The purpose of this study is to evaluate the effect of a pain training program and systematic measurement of pain scores on actual pain levels and the use of analgesics in critically ill patients.
Systematic evaluation of pain, though still not common practice in all ICUs, is recommended in clinical practice guidelines for optimal pain management. Pain is a frequently experienced problem in patients in the Intensive Care Unit(ICU). In search of literature to support the need for introduction of a pain management system and to train the entire health staff in our department little information was found concerning the effects of pain training and pain management systems in the ICU. The small number of available studies may be explained by the difficulty of systematic pain measurement in ICU patients, mainly due to the inability to communicate effectively with these patients.
Study Type
OBSERVATIONAL
Enrollment
190
Comparing patients treated with and without analgesia and sedation protocol
Pain scores using the numerical rating scale, rated by the attending nurse and by the patient if possible.
Time frame: 3 times a day
Dose of all pain medication (morphine, paracetamol) per patient
Time frame: 24 hr
Length of stay in the ICU
Time frame: ICU stay
Pneumonia
Time frame: ICU stay
30 day Mortality
Time frame: within 30 days
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