Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates
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Patient comfort is often assessed during gastrointestinal procedures to guide sedation. There are, however, no validated scales appropriate for routine comfort assessment. This study validated a single-item La Crosse (WI) intra-endoscopy sedation comfort score (L-WISC) by determining interobserver agreement and correlation with patient outcomes. ⋯ It has reproducibility between endoscopists and nurses. It does not predict patient recollection of sedation comfort, but it remains unclear whether such prediction is possible with the use of amnestic sedatives. The L-WISC provides standardized levels of patient comfort to guide sedation titration routinely during outpatient endoscopy.
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Multicenter Study Comparative Study
The Colorado Behavioral Numerical Pain Scale in assessing medication-free colonoscopy patients' pain.
Pain scales have been tested in clinical settings, but rarely with colonoscopy. The aim of this study was to evaluate the Colorado Behavioral Numerical Pain Scale (CBNPS) when assessing medication-free colonoscopy patients' pain intensity. During the first phase in 2005, the expert panelists (n = 17) described medication-free colonoscopy patients' behavior on a scale ranging from 0 to 5 scale. ⋯ It provides an opportunity to evaluate the total pain intensity and the pain during the phases of the procedure. It is also a proper tool for improving nursing documentation. Results from this study highlight the need for further research to examine the pain scales.