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All Journal PROSIDING SEMINAR NASIONAL Nurse Media Journal of Nursing Jurnal Keperawatan Medikal Bedah South East Asia Nursing Research
Chanif Chanif
Faculty of Nursing and Health Science, The Muhammadiyah of Semarang University
Education Health Professions Nursing Public Health

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Journal : Jurnal Keperawatan Medikal Bedah

 1 
PAIN MANAGEMENT IN THE CRITICAL ILL PATIENTS WITH MECHANICAL VENTILATOR: A Literature review -, Chanif
Jurnal Keperawatan Medikal Bedah Vol 1, No 1 (1): Jurnal Keperawatan Medikal Bedah
Publisher : Jurnal Keperawatan Medikal Bedah

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Abstract

Pain is the most common experiences and stressors in the critically ill patients, because many sources of pain are present in critical care settings, such as acute illness, surgery, trauma, invasive equipment, nursing and medical interventions. Poor treatment of acute pain may lead to the development of serious complications which may seriously impact the patient’s functioning, quality of life, and well being. The critical nurse must understand the mechanisms, assessment, and appropriate intervention in managing pain. This study aim to describe pain experienced by critical ill patients, identify contributing factors of pain experience, the appropriate pain assessment tools among critically ill patients and critically analyze existing of evidence based interventions tomanage pain among critical ill patients with mechanical ventilator. The authors conducted a comprehensive systematic search of published literature, articles, journals related to pain management in critical ill patients. Pain in the critically ill patients difficult to assess and manage. There are many sources of pain in the critical care setting, and the effect of unrelieved pain have a significant impact on the patient’s recovery. When possible, the patient’s self-report of pain must be obtained. When the patient’s self-report is not available, behavioral indicators represent alternative measure of pain assessment (e.g., BPS, COPT) have been developed for assessment of pain in the critically ill mechanically ventilated population. Both pain management pharmacologic andnonpharmacologic can be used together in relieving pain. Using pharmacologic alone may not fully relieve all aspects of pain. Keyword: Pain management, critical patients, mechanical ventilator
EVIDENCE-BASED OF PAIN MANAGEMENT IN POSTOPERATIVE PATIENTS A CASE STUDY -, Chanif
Jurnal Keperawatan Medikal Bedah Vol 1, No 2 (2013): Jurnal Keperawatan Medikal Bedah
Publisher : Jurnal Keperawatan Medikal Bedah

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Abstract

Pain is the main reason encountered by hospitalized patients in general and surgical patients in particular. Postoperative pain is caused by tissue damage as a consequence of the surgical procedure. Nurse has role to control and relieve of acute postoperative pain. This study aim to describe the level of acute postoperative pain and influencing factors among the surgical patients, and evaluate the outcomes of evidence based practice interventions in relieving acute postoperative pain. Four patients who underwent surgery, cooperative, able to communicate and follow up for at least three days were selected as a subject. The DDQ and NRS were used to collect the data. The findings showed that the pain score decreased after subject  received  pain  management  intervention  both  pharmacologic  and  nonpharmacologic.  Pain medication  alone  is  not  effective;  they  need  non-pharmacologic  approach  as  well.  This  study recommended both pain management pharmacologic and non-pharmacologic can be used together in relieving acute postoperative pain. To improve of knowledge, in clinical setting particularly in surgical ward, nurses have to try to apply the evidence based in managing pain.
Co-Authors Heryanto Adi Nugroho Kurniasih, Fenny Dwi Prastika, Dewi Prastika, Dewi Wimo Wimo Wimonrat Chongchareon Wongchan Petpichetchian