Compare two strategies used to assess and manage pain in critically ill patient.
Pain is expressed as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage” by the international association for the study of pain. When the body has any physical injury or requires attention protective mechanisms are brought forth as pain (Gray, M 2008), this warns the factors in the immediate environment. In order to make the correct diagnosis efficient and accurate pain assessment is vital to determine the most effective treatment plan for patients exhibiting with pain (Stephen, K & Eric. S 2014). While pain assessment is difficult in critically ill patients, pain must be assessed …show more content…
When these components are placed on a scale of 1 to 4 it produces a complex score (Reardon, D 2015). A total score of 5 or higher indicates pain. The evidence in the literature that I have examined states that the Behavioural Pain Scale allows sedated mechanically ventilated patients to measure the pain expression.
The second strategy is the Critical- Care Pain Observation Tool (CPOT) this allows the patient to be evaluated thorough the 4 behavioural categories associated with pain. This includes facial expression, body movements muscle tension and ventilator compliance (for intubated patients) or vocalization (for extubated patients). Similar to the BPS each component is scored with a possible score of 0-2 with a total score of 0-8. A score of 3 or higher represents pain.
In order to compare BPS and CPOT, BPS includes only movement of upper extremities. The CPOT includes an assessment of movement of both upper and lower extremities. Both scales have been positively correlated with many patients and is considered valid and reliable in measuring the pain assessment.
Moreover, management of pain includes pharmacological and non-pharmacological strategies includes opioids are currently the most commonly prescribed analgesic in the
Pain is expressed as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage” by the international association for the study of pain. When the body has any physical injury or requires attention protective mechanisms are brought forth as pain (Gray, M 2008), this warns the factors in the immediate environment. In order to make the correct diagnosis efficient and accurate pain assessment is vital to determine the most effective treatment plan for patients exhibiting with pain (Stephen, K & Eric. S 2014). While pain assessment is difficult in critically ill patients, pain must be assessed …show more content…
When these components are placed on a scale of 1 to 4 it produces a complex score (Reardon, D 2015). A total score of 5 or higher indicates pain. The evidence in the literature that I have examined states that the Behavioural Pain Scale allows sedated mechanically ventilated patients to measure the pain expression.
The second strategy is the Critical- Care Pain Observation Tool (CPOT) this allows the patient to be evaluated thorough the 4 behavioural categories associated with pain. This includes facial expression, body movements muscle tension and ventilator compliance (for intubated patients) or vocalization (for extubated patients). Similar to the BPS each component is scored with a possible score of 0-2 with a total score of 0-8. A score of 3 or higher represents pain.
In order to compare BPS and CPOT, BPS includes only movement of upper extremities. The CPOT includes an assessment of movement of both upper and lower extremities. Both scales have been positively correlated with many patients and is considered valid and reliable in measuring the pain assessment.
Moreover, management of pain includes pharmacological and non-pharmacological strategies includes opioids are currently the most commonly prescribed analgesic in the