Acute pain: Characterized by observational evidence of pain-systematic review of the literature

Marta de Lima Rezende, Isabel CF da Cruz


Abstract: Objective: To analyze published articles that answer the clinical question: for highly complex client with acute pain, which is the most effective intervention or protocol for its resolution. Method: literature review in national and international nursing journals in the scientific search period March-April 2014, articles published in 2009 and 2014. The following databases were used: Scientific Electronic Library Online (SciELO) PubMed via PICO, Latin Literature - American and Caribbean Health Sciences (LILACS), Nursing Database (BDENF). Results: It was observed that acute pain can arise in different ways, so there was also the importance of nurses in choosing the best approach to maintain pain control in hospitalized patients in intensive care units. Conclusion: The nurse is the reference professional care team, so it's up to him to ensure that the actions related to pain management are applied, and that the patient is properly assisted. Recommendations: The studies showed evidence of moderate strength. The recommendations addressed in this research are beneficial, safe and economical, making it feasible to use and incorporation into the routine of intensive care.


Acute-Pain, Intensive Care, Analgesics

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- Crespo A.Cruz I. Strategies of nurses in conducting the triad: team nursing, patient and family - literature review. Journal of Specialized Nursing Care [Internet]. 2013 September 11; [Cited 2014 Jun 12]; 6(3): 1-12. Available from:

-Ribeiro MdCd, Pereira C, Sallum AM, Alves JA, Albuquerque M, Fujishima P. Conhecimento de médicos e enfermeiros sobre a dor em pacientes submetidos à craniotomia. Revista Latino-Americana de Enfermagem.[Internet]. 2012 [acesso em 2014 mai 15]; 20(06): 1-7 Disponível em:

- Doorenbos AZ, Juntasopeepun P , Eaton LH, Rue T , Hong E, Coenen A, Palliative care nursing interventions in Thailand. Journal of Transcultural Nursing. [Internet]. 2013 [acesso em 2014 mar 10]; 24(4): 1-14 Disponivél em:

-Kwekkeboom KL , Anderson KA , Wanta B. Feasibility of a patient-controlled cognitive behavioral intervention for pain, fatigue, and sleep disturbance in cancer. Oncology Nursing Forum. [Internet]. 2010 [acesso em 2014 Mai 18]; 37(3): 1-17 Disponivel em:

- Sallum AMC, Garcia MD , Sanches M. Dor aguda e crônica: uma revisão narrativa da literatura. Acta Paulista de Enfermagem.[Internet]. 2012 [acesso em 2014 mai 20]; 25(1). 150-154 Disponível em:

-Flores PVP, Sobrinho PN, Vernaglia CVT. Atuação da enfermeira na dor do cliente cardiológico: um estudo frente ao reconhecimento das intervenções de enfermagem. Revista de pesquisa: Cuidados é Fundamental Online. [Internet]. 2013 [acesso em 2014 mai 15]; 5(4).716-726. Disponível em:

-Rose L , Smith O , Gélinas C, Dale C, , Fechar E, Burry L, et al. Critical care nurses’ pain assessment and management practices: a survey in Canada. AJCC - American Association of Critical-Care Nurses. [Internet]. 2012 [acesso em 2014 Jun 12]; 21(4). 251-260 Disponível em:

-Rose L, Haslam L, Dale C , Knechtel W, McGillion M. Behavioral pain assessment tool for critically ill adults unable to self-report pain. AJCC - American Journal of Critical Care.[Internet]. 2013 [acesso em 2014 mai 20]; 22(3). 246-255 Disponível em:

-Faigeles B, Esquivel HJ , Miaskowski C, Hutt BJ , Thompson C, Branco C , et al.Predictors and use of non-pharmacologic interventions for procedural pain associated with turning among hospitalized adults. Pain management nursing : official journal of the American Society of Pain Management Nurses [Internet].2013 jun; 14(2). 85-93. Disponível em:

-Stenner K, Carey S, Courtenay MCN. Prescribing for pain – how do nurses contribute? A national questionnaire survey. JCN-Journal Clinical Nusing. [Internet]. 2012 jul; 21.Disponível em:


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