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Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
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Evidence-Based Pain Assessment in Nonverbal Palliative Care Patients
Sara Larson1, Elyse Laures2, Minjeong Seo2
1University of Iowa Hospitals and Clinics, Iowa City, Iowa; St. Joseph's Hospital and Medical Center, Phoenix, Arizona.
Summary
Implementing the Multidimensional Objective Pain Assessment Tool (MOPAT) improved pain assessment for nonverbal palliative care patients. This evidence-based approach led to better pain management and nurse attitudes.
Area of Science:
- Palliative Care
- Pain Management
- Evidence-Based Practice
Background:
- Effective pain assessment is crucial in palliative care for physical, psychosocial, and spiritual pain.
- Nonverbal patients in palliative care are at high risk for underassessed pain, leading to prolonged suffering.
Purpose of the Study:
- To implement and evaluate an evidence-based pain assessment tool for nonverbal palliative care patients.
- To improve pain management strategies for a vulnerable patient population.
Main Methods:
- Utilized the Iowa Model Revised and Implementation Strategies for Evidence-Based Practice Guide.
- Piloted the Multidimensional Objective Pain Assessment Tool (MOPAT) on a six-bed adult inpatient Palliative Care Unit (PCU).
- Collected data on nurses' knowledge, attitudes, and behaviors pre- and post-implementation, alongside MOPAT usage and pain intervention linkage.
Main Results:
- Nurses reported improved attitudes towards palliative care pain assessment.
- MOPAT was used for 74% of nonverbal palliative care patients.
- 88% of patients had pain interventions linked to their MOPAT scores.
Conclusions:
- The Multidimensional Objective Pain Assessment Tool (MOPAT) is a validated, evidence-based tool for assessing pain in nonverbal palliative care patients.
- Successful adoption of MOPAT within the PCU was achieved, enhancing patient care.
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