+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Evaluation of a behavioral assessment tool for the individual unable to self-report pain

Evaluation of a behavioral assessment tool for the individual unable to self-report pain

American Journal of Hospice and Palliative Care 23(4): 328-331

Assessment of pain intensity using a standard self-reported pain score is standard practice in most institutions. These instruments require the cognitive ability to process the pain intensity into a numeric or descriptive value. Many institutions are considering adopting an assessment tool for cognitive impairment. The purpose of this study is to evaluate a clinician-administered assessment tool, PAINAD, in patients with cognitive impairment. Opioid consumption and frequency of documented unknown pain were collected in 2 cognitive impaired groups. In the control group, a self-reporting pain intensity tool was used, and in a second group, the PAINAD was used. Opioid use was significantly higher (P = .003) and the rates of reported unknown pain were significantly lower (P < .01) in the group using the PAINAD instrument compared to the control group of patients with cognitive impairment. There were no noted differences in opioid-induced adverse reactions in either group.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 048993230

Download citation: RISBibTeXText

PMID: 17060298

DOI: 10.1177/1049909106290244

Related references

Behavioral pain assessment tool for critically ill adults unable to self-report pain. American Journal of Critical Care 22(3): 246-255, 2013

Psychometric validation of the behavioral indicators of pain scale for the assessment of pain in mechanically ventilated and unable to self-report critical care patients. Medicina Intensiva 40(8): 463-473, 2016

Assessing pain in non-intubated critically ill patients unable to self report: an adaptation of the Behavioral Pain Scale. Intensive Care Medicine 35(12): 2060-2067, 2009

The McGill Pain Questionnaire in the assessment of phasic and tonic experimental pain: behavioral evaluation of the 'pain inhibiting pain' effect. Pain 22(1): 67-79, 1985

Pain assessment in the patient unable to self-report: position statement with clinical practice recommendations. Pain Management Nursing 12(4): 230-250, 2012

Psychometric comparison of three behavioural scales for the assessment of pain in critically ill patients unable to self-report. Critical Care 18(5): R160, 2014

Significance of individual sensitivity to pain for the evaluation of pain conditions. Libman test as a clinical tool. Schweizerische Medizinische Wochenschrift 104(34): 1192-1195, 1974

Utilization of Behavioral Pain Scale and Critical Care Pain Observation Tool for pain evaluation in Intensive Care Unit. Professioni Infermieristiche 68(4): 228-235, 2016

Evaluation of the Iconic Pain Assessment Tool by a heterogeneous group of people in pain. Pain Research and Management 16(1): 13-18, 2011

The mpq in the assessment of phasic and tonic pain behavioral evaluation of naloxone action on human pain responsiveness. Pain (Suppl. 4): S424, 1987

Assessing pain in persons with dementia: relationships among the non-communicative patient's pain assessment instrument, self-report, and behavioral observations. Pain Management Nursing 8(2): 77-85, 2007

Evaluation of a behavioral assessment tool for dogs relinquished to shelters. Preventive Veterinary Medicine 117(3-4): 601-609, 2014

Pain measurement in mechanically ventilated critically ill patients: Behavioral Pain Scale versus Critical-Care Pain Observation Tool. Journal of Critical Care 30(1): 167-172, 2015

Acute pain and narcotic use does not impair the ability to provide informed consent: evaluation of a competency assessment tool in the acute pain patient. American Surgeon 72(2): 154-157, 2006

Multidimensional assessment using the adolescent pediatric pain tool: a case report. Journal for Specialists in Pediatric Nursing 10(3): 115-123, 2005