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Updated: Jul 1, 2025
06:04
Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
8.9K
Assessing Discomfort in American Adult Intensive Care Patients.
Marshall S Gunnels1, Emily M Reisdorf2, Jay Mandrekar3
1Marshall S. Gunnels is an intensive care unit nurse at the Mayo Clinic in Rochester, Minnesota.
Summary
Critically ill patients in intensive care units (ICUs) reported mild to moderate discomfort, with sleep deprivation, catheters, thirst, and pain as primary sources. Further research is needed for effective symptom management strategies.
Area of Science:
- Critical Care Medicine
- Patient Experience
- Symptom Management
Background:
- Critically ill patients in intensive care units (ICUs) frequently experience distressing symptoms and stimuli.
- Discomfort, a negative emotional/physical state, requires distinct assessment for effective management.
- Understanding patient-reported discomfort is crucial for improving ICU care.
Purpose of the Study:
- To assess patient-reported discomfort using the English Inconforts des Patients de REAnimation (IPR) questionnaire.
- To explore demographic and clinical factors associated with discomfort scores in ICU patients.
Main Methods:
- Cross-sectional, descriptive, single-cohort study design.
- Convenience sample of 180 alert and oriented adult ICU patients.
- Administered an 18-item questionnaire assessing physiological and psychological discomfort stimuli (0-100 scale).
Main Results:
- The mean overall discomfort score was 32.9 (SD 23.6).
- Top discomfort sources included sleep deprivation (4.0), perfusion catheters/tubing (3.4), thirst (3.0), and pain (3.0).
Conclusions:
- ICU patients reported mild to moderate discomfort levels.
- Further research should focus on developing interventions targeting specific discomfort stimuli.
- Effective symptom management requires tailored approaches based on patient-reported experiences.
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