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1473 records – page 1 of 148.

Translation and cultural adaptation of an objective pain assessment tool for Finnish ICU patients.

https://arctichealth.org/en/permalink/ahliterature276709
Source
Scand J Caring Sci. 2014 Dec;28(4):885-94
Publication Type
Article
Date
Dec-2014
Author
Sanna-Mari Pudas-Tähkä
Anna Axelin
Riku Aantaa
Vesa Lund
Sanna Salanterä
Source
Scand J Caring Sci. 2014 Dec;28(4):885-94
Date
Dec-2014
Language
English
Publication Type
Article
Keywords
Finland
Humans
Intensive Care Units
Pain Measurement
Abstract
The purpose of this study was to culturally validate three pain measurement instruments [Behavioral Pain Scale (BPS), the Critical-Care Pain Observation Tool (CPOT) and the Nonverbal Adult Pain Assessment Scale (NVPS)] for sedated intensive care patients and in doing so to prepare the tools for psychometric testing in the Finnish intensive care environment.
Most patients feel pain during their stay in an intensive care unit. Pain recognition and assessment is the first step towards effective pain management. The BPS, CPOT and NVPS are the most valid and reliable pain assessment instruments developed to objectively assess pain in sedated intensive care patients.
The translation and cultural adaptation of the instruments were done according to the guidelines of the International Society for Pharmacoeconomics and Outcomes (ISPOR). The process included 10 phases aiming to produce semantically correct Finnish versions of the pain assessment instruments. This translation process was chosen due to its rigorousness and systematic approach.
The 10-step translation and cultural validation process were successfully conducted, although it was complex and time-consuming. The resulting Finnish versions of the three pain assessment instruments showed good evidence of content and conceptual equivalence. Although further work is needed to test these instruments in the Finnish intensive care context, the current Finnish versions are potential instruments for clinicians to use.
Deciding when this high-quality process is needed requires thorough consideration. However, it is worthwhile to use it when implementing new instruments at a national level. We need a valid, reliable and feasible instrument for pain assessment in sedated intensive care patients in Finland. The next step in our process is conducting psychometric testing of these three instruments to choose the tool with the best properties to be implemented in clinical practice.
PubMed ID
24304287 View in PubMed
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Advice from Moscow--avoid Russian dentists!

https://arctichealth.org/en/permalink/ahliterature219300
Source
J Colo Dent Assoc. 1994 Jan;72(3):18-9
Publication Type
Article
Date
Jan-1994
Author
M. Hamilton
Source
J Colo Dent Assoc. 1994 Jan;72(3):18-9
Date
Jan-1994
Language
English
Publication Type
Article
Keywords
Electrodiagnosis
Humans
Pain Measurement
Russia
Toothache - diagnosis
PubMed ID
8040359 View in PubMed
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Assessing pain responses during general anesthesia.

https://arctichealth.org/en/permalink/ahliterature190963
Source
AANA J. 2001 Oct;69(5):361; author reply 362-3
Publication Type
Article
Date
Oct-2001
Author
M A Fiedler
Source
AANA J. 2001 Oct;69(5):361; author reply 362-3
Date
Oct-2001
Language
English
Publication Type
Article
Keywords
Anesthesia, General
Humans
Pain Measurement
Sweden
Unconsciousness
Notes
Comment On: AANA J. 2001 Jun;69(3):218-2211759565
PubMed ID
11899453 View in PubMed
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Pain assessments in day surgery patients.

https://arctichealth.org/en/permalink/ahliterature140763
Source
J Clin Nurs. 2010 Oct;19(19-20):2942-3
Publication Type
Article
Date
Oct-2010
Author
Ulrica Nilsson
Ewa Idvall
Author Affiliation
Department of Anaesthesiolgy and Intensive Care, Orebro University Hospital & School of Health and Medical Sciences, Orebro University, Orebro, Sweden.
Source
J Clin Nurs. 2010 Oct;19(19-20):2942-3
Date
Oct-2010
Language
English
Publication Type
Article
Keywords
Ambulatory Surgical Procedures
Humans
Pain Measurement
Prospective Studies
Sweden
PubMed ID
20846237 View in PubMed
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Healthcare professionals' descriptions of care experiences and actions when assessing postoperative pain - a critical incident technique analysis.

https://arctichealth.org/en/permalink/ahliterature281593
Source
Scand J Caring Sci. 2016 Dec;30(4):802-812
Publication Type
Article
Date
Dec-2016
Author
Lotta Wikström
Kerstin Eriksson
Bengt Fridlund
Kristofer Årestedt
Anders Broström
Source
Scand J Caring Sci. 2016 Dec;30(4):802-812
Date
Dec-2016
Language
English
Publication Type
Article
Keywords
Clinical Competence
Female
Humans
Male
Pain Measurement
Pain, Postoperative
Sweden
Abstract
Pain is a common postoperative symptom, and length of hospital stay after surgery is short which highlights the importance of pain assessments. Experiences of assessing pain are mainly described from the perspective of nurses. In postoperative care, enrolled nurses and physicians also assess pain. It is therefore important to take note of their experiences to improve postoperative pain assessments.
The aim of this study was, through considering critical incidents, to describe care experiences and actions taken by healthcare professionals when assessing postoperative pain.
An explorative design employing critical incidents technique analysis was used. A total of 24 strategically selected enrolled nurses, nurses and physicians employed at orthopaedic or general surgery wards in four Swedish hospitals were interviewed. The intention was to reach variation in age, sex, profession and professional experience.
In pain assessments, patient-related facilitators were patients' verbal and emotional expressions including pain ratings, while lack of consistency with observed behaviours was a barrier. Clinical competence, continuity in care and time were healthcare-related facilitators. The actions healthcare professionals took were gathering facts about patients' pain manifestations and adapting to patients' communication abilities. Patient observations, either passive or active were used to confirm or detect pain. Collaboration between healthcare professionals, including consultations with pain experts, social workers and relatives, strengthened understanding of pain.
Communication skills and working conditions have an impact on performance of pain assessment. Patient comfort without compromising safety is reached by including healthcare professionals' dissimilar responsibilities when collecting patients' and relatives' perspectives on current pain.
PubMed ID
26709955 View in PubMed
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Behavioral Pain Scale - translation, reliability, and validity in a Swedish context.

https://arctichealth.org/en/permalink/ahliterature278023
Source
Acta Anaesthesiol Scand. 2016 Jul;60(6):821-8
Publication Type
Article
Date
Jul-2016
Author
M. Hylén
E. Akerman
C. Alm-Roijer
E. Idvall
Source
Acta Anaesthesiol Scand. 2016 Jul;60(6):821-8
Date
Jul-2016
Language
English
Publication Type
Article
Keywords
Critical Illness
Humans
Pain
Pain Measurement
Reproducibility of Results
Sweden
Abstract
Assessing pain in the intensive care unit (ICU) is challenging. Due to intubation and sedation, communication can be limited. International guidelines recommend assessing pain with instruments based on behavioral parameters when critically ill patients are unable to self-report their pain level. One of the recommended instruments, the Behavioral Pain Scale (BPS), has shown good validity and reliability in international studies. The aim of this study was to translate and adapt the BPS for critically ill intubated and non-intubated patients in a Swedish ICU context and to assess inter-rater reliability and discriminant validity.
The BPS (both for intubated and non-intubated patients) was translated and adapted into Swedish using a translation method consisting of ten steps. The Swedish version was then tested for inter-rater reliability and discriminant validity on 20 critically ill patients (10 intubated and 10 non-intubated) before and directly after a potentially painful procedure (repositioning).
The Swedish version of the BPS showed inter-rater reliability with a percentage agreement of 85% when tested on a sample of critically ill patients. The instrument also showed discriminant validity between assessments at rest and after repositioning.
Results of the Swedish version of the BPS support its use in critically ill patients who cannot self-report their pain level. Still, additional studies are needed to further explore its reliability and validity in the Swedish ICU context.
Notes
Comment On: Intensive Care Med. 2009 Dec;35(12):2060-719697008
Comment On: Crit Care Med. 2001 Dec;29(12):2258-6311801819
Comment On: Intensive Crit Care Nurs. 2006 Feb;22(1):32-916198570
PubMed ID
27251598 View in PubMed
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Source
CMAJ. 1989 Aug 1;141(3):189, 192
Publication Type
Article
Date
Aug-1-1989
Author
C P Watson
J H Watt-Watson
Source
CMAJ. 1989 Aug 1;141(3):189, 192
Date
Aug-1-1989
Language
English
Publication Type
Article
Keywords
Canada
Education, Medical
Education, Nursing
Humans
Pain
Pain Management
Pain Measurement
Notes
Cites: Cancer Nurs. 1984 Apr;7(2):149-556142763
Cites: Pain. 1987 Jul;30(1):69-782886969
Cites: Pain. 1983 Sep;17(1):71-816634214
Cites: Pain. 1980 Oct;9(2):265-747454388
Cites: Ann Intern Med. 1973 Feb;78(2):173-814683747
Cites: J Pain Symptom Manage. 1987 Fall;2(4):207-112889784
PubMed ID
2752341 View in PubMed
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Congruence between health professionals' and patients' pain ratings: a review of the literature.

https://arctichealth.org/en/permalink/ahliterature189658
Source
Scand J Caring Sci. 2001;15(2):174-80
Publication Type
Article
Date
2001
Author
P. Solomon
Author Affiliation
Physiotherapy Programme, McMaster University, IAHS, 1400 Main Street West, Hamilton, On, L8S1C7, Canada. Solomon@mcmaster.ca
Source
Scand J Caring Sci. 2001;15(2):174-80
Date
2001
Language
English
Publication Type
Article
Keywords
Canada
Health Personnel - psychology
Humans
Pain - psychology
Pain Measurement
Patients - psychology
Abstract
The literature suggests that health professionals have a tendency to underestimate pain when performing clinical assessments. In addition, it appears that the more clinical experience one has, the greater will be the underestimation of pain. Pain assessment is difficult because of the complex interaction between environment, patient and practitioner variables. Although there is a need for further research in this area, there are clinical implications worthy of consideration. Health professionals need to use a variety of valid and reliable measures, use measures of pain behaviour and disability to complement self-report measures and examine how their own biases and values may influence pain judgements.
PubMed ID
12078631 View in PubMed
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Source
Duodecim. 1995;111(21):2066-70
Publication Type
Article
Date
1995
Author
L. Kivipelto
J. Pohjola
Author Affiliation
HYKS:n neurokirurgian klinikka, Helsinki.
Source
Duodecim. 1995;111(21):2066-70
Date
1995
Language
Finnish
Publication Type
Article
Keywords
Finland
Humans
Neurosurgical Procedures - methods
Pain Measurement
Pain, Intractable - diagnosis - surgery
Treatment Outcome
PubMed ID
9841164 View in PubMed
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A population study of the incidence of fibromyalgia among women aged 26-55 yr.

https://arctichealth.org/en/permalink/ahliterature206743
Source
Br J Rheumatol. 1997 Dec;36(12):1318-23
Publication Type
Article
Date
Dec-1997
Author
K O Forseth
J T Gran
G. Husby
Author Affiliation
Rikshospitalet, National Hospital, University of Oslo, Norway.
Source
Br J Rheumatol. 1997 Dec;36(12):1318-23
Date
Dec-1997
Language
English
Publication Type
Article
Keywords
Adult
Female
Fibromyalgia - epidemiology
Humans
Middle Aged
Norway
Pain Measurement
Population Surveillance
Questionnaires
Abstract
In a population survey, we assessed the incidence of fibromyalgia (FM) among females. A screening questionnaire about pain was distributed twice (in 1990 and 1995) to 2498 females aged 20-49 yr, living in South Norway. A positive answer classified the responder as positive, merely negative answers as negative. One hundred females converting from negative to positive responders and 100 females remaining negative responders (controls) underwent a structural interview and examination for tender points (TP). Of the 870 negative responders in 1990, 717 answered the questionnaire in 1995. Of these, 523 were still negative responders, while 194 were positive converters. Twelve of the converters developed FM and none of the controls. The calculated annual incidence of FM in females was 583/100,000. This rather high incidence is most likely explained by the design of the study, also detecting cases usually not seen in hospital settings.
PubMed ID
9448594 View in PubMed
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1473 records – page 1 of 148.