Pain Assessment and Management in Critically ill Intubated Patients in Jordan: A Prospective Study

Abstract

Objectives: The purpose of this study was to describe: (1) pain indicators used by nurses and physicians to assess pain, (2) pain management interventions (pharmacological and non-pharmacological) used by nurses, and (3) indicators used by nurses to verify pain intervention effectiveness.

Methodology: A total of 301 medical records of currently admitted patients from six different ICUs in Jordan were reviewed using a data collection instrument developed by Gélinas et al. (2004) Pain-related indicators were classified into non-observable (patient’s self-reports of pain) and observable (physiological and behavioral) categories.

Results: Only 105 (35%) of a total 301 reviewed medical records contained pain assessment data. From these medical records, 15 pain episodes were collected altogether.  Observable indicators documented 98% of the 115 pain episodes.  Patients’ self- reports of pain were documented only 1.7% of the time.  In 78% and 46% of the 115 pain episodes, pharmacological and nonpharmacological interventions for pain management were documented, respectively. Only 37% of the pain episodes were reassessed with self- report (1%) and observable indicators (36%) to determine the effectiveness of the interventions.

Conclusion: Pain documentation for assessment, management, and reassessment was lacking and needs improvement.

Key words: Pain assessment; Pain management; critically ill; intubated patients.

  
Ayasrah, S. M., O’Neill, T. M., Abdalrahim, M. S., Sutary, M. M., & Kharabsheh, M. S. (2014). Pain Assessment and Management in Critically ill Intubated Patients in Jordan: A Prospective Study. International Journal of Health Sciences, 8(3). Retrieved from https://pub.qu.edu.sa/index.php/journal/article/view/796
Copyright and license info is not available

Author Biographies

Shahnaz Mohammad Ayasrah, Al-Balqa’ Applied University (Ajloun University College)
  
Teresa Mary O'Neill
  
Maysoon Saleem Abdalrahim
  
Manal Mohammed Sutary
  
Muna Suliman Kharabsheh
 Â