Abstract

 Background: In critically ill patients, Pain is a major problem; efficient pain management depends on a systematic, comprehensive assessment of pain. Hemodynamic parameters change with simple non-invasive procedures. Monitoring of the change will help in determining the better systematic way to carry out the procedures for quality care.
 Aim: The study aimed to review and synthesize current evidence on the impact of a systematic approach to pain assessment and hemodynamic monitoring on critically ill patient outcomes.
 Methods: A comprehensive search for primary research articles was conducted using the Medline and PubMed, Eric, Cochrane and google scholar databases, using the keywords ‘assessment of pain in mechanically ventilated patient’, ‘changes in hemodynamic parameter during nursing procedures’, ‘impact of nursing procedures on mechanically ventilated patients’ were entered into a search engine. A number of highly pertinent papers relevant to the aims of the review were identified, only those papers, which satisfied the inclusion criteria, were selected for inclusion in this review.
 Discussion: In the study all the reviews were able to produce significant results with regard to pain and hemodynamic parameters. Assessment of pain behaviours’ was common, these assessments were observed and documented with the use of is widely accepted that the use of reliable behavioural pain assessment tool can assist health care providers in early identification of pain in critical ill patients and subsequently in the prompt of efficient management of pain. An assessment tool for hemodynamic parameters was not developed in the above studies which might help the nurses to identify the patient’s discomfort.
 Conclusion: The nursing procedures such as suctioning, positioning, oral care   and changing of the dressing did bring change in hemodynamic parameters and as well induced pain to the patient. The procedures cannot be withheld instead it can be deliberately planned so as to provide comfort and quality care to the patient.