title: The Ventilated Patient's Experience.
abstract: BACKGROUND
  Critically ill intensive care unit (ICU) patients often experience pain, anxiety, panic, fear, dyspnea, and distress related to mechanical ventilation. Patients' recollections vary from having little or no memory of actual events to having total recall. Few studies have examined family members' memories and congruence with patients' symptom report and nurse observation.
  
  
  OBJECTIVE
  To describe the experience of the mechanically ventilated ICU patient.
  
  
  OBJECTIVE
  (1) to explore patient and family memories of pain, anxiety, distress, and dyspnea following mechanical ventilation; (2) to determine if there is a correlation among nurse-documented pain assessment and patient- and family-reported pain intensity; and (3) to determine the level of patient and family satisfaction with care while on the ventilator.
  
  
  METHODS
  This was a descriptive study design. A convenience sample of ICU patients (n = 84) and family members (n = 77) was interviewed. Medical record data abstraction included patient demographics, medication administration, and nurse assessment of pain and sedation.
  
  
  RESULTS
  Most patient and family members reported memories of pain, anxiety/panic, nightmares or distress, and trouble breathing. Patients' perception of anxiety, nightmares, and dyspnea were moderately correlated with their pain perception (P = .000). Family members' memories of pain were correlated with nurse pain assessment behavioral scale ratings, but patients' memories of pain were not. Patients and family reported high satisfaction scores.
  
  
  CONCLUSIONS
  Further inquiry of the patient's experience with mechanical ventilation, the use of a ventilation sedation management protocol, and the evaluation of effective communication tools such as the use of bedside reporting or patient communication boards is warranted.
authors.affiliation: Regina M. Fink, PhD, RN, AOCN, FAAN, is a research nurse scientist at the University of Colorado Hospital and an associate professor at the University of Colorado College of Nursing, Aurora. Mary Beth Flynn Makic, PhD, RN, CNS, CCNS, FAAN, is a research nurse scientist at the University of Colorado Hospital and an associate professor at the University of Colorado College of Nursing, Aurora. Ann Will Poteet, MS, RN, CCNS, is a graduate clinical placement coordinator, office of academic programs, University of Colorado College of Nursing, Aurora. Kathleen S. Oman, PhD, RN, FAEN, FAAN, is a research nurse scientist at the University of Colorado Hospital and an associate professor, University of Colorado College of Nursing, Aurora.
authors.forename: Regina M
authors.initials: RM
authors.lastname: Fink
authors.forename: Mary Beth Flynn
authors.initials: MB
authors.lastname: Makic
authors.forename: Ann Will
authors.initials: AW
authors.lastname: Poteet
authors.forename: Kathleen S
authors.initials: KS
authors.lastname: Oman
mesh_terms: D001007:Anxiety / Q000209:etiology; D003120:Colorado; D005190:Family / Q000523:psychology*; D005260:Female; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D007362:Intensive Care Units; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology; D017060:Patient Satisfaction; D012121:Respiration, Artificial / Q000523:psychology*; D012494:Sampling Studies