Critique of Evidence-Based Article


Critiqueof Evidence-Based Article

Critiqueof Evidence-Based Article

Whatwas studied? Hypothesis

Thisarticle was coverage of pain assessment in special populations. Special populations in a society are a group of individuals withunique characteristics and are seen to be vulnerable within thesociety. It is hypothesized that the sensitivity to pain can varywidely between patient populations. The aim of the study is toidentify and evaluate the effectiveness of pain assessment skills inpatients who may not easily identify their own pain and stand highchance for inadequate assessment of pain. The special populationsunder study include older adults, children and individuals in theiradolescents stage, patients of various cultural backgrounds, patientswho are very ill and those with sensory alternations or sufferingfrom chronic pains (Rutledge &amp Caple, 2013).

Whowas studied? Population/Sample

Thestudy population was segmented into six core distinct groups. Thesegroups included older patients who are characterized by painsyndromes, cancer patients as well as those within the cancer relatedtreatments, children and adolescents patients of various culturalbackgrounds critically ill patients including those in intensivecare units and those without cognitive impairments and patients withsyndromes such as complex regional pain syndrome, sickle celldisease, and fibromyalgia (Rutledge &amp Caple, 2013).

Howwas it studied? Methodology

Inthis article, the researcher systematically analyzed variousresponses to pain in six special populations and how to applyappropriate tools to recognize their pain. For the seniors, theresearcher demonstrated three ways to identify the pain in dementiapatients, cognitive deficits patients, and functional declinepatients. Children and adolescents usually exhibit their pain bychanging normal behaviors. Critically ill patients experienceprocedural pain (Rutledge &amp Caple, 2013) and the cancer patientscould be committed by self-reported rating.

Whatwere the conclusions? Results

Fromthe study, there are two main conclusions that are reached. First,the study concluded that the sensitivity of the pain could varywidely between the populations of the patients. Second, the toolsused to assess the pain matters a lot in terms of determination ofthe pain sensitivity. Therefore, different tools to assess pain inthe individuals might be needed to accurately evaluate pain amongvarious populations of patients (Rutledge &amp Caple, 2013). As ahealth care profession, we encourage patients to acquire painmanagement skills. There is also need to share widely the knowledgegathered under the special population category for the good of thesociety. Further, there is need for evaluating the level ofefficiency for pain management strategies put in place. In instanceswhere the pain is unrelieved in the patients there is need to reportto the clinician in charge and even arrange for a referral tospecialist dealing in pain management in instances where it isrecommended (Rutledge &amp Caple, 2013). Lastly, there is need forthe health care professionals to take cognizance of behavioralsymptoms of pain in the patient groups. The symptoms could includeirritation in children, the behavior to seek drugs among patients whohave poorly managed pain and agitation in older adults (Rutledge &ampCaple, 2013).


Rutledge,D. N., &amp Caple, C. (2013, August). Pain Assessment in SpecialPopulations. Cinahl Information Systems.