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Translating research into practice. Implications of the Thunder Project II
C L Thompson1, C White, L R Wild
1University of Tennessee Health Science Center, Memphis, Tennessee, USA. clthompson@utmem.edu
Critical Care Nursing Clinics of North America
|January 10, 2002
Summary
Procedural pain varies significantly across medical interventions. Turning caused the most pain in adults, while non-wound dressing changes were most painful for teens, necessitating individualized pain management.
Area of Science:
- Nursing
- Pain Management
- Critical Care
Background:
- Procedural pain is a common experience in acute and critical care settings.
- Understanding patient responses to various nursing procedures is crucial for effective pain management.
Purpose of the Study:
- To describe procedural pain intensity across different acute and critical care settings.
- To identify procedures associated with the highest and lowest pain intensity in adults and teenagers.
- To highlight the need for individualized pain assessment and intervention strategies.
Main Methods:
- The Thunder Project II study observed pain during specific procedures: turning, tracheal suctioning, wound drain removal, nonburn wound dressing change, femoral sheath removal, and central venous catheter insertion.
- Pain intensity was assessed in adult and teenage patient populations.
Main Results:
- Turning reported the highest mean pain intensity in adults.
- Femoral sheath removal and central venous catheter insertion had the least pain intensity in adults.
- Nonwound dressing change had the highest pain intensity for teenagers.
- Significant variability in pain responses was observed for all procedures.
Conclusions:
- Standardized and individualized pain and distress assessments are essential.
- Preemptive analgesic interventions should be tailored to individual patient needs.
- Further research is required to explore patient responses to other nursing procedures and to develop effective pain-reducing interventions.