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Structured approaches to pain management in the ICU.
- Source :
-
Chest [Chest] 2009 Jun; Vol. 135 (6), pp. 1665-1672. - Publication Year :
- 2009
-
Abstract
- Pain in patients who are critically ill remains undertreated despite decades of research, guideline development and distribution, and intense educational efforts. By nature of their complex medical conditions, these patients present unique challenges to the delivery of optimal pain treatment. Outdated clinical practices and faulty systems, such as a formulary that allows dangerous prescriptions, present additional obstacles. A multidisciplinary and patient-centered continuous quality improvement process is essential to identifying barriers and implementing evidence-based solutions to the problem of undertreated pain in hospital ICUs. This article addresses barriers common to the ICU setting and presents a number of structured approaches that have been shown to be successful in improving pain treatment in patients who are critically ill.
- Subjects :
- Analgesia trends
Analgesics, Opioid therapeutic use
Attitude of Health Personnel
Combined Modality Therapy
Critical Care standards
Evidence-Based Medicine
Female
Humans
Male
Pain, Intractable diagnosis
Practice Patterns, Physicians'
Quality of Health Care
Risk Assessment
United States
Analgesia standards
Critical Illness therapy
Intensive Care Units standards
Pain, Intractable therapy
Patient Care Team standards
Subjects
Details
- Language :
- English
- ISSN :
- 1931-3543
- Volume :
- 135
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Chest
- Publication Type :
- Academic Journal
- Accession number :
- 19497902
- Full Text :
- https://doi.org/10.1378/chest.08-2333