PAIN MANAGEMENT IN THE CRITICAL ILL PATIENTS WITH MECHANICAL VENTILATOR: A Literature review
Abstract: Pain is the most
common experiences and stressors in the critically ill patients, because many
sources of pain are present in critical care settings, such as acute illness, surgery, trauma, invasive
equipment, nursing and medical interventions. Poor treatment of acute pain may
lead to the development of serious complications which may seriously impact the
patient’s functioning, quality of life, and well being. The critical nurse must
understand the mechanisms, assessment, and appropriate intervention in managing
pain. This study aim to describe pain experienced by critical ill patients,
identify contributing factors of pain
experience, the appropriate pain
assessment tools among critically ill patients and critically analyze existing
of evidence based interventions to manage pain among critical ill patients with
mechanical ventilator. The authors
conducted a comprehensive systematic search of published literature, articles, journals related to pain management
in critical ill patients. Pain in the critically ill patients difficult to
assess and manage. There are many sources of pain in the critical care setting,
and the effect of unrelieved pain have a significant impact on the patient’s
recovery. When possible, the patient’s self-report of pain must be obtained.
When the patient’s self-report is not available, behavioral indicators
represent alternative measure of pain assessment (e.g., BPS, COPT) have been
developed for assessment of pain in the critically ill mechanically ventilated
population. Both pain management
pharmacologic and nonpharmacologic can be used together in relieving pain.
Using pharmacologic alone may not fully relieve all aspects of pain.
Author: Chanif
Journal Code: jpkeperawatangg130002
