PAIN MANAGEMENT IN CRITICALLY ILL-INTUBATED PATIENT: A LITERATURE REVIEW

Ardia Putra

Abstract


ABSTRACT


BACKGROUND: Pain is classified as one of the least understood symptom because it is a subjective concept
and only can be defined by the individual who experiencing the pain. Among critical care patients, pain also
being a problem to be managed. This condition based on the reason that the patients in ICU were suffering
by complex problems and considered in a life threatening condition. PURPOSE: The purposes of this study
explore the pain management among critically-ill intubated patient.

METHOD: A relevant literature searched from databases: PubMed, CINAHL, the Cochrane and ProQuest Medical Library, and Science Direct were conducted. Key words used to retrieve included pain management, pain assessment tool, intubated and unconscious patient, and critically ill patient. Searching was limited in English language, full text, and the year of publication starting from 1994.

RESULTS: Twenty-four related studies were intensively
reviewed. Firstly, the concept of pain in critical care was described. Then, the barriers of pain assessment
and management, pain related factor in intensive care unit, and pain assessment tools in critically illintubated patientare explained. Moreover, in order to develop appropriate pain management in critically illintubated patient, the pharmacological and non-pharmacological intervention are reviewed. Finally, the nursing roles and activities for appropriate pain management in critically ill-intubated patients are described later.

CONCLUSION: Literatures showed that critical care nurses (CCNS) holding the roles and responsibilities to deliver appropriate pain management in critically-ill intubated patients. This requirement are important in order to relieving and diminishing pain that feel among critical care patient, in particular unconscious and uncommunicative patients who cannot provide self report regarding their pain intensity and
severity.


Keywords: Pain management, pain assessment, unconscious patient, critical care, and critically-ill
intubatedpatient.


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INJ

IDEA NURSING JURNAL

ISSN (Print) : 2087-2879

ISSN (Online) : 2580-2445

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