Pain Assessment in ICU

Consequences of Poorly Manage Pain in ICU

• Higher Quality Of Life

• Easily Sleep Problem

• Reduce Death in ICU

• Post Traumatic Stress Disorder

Challenge to Manage Pain in ICU

• Staff Mental Disorder

• Staff is too busy

• Presence of sedation

• Pain assessment is too complicated

Validated Pain Assessment Tools in ICU

• Critical Pain in Tools

• Critical Care Observation Pain Tools

• Critical care tools to measure pain

• critical care pain observation tools

Regarding CPOT

• Muscle Tension: tense and rigid ( 2 )

• Vocalization:

  silent ( 1 )

• Facial Expression:

  Tense ( 1 )

• Vocalization:

  Crying ( 1 )

Regarding BPS

• Facial Expression:

  eyelid closing ( 2 )

• Upper limb Movement:

  Fully bend ( 2 )

• Facial Expression:

  Grimmacing ( 5 )

• Facial Expression:

  Grimmacing ( 4 )

Criteria Pain Free Hospital

• Daycare surgery

• MDT approach in pain management

• Minimally invasive surgery

• Traditional and complementary medicine

Pain Assessment Tools in Malaysia

• FLACC scale

  ( 0-3 years old )

• Faces Scale

  (1-7 years old )

• MOH Pain scale

  ( 1 months - 7 years old )

• Faces Scale

  ( 3-7 years old )

Who should assess Pain ?

• Nurses

• Specialist

• Physiotherapist

• Medical Officer