JiYeon Choi1, Margaret L Campbell2, Céline Gélinas3, Mary Beth Happ4, Judith Tate4, Linda Chlan5. 1. University of Pittsburgh School of Nursing, Pittsburgh, PA, USA. Electronic address: jic11@pitt.edu. 2. Wayne State University College of Nursing, Detroit, MI, USA. 3. McGill University Ingram School of Nursing, Montreal, Quebec, Canada. 4. The Ohio State University College of Nursing, Columbus, OH, USA. 5. Mayo Clinic, Rochester, MN, USA.
Abstract
BACKGROUND: Symptom assessment in critically ill patients is challenging because many cannot provide a self-report. OBJECTIVES: To describe the state of the science on symptom communication and the assessment of selected physical symptoms in non-vocal ICU patients. METHODS: This paper summarizes a 2014 American Thoracic Society Annual International Conference symposium presenting current evidence on symptom communication, delirium, and the assessment of common physical symptoms (i.e., dyspnea, pain, weakness, and fatigue) experienced by non-vocal ICU patients. RESULTS: Symptom assessment begins with accurate assessment, which includes an evaluation of delirium, and assistance in symptom communication. Simple self-report measures (e.g., 0-10 numeric rating scale), observational measures (e.g., Respiratory Distress Observation Scale and Critical-Care Pain Observation Tool), or objective measures (e.g., manual muscle testing and hand dynamometry) have demonstrated utility among this population. CONCLUSION: Optimizing symptom assessment with valid and reliable instruments with minimum patient burden is necessary to advance clinical practice and research in this field.
BACKGROUND: Symptom assessment in critically illpatients is challenging because many cannot provide a self-report. OBJECTIVES: To describe the state of the science on symptom communication and the assessment of selected physical symptoms in non-vocal ICU patients. METHODS: This paper summarizes a 2014 American Thoracic Society Annual International Conference symposium presenting current evidence on symptom communication, delirium, and the assessment of common physical symptoms (i.e., dyspnea, pain, weakness, and fatigue) experienced by non-vocal ICU patients. RESULTS: Symptom assessment begins with accurate assessment, which includes an evaluation of delirium, and assistance in symptom communication. Simple self-report measures (e.g., 0-10 numeric rating scale), observational measures (e.g., Respiratory Distress Observation Scale and Critical-Care Pain Observation Tool), or objective measures (e.g., manual muscle testing and hand dynamometry) have demonstrated utility among this population. CONCLUSION: Optimizing symptom assessment with valid and reliable instruments with minimum patient burden is necessary to advance clinical practice and research in this field.
Authors: Antonija Petosic; Marit F Viravong; Anna M Martin; Cecilie B Nilsen; Kjell Olafsen; Helene Berntzen Journal: Acta Anaesthesiol Scand Date: 2020-11-01 Impact factor: 2.105