Pain Assessment, Using the Critical Care Pain Observational Tool in Intensive Care Unit. An Observational Study, Lahore, Pakistan
Abstract
Asif Raza Gill, Muhammad Hussain, Muhammad Afzal and Muhammad Amir Gilani
Aim: Aim this study is to determine impact of enforcement of the critical Care Pain Observation Tool (CPOT) on the quantity and frequency of ICU’s management of analgesic.
Background: Severely critically admitted patients to the Intensive care unit may also experience from specific painful stimuli, but the evaluation of pain is difficult due to the fact that the maximum number of patients are almost sedated and also unable to self report. Thus, optimizing pain assessment in those sufferers is far-reaching. Pain control or management of the pain is one of furthermost important obligations of staff nurses in an extensive care unit. The Critical Care Pain Observational Tool (CPOT) is the one of important behavioral pain scale that have been developed and tested to detect pain in significantly ill nonverbal adults.
Methods: A observational quantitative study is done in a tertiary care hospital in Lahore. Study duration is 4 months, from January 2020 to May 2020. The target population of study is nurses who are working in different type of (Icu) units. Sample size is 200. An observational checklist consisted of 22 items is used as research instrument.
Result: No any pain assessment or used any pain tool or intervention done by any staff nurse. Pain assessment checked through direct observation in first phase, In this phase observe nurses pain assessment in 24 hours, physician pain assessment in 24 hours, After direct observation there was held a educational session about pain assessment and pain management according pain observation tool, And then We then carried out this empirical analysis in order to verify the CPOT validity and feasibility through questioners and make it accessible around the staff nurses. Mostly nurses believed that there was sufficient helpful in assessing patients pain by using of CPOT in nursing practice.
Conclusion: lThe results of this research indicate that the Critical Care Pain Monitoring Method may be used as a reliable method for pain appraisal in chronically ill adult intubated patients. This method is effective and efficient in patients who are chronically ill with a regimen of analgo-sedation focused on no-hypnotic, opioid-infusion. CPOT ratings were well associated with the self-reported pain experience of patients, and demonstrated outstanding reliability amongst raters. That makes the CPOT’s a powerful method for pain evaluation.