کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2652043 1139577 2016 11 صفحه PDF ندارد دانلود رایگان
عنوان انگلیسی مقاله
Pain assessment in the critically ill adult: Recent evidence and new trends
ترجمه فارسی عنوان
ارزیابی درد در بزرگسالان بدحال: شواهد اخیر و گرایش های جدید
کلمات کلیدی
درد، ارزیابی درد؛ رفتار؛ علائم حیاتی. Pupillometry؛ بدحال؛ مراقبت شدید
Pain; Pain assessment; Behaviours; Vital signs; Pupillometry; Critically ill; Intensive care
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیهوشی و پزشکی درد
چکیده انگلیسی

SummaryPain assessment in the critically ill adult remains a daily clinical challenge. Position statements and practice guidelines exist to guide the ICU care team in the pain assessment process. The patient's self-report of pain remains the gold standard measure for pain and should be obtained as often as possible. When self-report is impossible to obtain, observational pain scales including the Behavioural Pain Scale (BPS) and the Critical-Care Pain Observation Tool (CPOT) have been recommended for clinical use in the critically ill adult. However, their adaptation and validation in brain-injured and burn ICU patients is required. Family caregivers may help in the identification of pain-related behaviours and should be more involved in the ICU pain assessment process. Fluctuations in vital signs should only be considered as cues for further assessment of pain with appropriate tools, and may better represent adverse events of severe pain. Other physiologic measures of pain should be explored in the ICU, and pupillometry appears as a promising technique to further study. Implementation of systematic pain assessment approaches using tools adapted to the patient's ability to communicate and condition has shown positive effects on ICU pain practices and patient outcomes, but randomised control trials are needed to confirm these conclusions.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Intensive and Critical Care Nursing - Volume 34, June 2016, Pages 1–11
نویسندگان
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