https://doi.org/10.4081/scenario.2019.388
Pain assessment in adult intensive care patients
Submitted: 7 August 2019
Accepted: 7 August 2019
Published: 1 August 2019
Accepted: 7 August 2019
Abstract Views: 862
PDF (Italiano): 151
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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Introduction:Â Pain is an important public health problem worldwide and has a great clinical, social and economic impact, for these reasons itsidentification and treatment must have high priority from healthcare professionals. Critical care patients feel pain not only for their diseases but also for the long immobility and various invasive procedures they may undergo. The negative physiological and phycological consequences due to the ineffectual pain management can be important and remain for long.
International Association for the Study of Pain (IASP). IASP Curriculum Outline on Pain for Nursing. 2018. https://www.iasp-pain.org/Education/CurriculumDetail.aspx?ItemNumber=2052 Accesso eseguito il 20-02-2019
International Association for the Study of Pain (IASP). IASP Terminology. https://www.iasp-pain.org/Education/Content.aspx?ItemNumber=1698 Accesso eseguito il 20-02-2019
Imani F, Safari S. "Pain Relief is an Essential Human Right", We Should be Concerned about It. Anesth Pain Med. 2011 Fall;1(2):55-7.
Brennan F, Carr D, Cousins M. Access to Pain Management—Still Very Much a Human Right. Pain Medicine. 2016 Oct; 17(10):1785–1789.
Lohman, D, Schleifer R., Amon, J. J. (2010). Access to pain treatment as a human right. BMC medicine. 2010 Jan; 8(1):1-8.
Cousins MJ, Lynch ME. The Declaration Montreal: access to pain management is a fundamental human right. Pain. 2011 Dec;152(12):2673-4.
Puntillo KA, White C, Morris AB, et al: Patients’ perceptions and responses to procedural pain: Results from Thunder Project II. Am J Crit Care 2001; 10:238–251.
Devlin JW, Skrobik Y, Gélinas C, Needham DM, Slooter AJC, Pandharipande PP, Watson PL, Weinhouse GL, Nunnally ME, Rochwerg B, Balas MC, van den Boogaard M, Bosma KJ, Brummel NE, Chanques G, Denehy L, Drouot X, Fraser GL, Harris JE, Joffe AM, Kho ME, Kress JP, Lanphere JA, McKinley S, Neufeld KJ, Pisani MA, Payen JF, Pun BT, Puntillo KA, Riker RR, Robinson BRH, Shehabi Y, Szumita PM, Winkelman C, Centofanti JE, Price C, Nikayin S, Misak CJ, Flood PD, Kiedrowski K, Alhazzani W. Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU. Crit Care Med. 2018 Sep;46(9):e825-e873.
Puntillo KA, Max A, Timsit JF, Vignoud L, Chanques G, Robleda G, Roche-Campo F, Mancebo J, Divatia JV, Soares M, Ionescu DC, Grintescu IM, Vasiliu IL, Maggiore SM, Rusinova K, Owczuk R, Egerod I, Papathanassoglou ED, Kyranou M, Joynt GM, Burghi G, Freebairn RC, Ho KM, Kaarlola A, Gerritsen RT, Kesecioglu J, Sulaj MM, Norrenberg M, Benoit DD, Seha MS, Hennein A, Periera FJ, Benbenishty JS, Abroug F, Aquilina A, Monte JR, An Y, Azoulay E. Determinants of procedural pain intensity in the intensive care unit. The Europain® study. Am J Respir Crit Care Med. 2014 Jan 1;189(1):39-47.
Arroyo-Novoa CM, Figueroa-Ramos MI, Puntillo KA, et al: Pain related to tracheal suctioning in awake acutely and critically ill adults: A descriptive study. Intensive Crit Care Nurs 2008; 24:20–27
Puntillo KA, Morris AB, Thompson CL, et al: Pain behaviors observed during six common procedures: Results from Thunder Project II. Crit Care Med 2004; 32:421–427.
Chanques G, Sebbane M, Barbotte E, Viel E, Eledjam JJ, Jaber S. A prospective study of pain at rest: incidence and characteristics of an unrecognized symptom in surgical and trauma versus medical intensive care unit patients. Anesthesiology. 2007 Nov;107(5):858-60.
Barr J, Fraser GL, Puntillo K, Ely EW, Gélinas C, Dasta JF, Davidson JE, Devlin JW, Kress JP, Joffe AM, Coursin DB, Herr DL, Tung A, Robinson BR, Fontaine DK, Ramsay MA, Riker RR, Sessler CN, Pun B, Skrobik Y, Jaeschke R; American College of Critical Care Medicine. Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit. Crit Care Med. 2013 Jan;41(1):263-306.
Gélinas C. Pain assessment in the critically ill adult: Recent evidence and new trends. Intensive Crit Care Nurs. 2016 Jun;34:1-11.
Legge 15 marzo 2010, n. 38 "Disposizioni per garantire l'accesso alle cure palliative e alla terapia del dolore" pubblicata nella Gazzetta Ufficiale n. 65 del 19 marzo 2010
Hasegawa R. Consideration of pain felt by patients in the ICU. J Intensive Care. 2017;5:73.
Shannon K, Bucknall T. Pain assessment in critical care: what have we learnt from research. Intensive Crit Care Nurs. 2003 Jun;19(3):154-62.
Rose L, Smith O, Gélinas C, Haslam L, Dale C, Luk E, Burry L, McGillion M, Mehta S, Watt-Watson J. Critical care nurses' pain assessment and management practices: a survey in Canada. Am J Crit Care. 2012 Jul;21(4):251-9.
Latina R, Mauro L, Mitello L, D'Angelo D, Caputo L, De Marinis MG, Sansoni J, Fabriani L, Baglio G. Attitude and Knowledge of Pain Management Among Italian Nurses in Hospital Settings. Pain Manag Nurs. 2015 Dec;16(6):959-67.
FNOPI (Federazione Nazionale Ordini delle Professioni Infermieristiche). Codice Deontologico delle Professioni Infermieristiche 2019. http://www.fnopi.it/norme-e-codici/deontologia/il-codice-deontologico.htm Accesso effettuato il 12/05/2019
Legge 15 marzo 2010, n. 38. Disposizioni per garantire l'accesso alle cure palliative e alla terapia del dolore. (10G0056) (G.U. Serie Generale, n. 65 del 19 marzo 2010).
Herr K, Coyne PJ, McCaffery M, Manworren R, Merkel S. Pain assessment in the patient unable to self-report: position statement with clinical practice recommendations. Pain Manag Nurs. 2011 Dec;12(4):230-50.
National Pharmaceutical Council. Current Understanding of Assessment, Management, and Treatments. National Pharmaceutical Council December 2001. https://www.npcnow.org/system/files/research/download/Pain-Current-Understanding-of-Assessment-Management-and-Treatments.pdf Accesso effettuato il 14-02-2019.
Mascarenhas M, Beattie M, Roxburgh M, MacKintosh J, Clarke N, Srivastava D. Using the Model for Improvement to implement the Critical-Care Pain Observation Tool in an adult intensive care unit. BMJ Open Qual. 2018 Oct 9;7(4):e000304.
Chanques G, Viel E, Constantin JM, Jung B, de Lattre S, Carr J, Cissé M, Lefrant JY, Jaber S. The measurement of pain in intensive care unit: comparison of 5 self-report intensity scales. Pain. 2010 Dec;151(3):711-21.
American Association of Critical Care Nurses. AACN Practice Alerts. Assessing Pain in Critically Ill Adults. Crit Care Nurse. 2018 Dec;38(6):e13-e16.
Gélinas C, Puntillo KA, Joffe AM, Barr J. A validated approach to evaluating psychometric properties of pain assessment tools for use in nonverbal critically ill adults. Semin Respir Crit Care Med. 2013 Apr;34(2):153-68.
Elli S, Dagostini G, Bambi S, Rezoagli E, Cannizzo L, Pasquali S, Colnaghi G, Lucchini A. [Utilization of Behavioral Pain Scale and Critical Care Pain Observation Tool for pain evaluation in Intensive Care Unit]. Prof Inferm. 2015 Oct-Dec;68(4):228-35.
Vadelka A, Busnelli A, Bonetti L. Confronto tra due scale comportamentali per la valutazione del dolore nel paziente critico in relazione con lo stato di sedazione: uno studio osservazionale trasversale. Scenario. 2017; 34 (2): 4-14
Severgnini P, Pelosi P, Contino E, Serafinelli E, Novario R, Chiaranda M. Accuracy of Critical Care Pain Observation Tool and Behavioral Pain Scale to assess pain in critically ill conscious and unconscious patients: prospective, observational study. J Intensive Care. 2016 Nov 7;4:68. eCollection 2016.
Gélinas C, Puntillo KA, Levin P, Azoulay E. The Behavior Pain Assessment Tool for critically ill adults: a validation study in 28 countries. Pain. 2017 May;158(5):811-821.
Chanques G, Jaber S, Barbotte E, Violet S, Sebbane M, Perrigault PF, Mann C, Lefrant JY, Eledjam JJ. Impact of systematic evaluation of pain and agitation in an intensive care unit. Crit Care Med. 2006 Jun;34(6):1691-9.
Gélinas C. Nurses' evaluations of the feasibility and the clinical utility of the Critical-Care Pain Observation Tool. Pain Manag Nurs. 2010 Jun;11(2):115-25.
*Gélinas C, Arbour C, Michaud C, Vaillant F, Desjardins S. Implementation of the critical-care pain observation tool on pain assessment/management nursing practices in an intensive care unit with nonverbal critically ill adults: a before and after study. Int J Nurs Stud. 2011 Dec;48(12):1495-504.
**Gélinas C, Tousignant-Laflamme Y, Tanguay A, Bourgault P. Exploring the validity of the bispectral index, the Critical-Care Pain Observation Tool and vital signs for the detection of pain in sedated and mechanically ventilated critically ill adults: a pilot study. Intensive Crit Care Nurs. 2011 Feb;27(1):46-52.
Phillips ML, Kuruvilla V, Bailey M. Implementation of the Critical Care Pain Observation Tool increases the frequency of pain assessment for noncommunicative ICU patients. Aust Crit Care. 2018 Oct 9. pii: S1036-7314(17)30507-6.
Stefani F, Nardon G, Bonato R, Modenese A, Novello C, Ferrari R. [The validation of C-POT (Critical-Care Pain Observation Tool) scale: a tool for assessing pain in intensive care patients]. Assist Inferm Ric. 2011 Jul-Sep;30(3):135-43.
Vanderbyl BL, Gélinas C. Family Perspectives of Traumatically Brain-Injured Patient Pain Behaviors in the Intensive Care Unit. Pain Manag Nurs. 2017 Aug;18(4):202-213.
Richard-Lalonde M, Boitor M, Mohand-Saïd, Gélinas C. Family members’ perceptions of pain behaviors and pain management of adult patients unable to self-report in the intensive care unit: A qualitative descriptive study. Canadian Journal of Pain. 2018;2(1):315-323.
Puntillo K, Pasero C, Li D, Mularski RA, Grap MJ, Erstad BL, Varkey B, Gilbert HC, Medina J, Sessler CN. Evaluation of pain in ICU patients. Chest. 2009 Apr;135(4):1069-1074.
Azevedo-Santos IF, DeSantana JM. Pain measurement techniques: spotlight on mechanically ventilated patients. J Pain Res. 2018 Nov 21;11:2969-2980.
Gordon DB, Dahl JL, Miaskowski C, McCarberg B, Todd KH, Paice JA, Lipman AG, Bookbinder M, Sanders SH, Turk DC, Carr DB. American pain society recommendations for improving the quality of acute and cancer pain management: American Pain Society Quality of Care Task Force. Arch Intern Med. 2005 Jul 25;165(14):1574-80.
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How to Cite
Bambi, S., Galazzi, A., Pagnucci, N., & Giusti, G. D. (2019). Pain assessment in adult intensive care patients. Scenario® - Il Nursing Nella Sopravvivenza, 36(2), e1-e12. https://doi.org/10.4081/scenario.2019.388
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