Featured Research

from universities, journals, and other organizations

Researchers validate tool for pain assessment in patients following cardiac surgery

Date:
December 5, 2013
Source:
Lifespan
Summary:
How do you measure the pain of a patient who can't communicate? One researcher studied an observational pain scale in cardiac surgery patients, and found that the Critical-Care Pain Observation Tool provided an accurate measure of a patient's pain level.

How do you measure the pain of a patient who can't communicate? A Rhode Island Hospital researcher studied an observational pain scale in cardiac surgery patients, and found that the Critical-Care Pain Observation Tool (CPOT) provided an accurate measure of a patient's pain level. The study by Sandra Linde, RN, is the first study conducted in Rhode Island Hospital's Clinical Nurse Scholar program, in which direct care nurses are mentored to serve as principal investigators. The paper is published in the American Journal of Critical Care.

"Pain assessment is challenging in critically ill patients who are intubated, sedated and unable to verbalize their needs," Linde said. "Many behavioral pain scales have been developed to assess pain, but no single tool has been accepted across intensive care settings, and use of these scales has been limited due to the lack of research to validate them."

The CPOT was designed for use in intensive care unit settings, and measures pain based on four behavioral indicators in non-verbal patients: facial expression; body movements; muscle tension; and compliance with the ventilator for intubated patients, or vocalization for extubated patients.

Another commonly used observation tool on critical care units is the Faces, Legs, Activity, Cry, Consolability scale (FLACC), which uses a five-item pain assessment tool. This tool has proven effective in pediatric populations, but its accuracy has been questioned in adult patient populations due to the fact that crying behaviors and reactions to comforting vary widely in adults.

"Being able to accurately assess a patient's pain level is crucial to providing high-quality and appropriate patient care," Linde said. "Use of these tools has been linked to improved patient outcomes, including shorter use of ventilators and improved pain management and we want to be sure we are using the most appropriate tool possible to best assess our patients' pain and discomfort, and to aid in their healing process."

The findings by Linde and her colleagues add to previous research through the comparison of CPOT ratings for a painful procedure with CPOT ratings for a non-painful procedure that had not previously been tested. Additionally, the results support previous findings on the validity and reliability of the CPOT for evaluating pain in nonverbal critically ill adults.

The study has resulted in the planned implementation of CPOT in all intensive care units across the Lifespan system. The launch will start with select units in 2014, with a go-live goal for all Lifespan intensive care units in 2015 with the launch of Epic, the new electronic medical records system.

The intent of the Clinical Nurse Scholar program is to foster clinical inquiry and research at the bedside. Once selected, the nurse is partnered with an experienced nurse researcher who provides mentoring in the development and implementation of research project. James Badger, Ph.D., NP, served as Linde's mentor in the program.


Story Source:

The above story is based on materials provided by Lifespan. Note: Materials may be edited for content and length.


Journal Reference:

  1. S. M. Linde, J. M. Badger, J. T. Machan, J. Beaudry, A. Brucker, K. Martin, N. B. Opaluch-Bushy, R. D. Navedo Roy. Reevaluation of the Critical-Care Pain Observation Tool in Intubated Adults After Cardiac Surgery. American Journal of Critical Care, 2013; 22 (6): 491 DOI: 10.4037/ajcc2013700

Cite This Page:

Lifespan. "Researchers validate tool for pain assessment in patients following cardiac surgery." ScienceDaily. ScienceDaily, 5 December 2013. <www.sciencedaily.com/releases/2013/12/131205171819.htm>.
Lifespan. (2013, December 5). Researchers validate tool for pain assessment in patients following cardiac surgery. ScienceDaily. Retrieved July 22, 2014 from www.sciencedaily.com/releases/2013/12/131205171819.htm
Lifespan. "Researchers validate tool for pain assessment in patients following cardiac surgery." ScienceDaily. www.sciencedaily.com/releases/2013/12/131205171819.htm (accessed July 22, 2014).

Share This




More Health & Medicine News

Tuesday, July 22, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Gilead's $1000-a-Pill Drug Could Cure Hep C in HIV-Positive People

Gilead's $1000-a-Pill Drug Could Cure Hep C in HIV-Positive People

TheStreet (July 21, 2014) New research shows Gilead Science's drug Sovaldi helps in curing hepatitis C in those who suffer from HIV. In a medical study, the combination of Gilead's Hep C drug with anti-viral drug Ribavirin cured 76% of HIV-positive patients suffering from the most common hepatitis C strain. Hepatitis C and related complications have been a top cause of death in HIV-positive patients. Typical medication used to treat the disease, including interferon proteins, tended to react badly with HIV drugs. However, Sovaldi's %1,000-a-pill price tag could limit the number of patients able to access the treatment. TheStreet's Keris Lahiff reports from New York. Video provided by TheStreet
Powered by NewsLook.com
$23.6 Billion Awarded To Widow In Smoking Lawsuit

$23.6 Billion Awarded To Widow In Smoking Lawsuit

Newsy (July 20, 2014) Cynthia Robinson claims R.J. Reynolds Tobacco Company hid the health and addiction risks of its products, leading to the death of her husband in 1996. Video provided by Newsy
Powered by NewsLook.com
Tooth Plaque Provides Insight Into Diets Of Ancient People

Tooth Plaque Provides Insight Into Diets Of Ancient People

Newsy (July 19, 2014) Research on plaque from ancient teeth shows that our prehistoric ancestor's had a detailed understanding of plants long before developing agriculture. Video provided by Newsy
Powered by NewsLook.com
Contaminated Water Kills 3 Babies in South African Town

Contaminated Water Kills 3 Babies in South African Town

AFP (July 18, 2014) Contaminated water in South Africa's northwestern town of Bloemhof kills three babies and hospitalises over 500 people. The incident highlights growing fears over water safety in South Africa. Duration: 02:22 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins