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Assessing pain in critically ill adults

Abstract:
PPain is a frequent source of stress in the ICU and is experienced by nearly all critically ill patients during their stay.1 Inadequate recognition and management of pain is associated with an increased risk of hemodynamic instability, hyperglycemia, alterations in immune system functioning, and release of catecholamines, cortisol, and antidiuretic hormone.2 In addition, it’s possible for untreated acute pain to produce neurohumoral changes, neuronal remodeling, and long-lasting psychological and emotional stress, which may lead to prolonged chronic pain states.3 Yet, the under treatment of pain is common in the ICUs due to lack of recognition and concerns about the adverse effects of medications (respiratory depression and hemodynamic compromise).4 This is especially troubling as pain and anxiety in the critically ill are inextricably linked, with both contributing to poor outcomes in the critically ill patient. The recent DOLOREA study highlighted the importance of pain management in the ICU by demonstrating a reduction in the use of hypnotics, midazolam, duration of mechanical ventilation, and ICU length of stay with a standardized assessment of pain.5 By Mindy Stites, MSN, APRN, ACNS-BC, ACCNS-AG, CCRN, CCNS, and Jennifer Surprise, MSN, APRN, RN-BC, ACNS-BC Assessing pain in critically ill adults
Author Listing: Mindy Stites;Jennifer Surprise
Volume: 9
Pages: 36–41
DOI: 10.1097/01.CCN.0000451024.15197.3d
Language: English
Journal: Nursing Critical Care

Nursing Critical Care

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ISSN:1558-447X
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收录数据库:Scopus收录
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出版社:Wolters Kluwer Health

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偏重研究方向 Nursing-Critical Care Nursing
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