Behavioral Pain Assessment Tool for Critically Ill Adults Unable to Self-Report Pain

2013 ◽  
Vol 22 (3) ◽  
pp. 246-255 ◽  
Author(s):  
L. Rose ◽  
L. Haslam ◽  
C. Dale ◽  
L. Knechtel ◽  
M. McGillion
Keyword(s):  
Critically Ill ◽  
Pain Assessment ◽  
Assessment Tool ◽  
Self Report ◽  
Critically Ill Adults ◽  
Ill Adults

The Behavior Pain Assessment Tool for critically ill adults

Pain ◽  
2017 ◽  
Vol 158 (5) ◽  
pp. 811-821 ◽  
Author(s):  
Céline Gélinas ◽  
Kathleen A. Puntillo ◽  
Pavel Levin ◽  
Elie Azoulay
Keyword(s):  
Critically Ill ◽  
Pain Assessment ◽  
Assessment Tool ◽  
Critically Ill Adults ◽  
Ill Adults

scholarly journals Validation of Two Pain Assessment Tools Using a Standardized Nociceptive Stimulation in Critically Ill Adults

2018 ◽  
Vol 56 (4) ◽  
pp. 594-601 ◽  
Author(s):  
Cristini Klein ◽  
Wolnei Caumo ◽  
Céline Gélinas ◽  
Valéria Patines ◽  
Tatiana Pilger ◽  
...  
Keyword(s):  
Critically Ill ◽  
Pain Assessment ◽  
Assessment Tools ◽  
Nociceptive Stimulation ◽  
Critically Ill Adults ◽  
Ill Adults

Observational Pain Scales in Critically Ill Adults

2013 ◽  
Vol 33 (3) ◽  
pp. 68-78 ◽  
Author(s):  
Mindy Stites
Keyword(s):  
Critically Ill ◽  
Reliability And Validity ◽  
Self Report ◽  
Systematic Assessment ◽  
Pain Scales ◽  
Patients At Risk ◽  
Life Threatening ◽  
Comprehensive Search ◽  
Critically Ill Adults ◽  
Ill Adults

Pain is a common and distressing symptom in critically ill patients. Uncontrolled pain places patients at risk for numerous adverse psychological and physiological consequences, some of which may be life-threatening. A systematic assessment of pain is difficult in intensive care units because of the high percentage of patients who are noncommunicative and unable to self-report pain. Several tools have been developed to identify objective measures of pain, but the best tool has yet to be identified. A comprehensive search on the reliability and validity of observational pain scales indicated that although the Critical-Care Pain Observation Tool was superior to other tools in reliably detecting pain, pain assessment in individuals incapable of spontaneous neuromuscular movements or in patients with concurrent conditions, such as chronic pain or delirium, remains an enigma.

scholarly journals A Psychometric Analysis Update of Behavioral Pain Assessment Tools for Noncommunicative, Critically Ill Adults

2019 ◽  
Vol 30 (4) ◽  
pp. 365-387 ◽  
Author(s):  
Céline Gélinas ◽  
Aaron M. Joffe ◽  
Paul M. Szumita ◽  
Jean-Francois Payen ◽  
Mélanie Bérubé ◽  
...  
Keyword(s):  
Psychometric Properties ◽  
Critically Ill ◽  
Pain Assessment ◽  
Pain Scale ◽  
Assessment Tools ◽  
Process Reliability ◽  
Behavioral Pain Scale ◽  
Critically Ill Adults ◽  
Ill Adults

This is an updated, comprehensive review of the psychometric properties of behavioral pain assessment tools for use with noncommunicative, critically ill adults. Articles were searched in 5 health databases. A total of 106 articles were analyzed, including 54 recently published papers. Nine behavioral pain assessment tools developed for noncommunicative critically ill adults and 4 tools developed for other non-communicative populations were included. The scale development process, reliability, validity, feasibility, and clinical utility were analyzed using a 0 to 20 scoring system, and quality of evidence was also evaluated. The Behavioral Pain Scale, the Behavioral Pain Scale-Nonintubated, and the Critical-Care Pain Observation Tool remain the tools with the strongest psychometric properties, with validation testing having been conducted in multiple countries and various languages. Other tools may be good alternatives, but additional research on them is necessary.

Reliability and Validity of the Face, Legs, Activity, Cry, Consolability Behavioral Tool in Assessing Acute Pain in Critically Ill Patients

2010 ◽  
Vol 19 (1) ◽  
pp. 55-61 ◽  
Author(s):  
Terri Voepel-Lewis ◽  
Jennifer Zanotti ◽  
Jennifer A. Dammeyer ◽  
Sandra Merkel
Keyword(s):  
Critically Ill ◽  
Rating Scale ◽  
Intraclass Correlation ◽  
Reliability And Validity ◽  
Correlation Coefficients ◽  
Assessment Tools ◽  
Self Report ◽  
The Face ◽  
Critically Ill Adults ◽  
Ill Adults

Background Few investigators have evaluated pain assessment tools in the critical care setting.Objective To evaluate the reliability and validity of the Face, Legs, Activity, Cry, Consolability (FLACC) Behavioral Scale in assessing pain in critically ill adults and children unable to self-report pain.Methods Three nurses simultaneously, but independently, observed and scored pain behaviors twice in 29 critically ill adults and 8 children: before administration of an analgesic or during a painful procedure, and 15 to 30 minutes after the administration or procedure. Two nurses used the FLACC scale, the third used either the Checklist of Nonverbal Pain Indicators (for adults) or the COMFORT scale (for children).Results For 73 observations, FLACC scores correlated highly with the other 2 scores (ρ = 0.963 and 0.849, respectively), supporting criterion validity. Significant decreases in FLACC scores after analgesia (or at rest) supported construct validity of the tool (mean, 5.27; SD, 2.3 vs mean, 0.52; SD, 1.1; P < .001). Exact agreement and κ statistics, as well as intraclass correlation coefficients (0.67–0.95), support excellent interrater reliability of the tool. Internal consistency was excellent; the Cronbach α was 0.882 when all items were included.Conclusions Although similar in content to other behavioral pain scales, the FLACC can be used across populations of patients and settings, and the scores are comparable to those of the commonly used 0-to-10 number rating scale.

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