The patient is sedated and breathing with the use of mechanical ventilation. The patient is unable to communicate any aspects of his pain to the nurse. The nurse knows that the best tool for pain assessment for this patient is
a. FLACC.
b. Wong-Baker FACES.
c. BIS.
d. BPS or CPOT.
D
The BPS and the CPOT are supported by experts in critical care and are suggested for use in medical, postoperative, and nonbrain trauma critically ill adults unable to self-report in the clinical guidelines of the Society of Critical Care Medicine (SCCM). FLACC is a pediatric pain assessment tool. The Wong-Baker FACES tool requires the patient to associate a level of pain to a facial representation. BIS is as an objective measure of sedation levels during neuromuscular blockade in the ICU.
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