplinary in nature, it requires special qualities of health care workers and organizations. Thus research in the field covers a broad spectrum of activities necessary to deliver cutting-edge care. However, given the abundance of research articles and education activities available, it is difficult for modern critical care clinicians to keep up with the latest progress and innovations in the field. This article broadly summarizes new developments in multidisciplinary intensive care, providing elementary information about advanced insights in the field by briefly describing selected articles bundled in specific topics. Issues considered include cardiovascular care, monitoring, mechanical ventilation, infection and sepsis, nutrition, education, patient safety, pain assessment and control, delirium, mental health, ethics, and outcomes research.

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Section: Pain Assessment and Controlmentioning

confidence: 99%

“…In turn, a study 77 conducted in 2 Canadian ICUs showed that implementation of the Critical-Care Pain Observation Tool (CPOT) successfully increased the frequency of pain assessment and influenced administration of analgesics in both units.…”

Section: Pain Assessment and Controlmentioning

confidence: 99%

Insights and Advances in Multidisciplinary Critical Care: A Review of Recent Research

Blot

Afonso

Labeau

2014

American Journal of Critical Care

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“…46 Implementation of pain, agitation/ sedation, and delirium assessment tools has resulted in improved use of medication and improved patient outcomes such as shorter ICU stays and reduced mortality. 31,42,43,45,46 These results may be related to the earlier identification and treatment of pain, agitation/ sedation, and delirium.…”

Section: Selection Of Assessment Toolsmentioning

confidence: 99%

“…Short training sessions from 20 to 60 minutes for the use of pain, sedation, and delirium scales with support tools such as posters, pocket cards, and videos have proven effective. [42][43][44][45] Further information about the tools advocated within the PAD guidelines may be found online through the SCCM website Liberation initiative (http://www.sccm.org/Research /Quality/Pages/ICU-Liberation.aspx). Change champions who receive extra training and become specialists in this area of practice also are helpful during the implementation process to provide feedback and solve immediate problems.…”

Section: Selection Of Assessment Toolsmentioning

confidence: 99%

Pain, Agitation, and Delirium Guidelines: Nurses’ Involvement in Development and Implementation

Davidson

Winkelman

Gélinas

et al. 2015

Critical Care Nurse

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The 2013 American College of Critical Care Medicine/Society of Critical Care Medicine clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit serves as a living example of nurses’ involvement in the development and implementation of professional guidelines. Nurses who served on this guideline-writing panel describe their experiences. Specific examples from the pain, agitation, and delirium guidelines for care are used to explore the roles of the nurse leader, nurse informaticist, staff nurse, and nurse researcher in relationship to guideline implementation.

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“…These methods use verbal and visual self-report scales, face pictures and bedside observation of posture, protection, facial expression and behaviour during daily activities. 4,5 Other methods that are being studied for assessing pain in critically ill adults who cannot self-report pain 8 hold promise for pain management in noncommunicative people with dementia.…”

mentioning

confidence: 99%

People with dementia need better pain management

Flegel

2013

CMAJ

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Behavioral Pain Assessment Tool for Critically Ill Adults Unable to Self-Report Pain

Cited by 52 publications

References 31 publications

Insights and Advances in Multidisciplinary Critical Care: A Review of Recent Research

Insights and Advances in Multidisciplinary Critical Care: A Review of Recent Research

Pain, Agitation, and Delirium Guidelines: Nurses’ Involvement in Development and Implementation

People with dementia need better pain management

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