About Careers MedBlog Contact us
Medindia LOGIN REGISTER
Advertisement

New Tool Uses Behavioral Cues to Assess Pain in ICU Patients

by Bidita Debnath on April 4, 2017 at 11:46 PM
Font : A-A+

 New Tool Uses Behavioral Cues to Assess Pain in ICU Patients

A new Behavior Pain Assessment Tool (BPAT) provides a simple way to evaluate pain in critically ill patients-including those who aren't able to communicate their pain verbally, reports a study in PAIN®, the official publication of the International Association for the Study of Pain (IASP).

The journal is published by Wolters Kluwer.

Advertisement


Based on eight observable pain behaviors, the BPAT is particularly useful in identifying patients experiencing severe pain during procedures in the intensive care unit (ICU), according to the report by Céline Gélinas, RN, PhD, of McGill University, Montreal, and colleagues.

Observing Behaviors Identifies ICU Patients in Severe Pain

The researchers evaluated the BPAT's ability to assess procedure-related pain in critically ill adults. Many ICU patients are unable to communicate their pain because their clinical condition, altered level of consciousness, or mechanical ventilation and sedation prevents them from doing so. "Since none of those conditions precludes the perception of pain, it is essential that clinicians have valid and reliable pain assessment methods," Dr. Gélinas and coauthors write.
Advertisement

The BPAT used readily observable behaviors -- facial expressions, verbal responses, and muscle responses--as potential indicators of pain during the procedures. Translated into 12 languages, the BPAT was evaluated during more than 4,800 procedures in 3,850 patients who were hospitalized in 192 ICUs in 28 countries.

About two-thirds of patients were able to communicate their pain. In this group, pain intensity and distress were rated on a standard ten-point scale, in addition to the BPAT.

Most of the eight pain behaviors became more frequent during the procedure, compared with before the procedure. Facial grimacing was the most commonly observed behavior. Other pain indicators included wincing, moaning, verbal complaints, and clenched fists. (Because of the presence of an airway tube, patients on mechanical ventilation cannot make verbal sounds.)

The eight-point BPAT score was significantly related to the pain ratings made by patients who were able to communicate. At a cutoff point of higher than 3.5, the BPAT performed well in identifying patients with severe levels of pain intensity and distress who might benefit from treatment with opioid (narcotic) medications.

The researchers note that the BPAT explained no more than one-third of the variation in pain scores. Future studies could assess other potential pain behaviors--although even these are unlikely to fully capture the "multidimensional experience" of pain.

"The BPAT was found to be reliable and valid for use in critically ill patients unable to self-report," Dr. Gélinas and colleagues conclude. "Valid behavioral pain scales are necessary to ensure appropriate assessment of pain and to guide decisions for pain management in this vulnerable population." The researchers call for further studies to evaluate how the BPAT is implemented in clinical practice and how it affects pain management and pain outcomes in the ICU.

Source: Eurekalert
Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
What's New on Medindia
Diet and Oral Health: The Sugary Connection May Become Sour
World AIDS Day 2022 - Equalize!
Test Your Knowledge on Sugar Intake and Oral Health
View all
Recommended Reading
News Archive
Date
Category
Advertisement
News Category

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Thoracic Outlet Syndrome Intensive Care Unit Acquired Weakness (ICUAW) 

Most Popular on Medindia

Drug Side Effects Calculator Diaphragmatic Hernia Loram (2 mg) (Lorazepam) Sanatogen Post-Nasal Drip Calculate Ideal Weight for Infants Pregnancy Confirmation Calculator The Essence of Yoga Sinopril (2mg) (Lacidipine) Turmeric Powder - Health Benefits, Uses & Side Effects
This site uses cookies to deliver our services.By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use  Ok, Got it. Close
×

New Tool Uses Behavioral Cues to Assess Pain in ICU Patients Personalised Printable Document (PDF)

Please complete this form and we'll send you a personalised information that is requested

You may use this for your own reference or forward it to your friends.

Please use the information prudently. If you are not a medical doctor please remember to consult your healthcare provider as this information is not a substitute for professional advice.

Name *

Email Address *

Country *

Areas of Interests