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The Resource The Respiratory Distress Observation Scale (RDOS), pain, and agitation, by Karen Reavis

The Respiratory Distress Observation Scale (RDOS), pain, and agitation, by Karen Reavis

Label
The Respiratory Distress Observation Scale (RDOS), pain, and agitation
Title
The Respiratory Distress Observation Scale (RDOS), pain, and agitation
Statement of responsibility
by Karen Reavis
Creator
Contributor
Author
Subject
Genre
Language
eng
Summary
The Respiratory Distress Observation Scale (RDOS) is relatively new and has not been extensively evaluated. The purpose of this study was to, a) explore the incidence and severity of respiratory distress in the cognitively impaired adult patient on mechanical ventilation, b) examine the relationships between respiratory distress, pain, and agitation in that same population and, c) compare the differences in RDOS scoring results at a 1 minute versus 3 minute observation period. This study had Institutional Review Board approval and took place in a large metropolitan medical intensive care unit. Our subjects consisted of 148 cognitively impaired adults on mechanical ventilation. Our team found that 26% of our subjects experienced respiratory distress for over 5 hours aggregate per day. Patients on mechanical ventilation experience dyspnea even if cognitively impaired. The RDOS slightly correlated with pain as measured by the Critical-Care Pain Observation Tool (CPOT) score (rs = .15, p = .02). However, restlessness as measured by the Richmond Agitation and Sedation Scale (RASS) as compared to the RDOS score showed differentiation (rs = -.02, p = .76). Finally, our findings indicate that 1 minute of observation was as good as 3 minutes in terms of obtaining a score on the RDOS. This result has practical implications for use, research, and study with this scale since direct care staff is more likely to utilize a scale that takes less time. Our findings recommend further testing of the RDOS in the critical care population. Due to the limited amount of research on respiratory distress in the cognitively impaired patient prior to this research, this manuscript contributes to the body of knowledge on the clinical state of cognitively impaired adults on mechanical ventilation
Member of
Cataloging source
CDU
http://library.link/vocab/creatorName
Reavis, Karen
Degree
(Ph.D.)
Dissertation note
Dissertation
Dissertation year
2015
Granting institution
University of San Diego
Index
no index present
LC call number
RC776.D9
LC item number
R43 2015eb
Literary form
non fiction
Nature of contents
  • bibliography
  • theses
http://library.link/vocab/relatedWorkOrContributorName
University of San Diego
Series statement
Dissertation series University of San Diego
Series volume
2015
http://library.link/vocab/subjectName
  • Artificial respiration
  • People with mental disabilities
  • Dyspnea
Label
The Respiratory Distress Observation Scale (RDOS), pain, and agitation, by Karen Reavis
Instantiates
Publication
Copyright
Contributor
Note
Dissertation committee: Jane Georges, Chair; Joseph Burkard; David C. Willms -- title page
Bibliography note
Includes bibliographical references
Carrier category
online resource
Carrier category code
cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
txt
Content type MARC source
rdacontent
Control code
958278117
http://bibfra.me/vocab/relation/dissertationadvisor
ncbyiMdFGp4
Extent
1 online resource (v, 98 pages)
File format
one file format
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
c
Specific material designation
remote
System control number
(OCoLC)958278117
Label
The Respiratory Distress Observation Scale (RDOS), pain, and agitation, by Karen Reavis
Publication
Copyright
Contributor
Note
Dissertation committee: Jane Georges, Chair; Joseph Burkard; David C. Willms -- title page
Bibliography note
Includes bibliographical references
Carrier category
online resource
Carrier category code
cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
txt
Content type MARC source
rdacontent
Control code
958278117
http://bibfra.me/vocab/relation/dissertationadvisor
ncbyiMdFGp4
Extent
1 online resource (v, 98 pages)
File format
one file format
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
c
Specific material designation
remote
System control number
(OCoLC)958278117

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      32.771354 -117.193327
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