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Related Experiment Videos

[Pain indicators in critical care].

Céline Gélinas1, Chantal Viens, Martine Fortier

  • 1Université Laval.

Perspective Infirmiere : Revue Officielle De L'Ordre Des Infirmieres Et Infirmiers Du Quebec
|April 9, 2005
PubMed
Summary

Critical care clinicians use various indicators, including patient self-assessment via signs, and behavioral/physiological cues, for pain assessment in intubated patients. Non-specific indicators present challenges, highlighting the need for refined pain management strategies.

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Area of Science:

  • Critical Care Nursing
  • Pain Management
  • Qualitative Research

Context:

  • Pain assessment in intubated patients is complex, regardless of consciousness level.
  • Effective communication and accurate pain evaluation are crucial in intensive care settings.

Purpose:

  • To explore the methods critical care nurses and physicians use for pain assessment in intubated patients.
  • To identify the indicators utilized and their perceived usefulness in clinical practice.

Summary:

  • The study involved focus groups and interviews with 48 critical care nurses and 12 physicians.
  • Clinicians reported using a combination of patient self-assessment (communicated via signs), behavioral indicators, and physiological signs for pain assessment.
  • While valuable, many behavioral and physiological indicators are not specific to pain, posing limitations.

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Impact:

  • Findings inform nursing practice by highlighting the importance of multimodal pain assessment strategies.
  • The study identifies areas for future nursing research to improve pain assessment and management for intubated patients.