Evaluation of the Feasibility and Clinical Utility of the Use of the Critical Care Pain Observation Tool among Mechanically Ventilated Neuro-critical Ill Patients
Keywords:
Feasibility, Clinical utility, CPOT, Mechanically ventilated, Neuro-critical ill patientsAbstract
Background: Critical-Care Pain Observation Tool (CPOT) was used for pain assessment in critical ill patients who are unable to communicate but CPOT was not frequently observed in neuro-critical ill patients that express unique behaviors.Objective: We aimed to evaluate the feasibility and clinical utility of the use of the critical care pain observation tool (CPOT) among mechanically ventilated neuro-critical ill patients.Method: A descriptive study was conducted in Chiang Mai neurological hospital. Thirty-seven doctors and nurses who worked in ICU-neuro were invited to complete the self-administered questionnaire on the CPOT feasibility and clinical utility. The tool indicators were evaluated separately.Result: Twenty-nine of the ICU-neuro staffs completed the questionnaire.
Feasibility: Most of the participants agreed that the tool contents were clear, quick to use, simple to understand and easy to complete (54-63%). Clinical utility: The tool was found useful by most staffs, they agreed that the tool was not interfere work and policy, helpful the practice and decision, easy to communicate and beneficial their practice (55-83%), but few of them agreed that the tool indicators could reflect the intensity of pain in all patients (39-46%)Conclusion: The CPOT was found to be feasible and useful in mechanically ventilated neuro-critical ill patients, but the tool indicators not reflected to the intensity of pain in some patients.
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