Painscore

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Painscore

  1. 1. PAIN CHART BY : ZARINA BT ABD. RAHIM
  2. 2. PAIN CHART?? PAIN AS THE FIFTH VITAL SIGN MUST BE ASSESED EACH TIME VITAL SIGNS ARE PERFORMED CLIENT SPECIFIC : PAIN IS WHAT PATIENT SAY IT IS MEASURE ON 0 – 10 SCALE 0MEANS NO PAIN AND 10 MEANS WORST PAIN EVER. GOAL FOR PAIN CONTROL IS 2 DOCUMENTATION : ABDOMINAL PAIN 5/10, PATIENT DECLINED MEDICINE.
  3. 3. Pain is called the fifth vital sign, in conjuction with temperature, pulse, respiration & blood pressure. Pain can reveal a tremendous amount about the health status of a person. Pain also affects on such things as mood, activity, appetite, sleep, hygiene and the ability to focus and concentrate. THE FIFTH VITAL SIGN
  4. 4. PAIN CONTROL To achieve adequate pain control it is necessary to understand how to assess pain. Pain is totally subjective and what causes excruciating pain to one person, may only be perceived as moderate pain to someone else.
  5. 5. ASSESSMENT TOOLS •There are several pain assessment tools used by health care professional to help assess the pain levels. This include the Wong Baker faces Pain Rating Scale which have several faces from a smiling face (represent no pain) to face with tears and scowl (represent the worst pain imaginable)
  6. 6. VERBAL PAIN SCALE A verbal pain scale uses colour from blue to red and a series of vertical lines stretching from blue representing pain, to deep red representing severe pain.
  7. 7. NUMERICAL PAIN SCALE Numerical pain scale uses number from 0 to 10 , where 0 represent no pain and 10 represent worst pain imaginable. In addition to the pain scales, nurses will ask questions to determine the quality of the pain and how its affect patient’s functioning.
  8. 8. *Where is the pain? *When did it start? *What make it worse? *What helps to ease it? *Is it sharp, dull, aching, throbbing, shooting, burning?
  9. 9. How does the pain affect your life? Sleep patterns Eating Activity patterns Mood and emotions Does the pain affect patient’s physical appearance / sexual function / energy levels?
  10. 10. PAIN MEDICATION Medication will not cure or eliminate pain Medications work in many ways to help to ease patient’s pain, by improving patient’s flexibility by treating underlying factors causing the pain, or by reducing inflammation or swelling. Medications help to ease pain by changing how brains perceives the pain.
  11. 11. Rating scale is recommended for persons age 3 years and older Brief instructions : Point to each face using the words to describe the pain intensity. Ask the child to choose face that best describes own pain and record the appropriate number.
  12. 12. FLACC Scale Category Scoring 0 1 2 Face No particular expression or smile Occasional grimace or frown, withdrawn, disinterested Frequent to constant quivering chin, clenched jaw. Legs Normal position or relaxed Uneasy, restless, tense Kicking or legs drawn up. Activity Lying quietly, normal position, moves easily Squirming, shifting back and forth, tense Arched, rigid or jerking Cry No cry ( awake / asleep( Moans or whimpers; occasional complaint Crying steadily, scream or sobs, frequent complaints Consolability Content, relaxed Reassured by occasional touching, hugging or being talked to distractable Difficult to console
  13. 13. FLACC Rating Scale to be use for children less than 3 years old of age or other patients who cannot self report. Can also be used in cognitively impaired or demented adults. Each of the five categories Face, Legs, Activity, Cry and Consolabilityis scored from 0 – 2, resulting in total range of 0 - 10
  14. 14. HOW & WHERE TO CHART?
  15. 15. In nursing report please document the characteristic of pain
  16. 16. Provokes What provokes the pain (exertion, spontaneous onset, stress( Location Where does it hurt? Radiation or relief Does it travel anywhere? ( to the jaw, back, arms, etc( what makes it better? ( position / being still ( What make it worse? ( inspiration / movement? ( Onset When did it start? Severity or Signs & Symptoms Are they any associated signs and symptoms? (nausea, anxiety, dizziness, dyspnea, SOB, pallor(
  17. 17. Provide comfort Positioning, rest & relaxation Validate patients response to pain Offer reassurance Relieve anxiety and fears Set aside time with patient Relaxation techniques Rhythmic breathing, guided imaginery Cutaneous stimulation Massage, heat & cold therapy Decrease irritating stimulation Bright light, noise & temperature.
  18. 18. FACIAL EXPRESSION & CRY
  19. 19. ANY QUESTIONS??

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