Pain assessment and management in the critically ill unconscious patient in the adult intensive care units

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dc.contributor.author Ofori, Bridget Senanu
dc.date.accessioned 2010-06-25T11:02:25Z
dc.date.available 2010-06-25T11:02:25Z
dc.date.issued 2010-06-25T11:02:25Z
dc.identifier.uri http://hdl.handle.net/10539/8218
dc.description MSc Nursing, Faculty of Health Sciences, University of the Witwatersrand, 2009 en_US
dc.description.abstract Critically ill patients are particularly vulnerable to pain as a result of the severity of their disease conditions, diagnostic and treatment interventions but pain management is not considered a priority in the Intensive Care Unit (ICU) team (Holden, 1991: Walsh & Ford, 1992). Pain causes complications in the ICU patient, which increases their ICU stay and cost of ICU treatment (Pooler-Lunse & Price, 1992). The purpose of this study was to describe the parameters identified by ICU nurses that can be used to assess pain in the critically ill unconscious patient in the adult Intensive Care Units and whether these parameters are considered by the ICU nurses when managing the unconscious patients’ pain. The objectives of the study were to describe the parameters identified by ICU nurses that can be used for assessing pain in unconscious patients and to determine whether these parameters were considered by ICU nurses when managing the unconscious patient’s pain. A non-experimental, descriptive, prospective, comparative, two part design was used for the study. The sample comprised of ICU nurses (n = 40) in four adult ICU’s and the unconscious patients (n = 40) they nursed. Part one involved the nurses’ responses to a self administered Likert-type questionnaire about parameters that could be indicative of pain in the unconscious patient and part two involved a prospective record review of the unconscious patients ICU charts. A comparison was then done between these two parts to determine if the parameters identified by ICU nurses that could be indicative of pain in the unconscious patient, were considered in their management of the unconscious patients pain. Descriptive statistics were used to analyse data. Of the responses elicited from the questionnaire, ICU nurses agreed that raised blood pressure, pyrexia, increased respiratory rate, dilated pupils and increased heart rate could all be indicative of pain in the unconscious patient but these did not influence their management of the unconscious patient’s pain. en_US
dc.language.iso en en_US
dc.subject adult en_US
dc.subject pain assessment en_US
dc.subject pain management en_US
dc.subject intensive care en_US
dc.title Pain assessment and management in the critically ill unconscious patient in the adult intensive care units en_US
dc.type Thesis en_US


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