Pain in unresponsive patients Essay Example | Topics and Well Written Essays - 2500 words

annoyance in unresponsive patients - Essay ExampleA impart factor for this could be that the various aggravator scales available for noncommunicative patients generally are subjective and, therefore, lacking in inter-rater reliability. Besides, research in pain assessment lances has non been adequate. The major aims of this study are (1) to compare the Numerical Rating Scale and the Behavioral Pain Scale for measuring pain in unresponsive patients, andPain is an important problem in critical care and accurate assessment of pain in the unresponsive patient is indeed a challenge. The unresponsive patients allow in pediatric, trauma, surgery, cancer, and critically ill, end-of- life cases. The attending nurses are generally drawable for pain management in the patient. It is estimated that critically ill patients dying in the ICU account for nearly 20% of the hospital deaths (Rocker & Curtis, 2003). Hence, nursing care decisions made at the end of life are crucial for the comfort of the patient. Palliative care has been delimit by the World Health Organization as the total care of patients and families whose disease is not responsive to curative treatment (WHO, 1990, p.11). Assessment and management of pain in the palliative care is a very difficult process especially in the case of a non-verbal patient (Gambrell, 2005). Health-care providers play an active affair in managing pain and providing comfort to such patients. But unmitigated pain in the absence of adequate use of analgesics and sedatives can lead to enhanced morbidity and mortality in patients in the ICU (Ahlers et al., 2008).The tools available for pain assessment in noncommunicative patients are mostly subjective which is a great drawback. Ideally, an objective tool for quantification of pain intensity capable of providing a quick feedback would be needed to provide comfort to the unresponsive patient (Gambrell, 2005). Critically ill patients show a variety of hormonal changes and neurogenic blockade and analgesia with local anaesthetics can prevent