Measurements in acute pain.pptx
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This document discusses and compares several methods for measuring acute pain: The Verbal Rating Scale uses a 4-level or 7-level scale to measure pain intensity. The Visual Analogue Scale uses a horizontal line with no pain at one end and worst pain at the other to measure pain state and changes. The Numerical Rating Scale asks patients to choose a number between 0-10 that correlates to their pain level. The Face Scale uses faces to measure pain in children or adults with cognitive disabilities. Finally, the Functional Activity Scale assesses the impact of acute pain by having patients perform activities with an assistant.
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The document provides an overview of pain assessment and various pain scales. It defines pain and discusses the subjective nature of pain assessment. Various pain scales are described in detail, including visual analog scales, numerical rating scales, verbal descriptor scales, Wong-Baker Faces scale, and the McGill Pain Questionnaire. Key aspects of pain assessment include questioning the patient, using an appropriate pain scale, and evaluating behavior and physiological signs.
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PPT-PAIN-ASSESSMENT-AND-MANAGEMENT.pdf
NURSE
EDUCATION
MANAGEMENT
NURSING CARE
NURSING ASSESSMENT
PLANNING
At the end of the session he students will be able to
Explain the activities of health care agencies
List out the types of health care agencies.
Classify the types of service
INTERVENTION
OBJECTIVES
LEARNING
IMPLEMENTATION
EVALUATION
RATIONALE
At the end of this session the leaner should be able to,
define pain.
classify pain.
describe mechanism of pain.
perform pain assessment.
detail the nursing interventions.
Development of manpower resources
Provision for safe water and food supply
Increasing the literacy rate
Reducing the levels of poverty
Pain assessment in ED an evidence-based update
This presentation delivered at the International Conference on Emergency Medicine in Dublin describes different approaches to assessing pain in emergency department patients. It summarises the evidence supporting the various approaches and makes recommendations for practice.
Diagnostics and Treatment of Pain
This document discusses pain assessment, diagnosis, and treatment. It emphasizes that pain is subjective and should be assessed regularly as the 5th vital sign. Pain can be nociceptive from tissue damage, neuropathic from nerve pathway issues, or psychogenic from cognitive factors. Chronic pain lasting over 6 months is difficult to treat and often requires a multidisciplinary approach using medications, physical therapy, or alternative treatments in addition to addressing psychological factors. Practitioners must carefully treat pain to provide relief while avoiding risks of addiction, doctor shopping, or enabling drug seeking behavior.
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This document discusses pain assessment and various pain scales. It defines pain as an unpleasant sensory and emotional experience arising from actual or potential tissue damage. Pain is subjective and can only be assessed through self-report. Common methods of pain assessment include asking patients to describe pain characteristics, using pain rating scales, and evaluating behaviors and physiological signs. Common pain rating scales discussed are the visual analog scale (VAS), numerical rating scale (NRS), verbal descriptor scale (VDS), and Wong-Baker Faces scale. Special considerations for assessing pain in children, cognitively impaired adults, and sedated patients are also covered.
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At the end of the session he students will be able to
Explain the activities of health care agencies
List out the types of health care agencies.
Classify the types of service
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OBJECTIVES
LEARNING
IMPLEMENTATION
EVALUATION
RATIONALE
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define pain.
classify pain.
describe mechanism of pain.
perform pain assessment.
detail the nursing interventions.
Development of manpower resources
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Increasing the literacy rate
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Name Anna Jones Pt. Encounter Numb
Name: Anna Jones
Pt. Encounter Number: 5663
Date: 9/13/22
Age: 54
Sex: Female
SUBJECTIVE
CC:
“low back pain radiating to left leg”
HPI:
54 yo female presents to the office today c/o lower back pain radiating down L buttock, down the left leg through the calf. Began 3 days ago, with sudden onset while she was at work, following lifting and turning a patient.. She reports feeling a “pop” followed immediately by this pain. States the pain is constant and worsening and rates severity as 7/10. Describes the pain as throbbing, with stinging and tingling down the left leg and calf and reports she “feels crooked”. She has tried rest and Ibuprofen to treat the pain but has gotten no relief. She reports sitting worsens the pain and she is unable to walk without pain. Denies history of similar symptoms. No recent trauma. No previous treatment or testing related to this problem.
Medications: Ibuprofen 400mg as needed for back pain
Allergies: NKDA
Medication Intolerances: none reported
Past Medical History: Uterine fibroids
Chronic Illnesses/Major traumas: denies
Hospitalizations/Surgeries: 3 live births, partial hysterectomy due to uterine fibroids
Preventive: Immunizations up to date .Tdap 2015, Flu 2019, COVID #1 Jan 2020, COVID#2 Feb 2020. Yearly dental exam. Mammogram March 2020.
Family History
Mother deceased due to COVID with history of asthma and smoking. Father living, age 86, HTN-controlled, smoker, depression.
Social History
Pt attended tech school and is working full time as a nursing assistant. Married and monogamous with husband. She has 3 children. Owns home and feels safe there. Denies smoking, tobacco or recreational drug use. Reports occasional use of wine.
ROS Student to ask each of these questions to the patient: “Have you had any…..”
General
Denies weight change, fatigue, fever, chills, night sweats, or change in energy level
Cardiovascular
Denies chest pain, palpitations, edema.
Skin
Denies rashes, bruises or bleeding, or change in skin lesions.
Respiratory
Denies cough, SOB.
Eyes
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Gastrointestinal
Denies abdominal pain, N/V/D, constipation, eating disorders or ulcer
Ears
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Genitourinary/Gynecological
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Musculoskeletal
Reports throbbing lower back pain, radiates to Left buttock and down to left leg/calf for 3 days. Worsening and causing pain when ambulating. Not relieved by rest, position change or Ibuprofen. Denies history of similar problems. Denies joint swelling or history of arthritis.
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Concised training version
This document is a training module for doctors and nurses on implementing pain as the 5th vital sign in a Malaysian hospital from 2008-2010. It discusses the importance of proper pain assessment and management. The objectives are to promote better communication between doctors/nurses and patients, improve patient satisfaction and care, and help manage pain more effectively. Guidelines are provided on assessing and documenting pain at regular intervals, using scales like numerical rating or Wong-Baker faces, and treating pain per the WHO analgesic ladder.
Types of pain and assessment of pain
This document discusses types and assessment of pain. It defines pain and lists signs and symptoms. Pain is classified based on duration as acute or chronic. Acute pain lasts through the expected recovery period while chronic pain lasts longer than 3-6 months. Chronic pain is further classified as chronic non-cancer pain, chronic cancer pain, or chronic episodic pain. Pain is also classified based on location, intensity, and etiology as nociceptive, somatic, visceral, or neuropathic. Common tools for pain assessment include verbal rating scales, numeric rating scales, Wong Baker Faces scale, and FLACC scale which evaluates facial expressions, leg movement, activity, cry, and consolability. Physiological indicators of pain like increased heart
Pain tools
This document discusses several common tools used to assess pain, including unidimensional scales that measure only pain intensity such as the Visual Analog Scale (VAS), Verbal Descriptor Scale (VDS), and Numeric Pain Intensity Scale (NPI). It notes that while standard scales work for acute pain, chronic pain patients may be better assessed by changes in functionality rather than decreases in reported pain intensity. Visual tools like a thermometer scale combining numbers and colors can also help patients rate their pain.
10461913 2.ppt
This document discusses pain management in cancer patients. It covers the pathophysiology of pain, assessment strategies, drug and non-drug treatment options, managing special populations, patient education, and Joint Commission standards. The key aspects are conducting a comprehensive initial pain assessment, developing an individualized treatment plan using the WHO analgesic ladder as a guide, treating breakthrough pain, managing side effects, and employing multimodal therapies including pharmacological and nonpharmacological options.
Pain management reading activity
The document discusses pain assessment for nursing. It emphasizes that pain is subjective and each patient experiences it differently. A thorough assessment considers characteristics of the pain like type, intensity, onset, duration, location, and associated symptoms. Nurses should use tools like pain scales tailored for different age groups to accurately determine a patient's pain level. A full assessment provides crucial information for diagnosis and evaluating treatment effectiveness.
How to use the Pain Scale for your client
The document provides guidance for carers on assessing and documenting pain in clients. It outlines two different pain scales - one for clients who can communicate their pain level verbally, and one for clients with cognitive impairments who cannot. For clients who can communicate, carers should use a 1-10 pain severity scale daily and record the client's reported pain score, location, comments, and their signature. For clients with cognitive impairments, carers should observe the client for signs of pain based on facial expressions, vocalization, body language, behavior, and physical changes and report any concerns.
Pain observation for carers
The document provides guidance for carers on assessing and documenting pain in clients. It discusses using a 1-10 pain severity scale for clients who can communicate, and observing facial expressions, vocalization, body language, behavior, and physical changes for clients with cognitive impairment who cannot verbalize pain. Carers are instructed to record pain assessments daily and report scores above 7 or acute changes to the nurse manager.
3.history taking in pain medicine
history taking in pain medicine is most imp part,in this covered all the imp aspects refrence:The art of history taking in patient with pain:An ignored but very important component
in making diagnosis;Indian Journal of Pain | May-August 2013 | Vol 27 | Issue 2
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Lesson plan project
This document provides an overview of a lesson on pain assessment. The objectives are to develop pain assessment tools to enhance patient care and utilize tools in clinical practice. It discusses the importance of pain management, cultural awareness, and using appropriate scales. Exercises include role playing, reviewing assessment videos, and a game to reinforce key concepts. Accurately assessing pain requires considering factors like culture, scales, and symptoms.
Ped painassessment
The Pediatric Pain Task Force selected four pain assessment tools for use in the Children's Hospital: NIPS, FLACC, FACES, and Numeric Rating Scale. These tools are appropriate for different patient populations and ages. Clinical judgment must be used in selecting the proper tool and interpreting pain assessments and interventions. All staff should review the descriptions of the tools and complete a post-test on their use.
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This document discusses pain physiology and management. It describes the pathways and mechanisms of pain transmission from nociceptors to the brain. It also outlines various approaches to pain assessment, pharmacological and non-pharmacological pain control strategies, and the nurse's role in comprehensive pain management including ongoing assessment, education, and evaluation of interventions.
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This document discusses pain assessment tools and guidelines. It defines pain as an unpleasant sensory and emotional experience associated with actual or potential tissue damage. Pain should be assessed in all patients as the 5th vital sign using appropriate tools based on a patient's age, such as the FACES scale for children ages 3-7 or the MOH pain scale for adults. Nurses and other medical staff should assess pain at regular intervals, after interventions, and whenever a patient reports pain in order to effectively treat and document pain levels.
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This document discusses pain assessment. It defines pain and notes that pain assessment includes subjective and objective components. The subjective assessment involves taking a pain history, including onset, duration, location, and intensity measured using scales like numeric, verbal, or visual analogue scales. Objective assessment examines behavioral and physiological indicators of pain. Key aspects to assess include provocation, quality, referral or radiation of pain. Nursing interventions for pain include using assessment scales, administering analgesics, documenting pain severity, and teaching non-pharmacological pain management techniques.
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This document discusses pain assessment in inpatient settings, with a focus on aging and palliative populations. It emphasizes the importance of thorough pain assessment using tools like the numeric pain scale or behavioral assessment tools. It also stresses the need to assess for sedation when treating pain and reassessing patients on a schedule based on medication peaks. The document provides guidance on pain assessment and management for aging patients and those who are dying, noting the need to avoid assumptions and still properly assess and treat pain. It promotes the idea of bolusing pain medication before increasing continuous infusions.
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The document discusses pain assessment and management. It defines pain, outlines types of pain, and factors that influence pain response. It also describes several pain assessment scales and provides examples of their use. Non-pharmacological interventions like heat/cold therapy, massage, relaxation, and guided imagery are covered. Pharmacological approaches include balanced analgesia using multiple drug classes and patient-controlled analgesia. Common drug classes for pain management are also listed.
Name Anna Jones Pt. Encounter Numb
Name: Anna Jones
Pt. Encounter Number: 5663
Date: 9/13/22
Age: 54
Sex: Female
SUBJECTIVE
CC:
“low back pain radiating to left leg”
HPI:
54 yo female presents to the office today c/o lower back pain radiating down L buttock, down the left leg through the calf. Began 3 days ago, with sudden onset while she was at work, following lifting and turning a patient.. She reports feeling a “pop” followed immediately by this pain. States the pain is constant and worsening and rates severity as 7/10. Describes the pain as throbbing, with stinging and tingling down the left leg and calf and reports she “feels crooked”. She has tried rest and Ibuprofen to treat the pain but has gotten no relief. She reports sitting worsens the pain and she is unable to walk without pain. Denies history of similar symptoms. No recent trauma. No previous treatment or testing related to this problem.
Medications: Ibuprofen 400mg as needed for back pain
Allergies: NKDA
Medication Intolerances: none reported
Past Medical History: Uterine fibroids
Chronic Illnesses/Major traumas: denies
Hospitalizations/Surgeries: 3 live births, partial hysterectomy due to uterine fibroids
Preventive: Immunizations up to date .Tdap 2015, Flu 2019, COVID #1 Jan 2020, COVID#2 Feb 2020. Yearly dental exam. Mammogram March 2020.
Family History
Mother deceased due to COVID with history of asthma and smoking. Father living, age 86, HTN-controlled, smoker, depression.
Social History
Pt attended tech school and is working full time as a nursing assistant. Married and monogamous with husband. She has 3 children. Owns home and feels safe there. Denies smoking, tobacco or recreational drug use. Reports occasional use of wine.
ROS Student to ask each of these questions to the patient: “Have you had any…..”
General
Denies weight change, fatigue, fever, chills, night sweats, or change in energy level
Cardiovascular
Denies chest pain, palpitations, edema.
Skin
Denies rashes, bruises or bleeding, or change in skin lesions.
Respiratory
Denies cough, SOB.
Eyes
Denies visual changes
Gastrointestinal
Denies abdominal pain, N/V/D, constipation, eating disorders or ulcer
Ears
Denies ear pain or hearing loss.
Genitourinary/Gynecological
Denies dysuria or incontinence. Reports last PAP 2010, normal. 3 live births.
Nose/Mouth/Throat
Denies congestion or sinus problems. Denies nosebleed. Denies dental disease. Denies sore throat or hoarseness
Musculoskeletal
Reports throbbing lower back pain, radiates to Left buttock and down to left leg/calf for 3 days. Worsening and causing pain when ambulating. Not relieved by rest, position change or Ibuprofen. Denies history of similar problems. Denies joint swelling or history of arthritis.
Breast
Reports regular SBE, Denies lumps or mass. Last mammogram March 2020
Neurological
Alert and oriented x 4. Denies syncope, seizures. Reports stinging a ...
Concised training version
This document is a training module for doctors and nurses on implementing pain as the 5th vital sign in a Malaysian hospital from 2008-2010. It discusses the importance of proper pain assessment and management. The objectives are to promote better communication between doctors/nurses and patients, improve patient satisfaction and care, and help manage pain more effectively. Guidelines are provided on assessing and documenting pain at regular intervals, using scales like numerical rating or Wong-Baker faces, and treating pain per the WHO analgesic ladder.
Types of pain and assessment of pain
This document discusses types and assessment of pain. It defines pain and lists signs and symptoms. Pain is classified based on duration as acute or chronic. Acute pain lasts through the expected recovery period while chronic pain lasts longer than 3-6 months. Chronic pain is further classified as chronic non-cancer pain, chronic cancer pain, or chronic episodic pain. Pain is also classified based on location, intensity, and etiology as nociceptive, somatic, visceral, or neuropathic. Common tools for pain assessment include verbal rating scales, numeric rating scales, Wong Baker Faces scale, and FLACC scale which evaluates facial expressions, leg movement, activity, cry, and consolability. Physiological indicators of pain like increased heart
Pain tools
This document discusses several common tools used to assess pain, including unidimensional scales that measure only pain intensity such as the Visual Analog Scale (VAS), Verbal Descriptor Scale (VDS), and Numeric Pain Intensity Scale (NPI). It notes that while standard scales work for acute pain, chronic pain patients may be better assessed by changes in functionality rather than decreases in reported pain intensity. Visual tools like a thermometer scale combining numbers and colors can also help patients rate their pain.
10461913 2.ppt
This document discusses pain management in cancer patients. It covers the pathophysiology of pain, assessment strategies, drug and non-drug treatment options, managing special populations, patient education, and Joint Commission standards. The key aspects are conducting a comprehensive initial pain assessment, developing an individualized treatment plan using the WHO analgesic ladder as a guide, treating breakthrough pain, managing side effects, and employing multimodal therapies including pharmacological and nonpharmacological options.
Pain management reading activity
The document discusses pain assessment for nursing. It emphasizes that pain is subjective and each patient experiences it differently. A thorough assessment considers characteristics of the pain like type, intensity, onset, duration, location, and associated symptoms. Nurses should use tools like pain scales tailored for different age groups to accurately determine a patient's pain level. A full assessment provides crucial information for diagnosis and evaluating treatment effectiveness.
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The document provides guidance for carers on assessing and documenting pain in clients. It outlines two different pain scales - one for clients who can communicate their pain level verbally, and one for clients with cognitive impairments who cannot. For clients who can communicate, carers should use a 1-10 pain severity scale daily and record the client's reported pain score, location, comments, and their signature. For clients with cognitive impairments, carers should observe the client for signs of pain based on facial expressions, vocalization, body language, behavior, and physical changes and report any concerns.
Pain observation for carers
The document provides guidance for carers on assessing and documenting pain in clients. It discusses using a 1-10 pain severity scale for clients who can communicate, and observing facial expressions, vocalization, body language, behavior, and physical changes for clients with cognitive impairment who cannot verbalize pain. Carers are instructed to record pain assessments daily and report scores above 7 or acute changes to the nurse manager.
3.history taking in pain medicine
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in making diagnosis;Indian Journal of Pain | May-August 2013 | Vol 27 | Issue 2
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population expansion, and economic progress, the effects on natural ecosystems are becoming
more evident. A crucial element of this impact is the alteration of vegetation cover, which plays a
significant role in maintaining the ecological equilibrium of our planet.Land serves as the foundation for all human activities and provides the necessary materials for
these activities. As the most crucial natural resource, its utilization by humans results in different
'Land uses,' which are determined by both human activities and the physical characteristics of the
land.
The utilization of land is impacted by human needs and environmental factors. In countries
like India, rapid population growth and the emphasis on extensive resource exploitation can lead
to significant land degradation, adversely affecting the region's land cover.
Therefore, human intervention has significantly influenced land use patterns over many
centuries, evolving its structure over time and space. In the present era, these changes have
accelerated due to factors such as agriculture and urbanization. Information regarding land use and
cover is essential for various planning and management tasks related to the Earth's surface,
providing crucial environmental data for scientific, resource management, policy purposes, and
diverse human activities.
Accurate understanding of land use and cover is imperative for the development planning
of any area. Consequently, a wide range of professionals, including earth system scientists, land
and water managers, and urban planners, are interested in obtaining data on land use and cover
changes, conversion trends, and other related patterns. The spatial dimensions of land use and
cover support policymakers and scientists in making well-informed decisions, as alterations in
these patterns indicate shifts in economic and social conditions. Monitoring such changes with the
help of Advanced technologies like Remote Sensing and Geographic Information Systems is
crucial for coordinated efforts across different administrative levels. Advanced technologies like
Remote Sensing and Geographic Information Systems
9
Changes in vegetation cover refer to variations in the distribution, composition, and overall
structure of plant communities across different temporal and spatial scales. These changes can
occur natural.
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Certified as an ISO/IEC 27001: Information Security Management Systems (ISMS) Lead Implementer, Data Protection Officer, and Cyber Risks Analyst, Denis brings a heightened focus on data security, privacy, and cyber resilience to every endeavor.
His expertise extends across a diverse spectrum of reporting, database, and web development applications, underpinned by an exceptional grasp of data storage and virtualization technologies. His proficiency in application testing, database administration, and data cleansing ensures seamless execution of complex projects.
What sets Denis apart is his comprehensive understanding of Business and Systems Analysis technologies, honed through involvement in all phases of the Software Development Lifecycle (SDLC). From meticulous requirements gathering to precise analysis, innovative design, rigorous development, thorough testing, and successful implementation, he has consistently delivered exceptional results.
Throughout his career, he has taken on multifaceted roles, from leading technical project management teams to owning solutions that drive operational excellence. His conscientious and proactive approach is unwavering, whether he is working independently or collaboratively within a team. His ability to connect with colleagues on a personal level underscores his commitment to fostering a harmonious and productive workplace environment.
Date: May 29, 2024
Tags: Information Security, ISO/IEC 27001, ISO/IEC 42001, Artificial Intelligence, GDPR
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Measurements in acute pain.pptx
- 1. Measurements in acute pain Verbal Rating Scale: It includes 4-level VRS-4 (0, no pain; 1, mild pain; 2, moderate pain; 3, severe pain). One variant is the 7-level scale (no pain, mild, discomforting, distressing, horrible, excruciating, unendurable). Advantages Can quantify sensory involvement, Can assess affective aspects of pain Better for distinguishing between intensity and unpleasantness Disadvantages Variability in expression of pain, Scale is non continuous so it has limitations for research purposes
- 2. Visual Analogue Scale: It has a horizontal line and there may be pictures or numbers at both ends. No pain ________________ worst pain Advantages Can measure pain state and changes in the clinical situation, Validated tool for measuring acute and chronic pain ,Validated tool for research ,Can also be used to measure mood ,distress and nausea Disadvantages Cannot measure all aspects of pain, Patients may find it difficult to relate their pain on a line, Difficult to use in the immediate postoperative period because of impaired cognition.
- 3. Numerical Rating Scale: Patients are asked to choose a number that best correlates with their pain. The scale is normally between 0 and 10, 10 being the worst possible pain. Advantages Validated scale for acutely ill patients, Easy to use, Results are simple to record, Valid for varied clinical settings. Disadvantages Patients may have difficulty relating pain to numbers, Cannot be used in certain clinical settings (confused patient, not validated for orthopaedic postoperative patients).
- 4. Face Scale: It is developed by Wong and Baker. It is recommended for age 3 and above. Patient is asked to choose the face that best resembles his/her pain. Advantages Validated and reliable in children, Can be used in adults having cognitive disabilities ,Simple to use Disadvantages Emotions may confound the assessment, Pain assessment may vary because of cultural variations.
- 5. Functional Activity Scale : It assesses the functional impact of acute pain. It assesses whether the patient can undertake appropriate activity with the associated pain. Patient is asked to perform an activity with the help of an assistant. Three levels of activity are assessed: No limitation: score 0–3; optimal pain control Mild limitation: score 4–10; adequate functional outcome; further relief required Significant limitation: unable to complete activity; inadequate pain control Advantages Simple, Can be used for any acute pain conditions, Helps in treatment planning Disadvantage Not validated