Adaptation et validation de contenu d'une échelle d'évaluation de douleur auprès de patients adultes avec traumatisme crâniocérébral à l'unité des soins intensifs


Céline Gélinas

CUSM-Hôpital général de Montréal


Domaine : neurosciences, santé mentale et toxicomanies

Programme consortium pour le développement de la recherche en traumatologie - volet 1

Concours 2012-2013


Ministère de la Santé et des Services sociaux
Société de l'assurance automobile du Québec
Réseau privincial de recherche en adaptation-réadaptation
Association québécoise d'établissements de santé et de services sociaux
Associtation des établissements de réadaptation en déficience physique du Québec

Every year in Québec, more than 13000 people suffer from a traumatic brain injury (TBI). Several of these people require hospitalisation in the intensive care unit (ICU) and suffer from significant pain. In such a context, these people can present with a temporary or prolonged inability to communicate verbally, rendering the task of detecting the presence of pain difficult for nurses and doctors. Pain that goes undetected, and consequently untreated, can lead to complications that are harmful to the patient's recovery. Thus, an adequate evaluation of pain is essential.

To this day, few tools are available for people who have difficulties communicating. Worse still, no tool is applicable to people with a TBI. The goal of this study is to adapt the content of a pain tool for it to be applicable to people with a TBI. Patients suffering from such trauma and hospitalised in the ICU will be observed before, during, and after common care procedures: some known to be painful and others non-painful.

Behavioral reactions (e.g.: grimacing) and vital signs (e.g.: heartbeats) which will be found to be associated with pain will be considered in the new tool. Experienced ICU nurses and doctors working in traumatology will evaluate the content of this tool in order to make final corrections. Access to such a tool would allow better pain detection and treatment in this important vulnerable population, and ultimately reduce the number of complications and risk of these people developing chronic pain.