Symptom Assessment for Mechanically Ventilated Patients: Principles and Priorities: An Official American Thoracic Society Workshop Report.

Guttormson, JL; Khan, B; Brodsky, MB; Chlan, LL; Curley, MAQ; Gélinas, C; Happ, MB; Herridge, M; Hess, D; Hetland, B; Hopkins, RO; Hosey, MM; Hosie, A; Lodolo, AC; McAndrew, NS; Mehta, S; Misak, C; Pisani, MA; van den Boogaard, M; Wang, S

Symptom Assessment for Mechanically Ventilated Patients: Principles and Priorities: An Official American Thoracic Society Workshop Report.

Guttormson, JL Khan, B Brodsky, MB Chlan, LL Curley, MAQ Gélinas, C Happ, MB Herridge, M Hess, D Hetland, B Hopkins, RO Hosey, MM Hosie, A

Lodolo, AC McAndrew, NS Mehta, S Misak, C Pisani, MA van den Boogaard, M Wang, S

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Publisher:: American Thoracic Society
Publication Type:: Journal Article
Citation:: Ann Am Thorac Soc, 2023, 20, (4), pp. 491-498
Issue Date:: 2023-04

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Field	Value	Language
dc.contributor.author	Guttormson, JL
dc.contributor.author	Khan, B
dc.contributor.author	Brodsky, MB
dc.contributor.author	Chlan, LL
dc.contributor.author	Curley, MAQ
dc.contributor.author	Gélinas, C
dc.contributor.author	Happ, MB
dc.contributor.author	Herridge, M
dc.contributor.author	Hess, D
dc.contributor.author	Hetland, B
dc.contributor.author	Hopkins, RO
dc.contributor.author	Hosey, MM
dc.contributor.author	Hosie, A https://orcid.org/0000-0003-1674-2124
dc.contributor.author	Lodolo, AC
dc.contributor.author	McAndrew, NS
dc.contributor.author	Mehta, S
dc.contributor.author	Misak, C
dc.contributor.author	Pisani, MA
dc.contributor.author	van den Boogaard, M
dc.contributor.author	Wang, S
dc.date.accessioned	2023-09-06T00:42:10Z
dc.date.available	2023-09-06T00:42:10Z
dc.date.issued	2023-04
dc.identifier.citation	Ann Am Thorac Soc, 2023, 20, (4), pp. 491-498
dc.identifier.issn	2329-6933
dc.identifier.issn	2325-6621
dc.identifier.uri	http://hdl.handle.net/10453/171934
dc.description.abstract	Mechanically ventilated patients experience many adverse symptoms, such as anxiety, thirst, and dyspnea. However, these common symptoms are not included in practice guideline recommendations for routine assessment of mechanically ventilated patients. An American Thoracic Society-sponsored workshop with researchers and clinicians with expertise in critical care and symptom management was convened for a discussion of symptom assessment in mechanically ventilated patients. Members included nurses, physicians, a respiratory therapist, a speech-language pathologist, a critical care pharmacist, and a former intensive care unit patient. This report summarizes existing evidence and consensus among workshop participants regarding 1) symptoms that should be considered for routine assessment of adult patients receiving mechanical ventilation; 2) key symptom assessment principles; 3) strategies that support symptom assessment in nonvocal patients; and 4) areas for future clinical practice development and research. Systematic patient-centered assessment of multiple symptoms has great potential to minimize patient distress and improve the patient experience. A culture shift is necessary to promote ongoing holistic symptom assessment with valid and reliable instruments. This report represents our workgroup consensus on symptom assessment for mechanically ventilated patients. Future work should address how holistic, patient-centered symptom assessment can be embedded into clinical practice.
dc.format	Print
dc.language	eng
dc.publisher	American Thoracic Society
dc.relation.ispartof	Ann Am Thorac Soc
dc.relation.isbasedon	10.1513/AnnalsATS.202301-023ST
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences
dc.subject.classification	Respiratory System
dc.subject.mesh	Adult
dc.subject.mesh	Humans
dc.subject.mesh	United States
dc.subject.mesh	Respiration, Artificial
dc.subject.mesh	Symptom Assessment
dc.subject.mesh	Critical Care
dc.subject.mesh	Societies
dc.subject.mesh	Anxiety
dc.subject.mesh	Intensive Care Units
dc.subject.mesh	Humans
dc.subject.mesh	Respiration, Artificial
dc.subject.mesh	Critical Care
dc.subject.mesh	Anxiety
dc.subject.mesh	Adult
dc.subject.mesh	Intensive Care Units
dc.subject.mesh	Societies
dc.subject.mesh	United States
dc.subject.mesh	Symptom Assessment
dc.subject.mesh	Adult
dc.subject.mesh	Humans
dc.subject.mesh	United States
dc.subject.mesh	Respiration, Artificial
dc.subject.mesh	Symptom Assessment
dc.subject.mesh	Critical Care
dc.subject.mesh	Societies
dc.subject.mesh	Anxiety
dc.subject.mesh	Intensive Care Units
dc.title	Symptom Assessment for Mechanically Ventilated Patients: Principles and Priorities: An Official American Thoracic Society Workshop Report.
dc.type	Journal Article
utslib.citation.volume	20
utslib.location.activity	United States
utslib.for	1103 Clinical Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
dc.date.updated	2023-09-06T00:42:02Z
pubs.issue	4
pubs.publication-status	Published
pubs.volume	20
utslib.citation.issue	4

Abstract:

Mechanically ventilated patients experience many adverse symptoms, such as anxiety, thirst, and dyspnea. However, these common symptoms are not included in practice guideline recommendations for routine assessment of mechanically ventilated patients. An American Thoracic Society-sponsored workshop with researchers and clinicians with expertise in critical care and symptom management was convened for a discussion of symptom assessment in mechanically ventilated patients. Members included nurses, physicians, a respiratory therapist, a speech-language pathologist, a critical care pharmacist, and a former intensive care unit patient. This report summarizes existing evidence and consensus among workshop participants regarding 1) symptoms that should be considered for routine assessment of adult patients receiving mechanical ventilation; 2) key symptom assessment principles; 3) strategies that support symptom assessment in nonvocal patients; and 4) areas for future clinical practice development and research. Systematic patient-centered assessment of multiple symptoms has great potential to minimize patient distress and improve the patient experience. A culture shift is necessary to promote ongoing holistic symptom assessment with valid and reliable instruments. This report represents our workgroup consensus on symptom assessment for mechanically ventilated patients. Future work should address how holistic, patient-centered symptom assessment can be embedded into clinical practice.

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http://hdl.handle.net/10453/171934