Optimiser l'évaluation et le soulagement de la douleur des clientèles adultes à l'unité des soins intensifs

 

Céline Gélinas

Institut Lady Davis de recherches médicales de l'Hôpital général juif

 

Domaine : santé des populations

Programme chercheurs-boursiers - Junior 2

Concours 2014-2015

A great number of patients hospitalized in the intensive care unit suffer from pain. Unfortunately, many of them are temporarily incapable of communicating their pain experience due to several factors such as their critical health condition and administration of high doses of sedatives. In such situations, other means of assessing pain must be developed in order for this pain to be adequately detected and treated.

The research program I am proposing aims firstly to pursue the development of a pain scale based on the observation of behaviors (e.g. facial expressions) in people suffering from a brain injury, and able to render them unconscious. This scale will then be tested in a number of neuro and trauma intensive care units in order to ensure that it allows appropriate pain assessment.

Then, it is planned to implement an integrated systematic approach including this scale and other available tools in clinical practice to better assess and relieve pain in patients hospitalized in the intensive care unit. To achieve this, strategies will be established with the collaboration between researchers, nurses, physicians, and other health professionals. These strategies will be used in a first intensive care unit to evaluate the facilitating elements and the possible barriers, and make adjustments where needed. Then, these strategies will be used to implement the integrated systematic approach of pain assessment in several intensive care units in Québec and Canada, and its impact on practice changes, and clinical results will be measured.

It is expected that such an approach allows for more regular pain assessment and initiation of appropriate treatment, which leads to better clinical results for patients.