A Pain Assessment Method Based on a Log-Linearized Peripheral Arterial Viscoelastic Model :

Author(s):  
Fumiya ARIKUNI ◽  
Mai TAKARADA ◽  
Hiroki HIRANO ◽  
Zu Soh ◽  
Yuichi KURITA ◽  
...  
2017 ◽  
Vol 10 (4) ◽  
pp. 847
Author(s):  
Hossein Hejr ◽  
Zeinab Alizadeh ◽  
Akvan Paymard ◽  
Arash Khalili

2019 ◽  
Vol 13 (5) ◽  
pp. 1380
Author(s):  
Amanda Francielle Santos ◽  
Rafaela Ribeiro Machado ◽  
Caíque Jordan Nunes Ribeiro ◽  
José Marden Mendes Neto ◽  
Maria do Carmo de Oliveira Ribeiro ◽  
...  

RESUMOObjetivo: avaliar a formação dos discentes do último período do curso de Enfermagem quanto à avaliação da dor. Método: trata-se de um estudo quantitativo, descritivo, transversal, desenvolvido em uma instituição de ensino privada. Compôs-se a amostra por 169 graduandos do décimo período. Utilizou-se um formulário com questões objetivas. Realizou-se a análise descritiva univariada a partir de tabelas. Resultados: constata-se que a dor foi ensinada pelos docentes como o quinto sinal vital para 52,1% dos participantes; 76% afirmaram que, no estágio curricular obrigatório, não observaram o registro da dor nos prontuários; 68% não foram estimulados a utilizar as escalas para a avaliação da dor e 62,1% nunca utilizaram as escalas para a avaliação da dor. Entende-se que muitos acadêmicos de Enfermagem, no último semestre da graduação, não se sentem aptos a realizar a avaliação da dor. Conclusão: encontram-se falhas no conhecimento dos graduandos de Enfermagem no tocante à avaliação da dor, e é preocupante a formação desses enfermeiros, considerando que a avaliação da dor e o seu controle são princípios básicos para uma assistência de qualidade. Descritores: Dor; Avaliação; Enfermagem; Ensino; Medição da dor; Educação Continuada.ABSTRACT Objective: to evaluate the training of students from the last semester of the Nursing undergraduate course regarding pain assessment. Method: this is a quantitative, descriptive, cross-sectional study, developed in a private educational institution. The sample consisted of 169 students from the last semester, who answered a form with objective questions. The univariate descriptive analysis was performed from tables. Results: professors teah pain as the fifth vital sign for 52.1% of the participants; 76% stated not observing pain record on medical charts in the curricular mandatory internship; 68% were not encouraged to use the scales for pain assessment and 62.1% have never used the scales for pain assessment. Many Nursing undergraduate students, in the last semester, do not feel able to carry out pain assessment. Conclusion: Nursing graduates’ knowledge present gaps in relation to pain assessment, whose training is worrying, considering pain assessment and control as basic principles for quality assistance. Descriptors: Pain; Assessment; Nursing; Teaching; Pain Measurement; Continuing Education.RESUMEN Objetivo: evaluar la formación de los estudiantes del último período del curso de enfermería en la evaluación del dolor. Método: se trata de un estudio cuantitativo, descriptivo, transversal, desarrollado en una institución de enseñanza privada. La muestra estuvo compuesta por 169 estudiantes del 10º período. Se utilizó un formulario con preguntas objetivas. El análisis descriptivo univariado de tablas. Resultados: se observó que el dolor era enseñada por los profesores como el quinto signo vital para 52,1% de los participantes; 76% afirmaron que, en la práctica laboral curricular obligatoria, no observaron el registro del dolor en los cuadros; 68% no fueron estimulados a usar las escalas de evaluación del dolor y 62,1% nunca han utilizado las escalas para la evaluación del dolor. Se entiende que muchos universitarios de enfermería, en el último semestre de graduación, no se sienten capaces de llevar a cabo la evaluación del dolor. Conclusión: existen lagunas en el conocimiento de los graduados de enfermería en relación con la evaluación del dolor, y es preocupante la formación de estos enfermeros, mientras que la evaluación del dolor y su control son los principios básicos para la calidad de la asistencia. Descriptores: Dolor; Evaluación; Enfermería; Enseñanza; Dimensión del Dolor; Educación Continua.


2018 ◽  
Vol 35 (5) ◽  
pp. 453-460 ◽  
Author(s):  
Rima H. Bouajram ◽  
Christian M. Sebat ◽  
Dawn Love ◽  
Erin L. Louie ◽  
Machelle D. Wilson ◽  
...  

Background:Self-reported and behavioral pain assessment scales are often used interchangeably in critically ill patients due to fluctuations in mental status. The correlation between scales is not well elucidated. The purpose of this study was to describe the correlation between self-reported and behavioral pain scores in critically ill patients.Methods:Pain was assessed using behavioral and self-reported pain assessment tools. Behavioral pain tools included Critical Care Pain Observation Tool (CPOT) and Behavioral Pain Scale (BPS). Self-reported pain tools included Numeric Rating Scale (NRS) and Wong-Baker Faces Pain Scales. Delirium was assessed using the confusion assessment method for the intensive care unit. Patient preference regarding pain assessment method was queried. Correlation between scores was evaluated.Results:A total of 115 patients were included: 67 patients were nondelirious and 48 patients were delirious. The overall correlation between self-reported (NRS) and behavioral (CPOT) pain scales was poor (0.30, P = .018). In patients without delirium, a strong correlation was found between the 2 behavioral pain scales (0.94, P < .0001) and 2 self-reported pain scales (0.77, P < .0001). Self-reported pain scale (NRS) and behavioral pain scale (CPOT) were poorly correlated with each other (0.28, P = .021). In patients with delirium, there was a strong correlation between behavioral pain scales (0.86, P < .0001) and a moderate correlation between self-reported pain scales (0.69, P < .0001). There was no apparent correlation between self-reported (NRS) and behavioral pain scales (CPOT) in patients with delirium (0.23, P = .12). Most participants preferred self-reported pain assessment.Conclusion:Self-reported pain scales and behavioral pain scales cannot be used interchangeably. Current validated behavioral pain scales may not accurately reflect self-reported pain in critically ill patients.


Author(s):  
Ashish Singal ◽  
Clarence Ojo ◽  
Rumi Faizer

Patients with peripheral arterial disease (PAD) have compromised blood flow to their extremities as a result of arterial narrowing. PAD is often associated with impairment in endothelial function which is exaggerated by injury from processes related to cardiovascular risk factors such as ageing, hypertension, hyperlipidemia, diabetes, smoking, and obesity [1]. Furthermore, patients with diabetes often have calcified arteries making standard non-invasive testing non diagnostic [2]. With increase in diabetes prevalence and concomitant PAD, a new non-invasive assessment method of arterial function that has the potential to reflect both arterial tone and response to ischemia reperfusion may be valuable. We have developed a peripheral arterial tonometry (PAT) system (previously described, [3]) that is capable of measuring pulsatility in peripheral digits. We complemented our system with simultaneous peripheral temperature measurements that could not only add value in understanding PAD, but also aid in clinical diagnoses. In this investigation, we characterized our system on healthy individuals before using it on patients suffering from arterial disease in future investigations.


2020 ◽  
Vol 46 (2) ◽  
Author(s):  
Allison Catherine Verge ◽  
Karim Mukhida

Pain questionnaires often serve as an assessment tool for initial  consultations in chronic pain clinics. The Pain Management Unit (PMU) is a tertiary care centre in Halifax, Nova Scotia. A number of clinicians in the PMU have noted that some patients express that questionnaires are time consuming to complete and believe they are not used in a manner that is helpful to their health care. The effectiveness of questionnaire-based pain evaluation is an area of active research. Text-heavy questionnaires have been criticized for their reliance on literacy and for the format’s inability to facilitate patient self-expression. Other methods of assessing pain have been suggested, including those that use pictograms, photographs and technology. This study was designed to gauge patients’ opinions on the current pain assessment method used in the PMU. In addition, it aimed to evaluate if incorporating art and technology appealed to current patients. The ultimate goal of this study was to evaluate if improvements could be made to patients’ pain assessment experience. Thirty patients were interviewed following their initial consultation appointments at the PMU. Interviews were transcribed verbatim and analyzed using NVivo Software to look for themes expressed by research participants. The study yielded a total of 20 different themes, such as repetition within the questionnaires, and the patient’s desire to incorporate different technologies such as an iPad or computer. Recommendations are proposed based on these themes to help guide the creation or modification of pain assessment tools. 


Author(s):  
Charles Jonassaint ◽  
Nema Rao ◽  
Alex Sciuto ◽  
Galen Switzer ◽  
Laura De Castro ◽  
...  

BACKGROUND Pain is the most common medical symptom requiring care, yet the current methods for assessing pain are sorely inadequate. Pain assessment tools either take too long to complete for point of care use or are too simplistic to capture the dynamic pain experience. OBJECTIVE To address this, we developed Painimation, a novel tool that uses graphic visualizations and animations instead of words or numeric scales to assess pain quality, intensity, and course. This study examines the utility of abstract animations as a measure of pain. METHODS Painimation was evaluated in a chronic pain medicine clinic. Eligible patients were receiving treatment for pain and reported pain more days than not for at least 3 months. Using a tablet computer, participating patients completed the Painimation instrument, the McGill Pain Questionnaire (MPQ), and the PainDETECT questionnaire for neuropathic symptoms. RESULTS Participants (N = 207), completed Painimation and indicated it was useful for describing their pain (mean=4.04/5 on a usefulness scale), and 154 out of 196 participants (79%) agreed or strongly agreed that they would use Painimation to communicate with their providers. Animations selected corresponded with pain adjectives endorsed on the MPQ. Further, selection of the electrifying animation was associated with self-reported neuropathic pain (r=.16, P=.03), similar to the association between neuropathic pain and PainDETECT (r=.17, P=.03). Painimation was associated with PainDETECT (r=.35, P<.001). CONCLUSIONS Using animations may be a faster and more patient-centered method for assessing pain and is not limited by age, literacy level, or language; however, more data are needed to assess the validity of this approach. Painimation needs testing in a more homogenous pain population to validate animations as a pain assessment method.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Jae-Myeong Kwon ◽  
Sung-Pyo Yang ◽  
Ki-Hun Jeong

AbstractConventional pain assessment methods such as patients’ self-reporting restrict the possibility of easy pain monitoring while pain serves as an important role in clinical practice. Here we report a pain assessment method via 3D face reading camera assisted by dot pattern illumination. The face reading camera module (FRCM) consists of a stereo camera and a dot projector, which allow the quantitative measurement of facial expression changes without human subjective judgement. The rotational offset microlens arrays (roMLAs) in the dot projector form a uniform dense dot pattern on a human face. The dot projection facilitates evaluating three-dimensional change of facial expression by improving 3D reconstruction results of non-textured facial surfaces. In addition, the FRCM provides consistent pain rating from 3D data, regardless of head movement. This pain assessment method can provide a new guideline for precise, real-time, and continuous pain monitoring.


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