Valoración del dolor en el paciente con trauma grave y ventilación mecánica no comunicativo

Pain is defined since 1979 by the International Association for the Study of Pain (IASP) as "unpleasant subjective, sensory and emotional experience associated with actual or potential damage of tissue", with the concept more acceptable in our days. The Intensive Care Unit (ICU) is a compl...

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Detalhes bibliográficos
Autor: López López, Candelas
Tipo de documento: tese
Data de publicação:2016
País:España
Recursos:Universidad Complutense de Madrid (UCM)
Repositório:Docta Complutense
Idioma:espanhol
OAI Identifier:oai:docta.ucm.es:20.500.14352/21427
Acesso em linha:https://hdl.handle.net/20.500.14352/21427
Access Level:Acceso aberto
Palavra-chave:616-009.7(043.2)
Dolor
Pain
Enfermería
32 Ciencias Médicas
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spelling Valoración del dolor en el paciente con trauma grave y ventilación mecánica no comunicativoLópez López, Candelas616-009.7(043.2)DolorPainEnfermería32 Ciencias MédicasPain is defined since 1979 by the International Association for the Study of Pain (IASP) as "unpleasant subjective, sensory and emotional experience associated with actual or potential damage of tissue", with the concept more acceptable in our days. The Intensive Care Unit (ICU) is a complex environment to assess pain, where the difficulty in communication with the patient is the biggest barrier to getting your "selfreport", which is considered the gold standard in pain assessment. Many factors alter communication with critically ill patients, as the low level of consciousness, mechanical ventilation, sedation, and the patient's own pathology, besides, there are other limitations such as excessive technology or devices that can divert professional attention to the patient's pain behavior, and lack of training and guidance for management. The multicenter study SUPPORT, it showed that 50-65% of critical patients included suffered pain, and 15% of them reported moderate to severe intensity for more than half the period of hospitalization. Critically ill patients experience pain due to high volume of potentially painful techniques applied to them during their ICU admission, emphasizing nursing care and tracheal suctioning, mobilization, wound healing and channeling of catheters and others. The underestimation of pain involves physiological and hemodynamic effects such as increased blood pressure and/or heart rate, altered breathing pattern, and psychological and anxiety. Also an increase of sedation and mechanical ventilation time and ICU stay of increasing the morbidity and mortality of critically ill patients...Universidad Complutense de MadridBeneit Montesinos, JuanPérez Pérez, TeresaGarcía Klepzig, José LuisUniversidad Complutense de Madrid20162016-11-2220162016-11-22doctoral thesishttp://purl.org/coar/resource_type/c_db06info:eu-repo/semantics/doctoralThesisapplication/pdfhttps://hdl.handle.net/20.500.14352/21427reponame:Docta Complutenseinstname:Universidad Complutense de Madrid (UCM)Españolspaopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:docta.ucm.es:20.500.14352/214272026-06-02T12:44:21Z
dc.title.none.fl_str_mv Valoración del dolor en el paciente con trauma grave y ventilación mecánica no comunicativo
title Valoración del dolor en el paciente con trauma grave y ventilación mecánica no comunicativo
spellingShingle Valoración del dolor en el paciente con trauma grave y ventilación mecánica no comunicativo
López López, Candelas
616-009.7(043.2)
Dolor
Pain
Enfermería
32 Ciencias Médicas
title_short Valoración del dolor en el paciente con trauma grave y ventilación mecánica no comunicativo
title_full Valoración del dolor en el paciente con trauma grave y ventilación mecánica no comunicativo
title_fullStr Valoración del dolor en el paciente con trauma grave y ventilación mecánica no comunicativo
title_full_unstemmed Valoración del dolor en el paciente con trauma grave y ventilación mecánica no comunicativo
title_sort Valoración del dolor en el paciente con trauma grave y ventilación mecánica no comunicativo
dc.creator.none.fl_str_mv López López, Candelas
author López López, Candelas
author_facet López López, Candelas
author_role author
dc.contributor.none.fl_str_mv Beneit Montesinos, Juan
Pérez Pérez, Teresa
García Klepzig, José Luis
Universidad Complutense de Madrid
dc.subject.none.fl_str_mv 616-009.7(043.2)
Dolor
Pain
Enfermería
32 Ciencias Médicas
topic 616-009.7(043.2)
Dolor
Pain
Enfermería
32 Ciencias Médicas
description Pain is defined since 1979 by the International Association for the Study of Pain (IASP) as "unpleasant subjective, sensory and emotional experience associated with actual or potential damage of tissue", with the concept more acceptable in our days. The Intensive Care Unit (ICU) is a complex environment to assess pain, where the difficulty in communication with the patient is the biggest barrier to getting your "selfreport", which is considered the gold standard in pain assessment. Many factors alter communication with critically ill patients, as the low level of consciousness, mechanical ventilation, sedation, and the patient's own pathology, besides, there are other limitations such as excessive technology or devices that can divert professional attention to the patient's pain behavior, and lack of training and guidance for management. The multicenter study SUPPORT, it showed that 50-65% of critical patients included suffered pain, and 15% of them reported moderate to severe intensity for more than half the period of hospitalization. Critically ill patients experience pain due to high volume of potentially painful techniques applied to them during their ICU admission, emphasizing nursing care and tracheal suctioning, mobilization, wound healing and channeling of catheters and others. The underestimation of pain involves physiological and hemodynamic effects such as increased blood pressure and/or heart rate, altered breathing pattern, and psychological and anxiety. Also an increase of sedation and mechanical ventilation time and ICU stay of increasing the morbidity and mortality of critically ill patients...
publishDate 2016
dc.date.none.fl_str_mv 2016
2016-11-22
2016
2016-11-22
dc.type.none.fl_str_mv doctoral thesis
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format doctoralThesis
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.14352/21427
url https://hdl.handle.net/20.500.14352/21427
dc.language.none.fl_str_mv Español
spa
language_invalid_str_mv Español
language spa
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidad Complutense de Madrid
publisher.none.fl_str_mv Universidad Complutense de Madrid
dc.source.none.fl_str_mv reponame:Docta Complutense
instname:Universidad Complutense de Madrid (UCM)
instname_str Universidad Complutense de Madrid (UCM)
reponame_str Docta Complutense
collection Docta Complutense
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.300724

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