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    Pain Assasment and Management

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    tiganov
    This document discusses pain assessment and management. It defines pain and describes the differences between acute and chronic pain. It emphasizes the importance of regularly assessing patients' pain, believing their reports of pain, choosing appropriate pain control methods, and delivering around-the-clock medications with adequate breakthrough doses. It also discusses various pain intensity assessment tools, including uni-dimensional scales like numeric rating scales and visual analog scales, and multi-dimensional scales like the McGill Pain Questionnaire and Brief Pain Inventory that assess both intensity and affect. Finally, it stresses that every patient has the right to be free from pain.

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    Pain Assasment and Management

    Uploaded by

    tiganov
    49 views28 pages
    This document discusses pain assessment and management. It defines pain and describes the differences between acute and chronic pain. It emphasizes the importance of regularly assessing patients' pain, believing their reports of pain, choosing appropriate pain control methods, and delivering around-the-clock medications with adequate breakthrough doses. It also discusses various pain intensity assessment tools, including uni-dimensional scales like numeric rating scales and visual analog scales, and multi-dimensional scales like the McGill Pain Questionnaire and Brief Pain Inventory that assess both intensity and affect. Finally, it stresses that every patient has the right to be free from pain.

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    IHT nyeri

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    This document discusses pain assessment and management. It defines pain and describes the differences between acute and chronic pain. It emphasizes the importance of regularly assessing patients' pain, believing their reports of pain, choosing appropriate pain control methods, and delivering around-the-clock medications with adequate breakthrough doses. It also discusses various pain intensity assessment tools, including uni-dimensional scales like numeric rating scales and visual analog scales, and multi-dimensional scales like the McGill Pain Questionnaire and Brief Pain Inventory that assess both intensity and affect. Finally, it stresses that every patient has the right to be free from pain.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    49 views28 pages

    Pain Assasment and Management

    Uploaded by

    tiganov
    This document discusses pain assessment and management. It defines pain and describes the differences between acute and chronic pain. It emphasizes the importance of regularly assessing patients' pain, believing their reports of pain, choosing appropriate pain control methods, and delivering around-the-clock medications with adequate breakthrough doses. It also discusses various pain intensity assessment tools, including uni-dimensional scales like numeric rating scales and visual analog scales, and multi-dimensional scales like the McGill Pain Questionnaire and Brief Pain Inventory that assess both intensity and affect. Finally, it stresses that every patient has the right to be free from pain.

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    Pain Assasment and Management

    Pain
    “An unpleasant sensory and emotional experience
    associated with actual or potential tissue damage, or
    described in terms of such damage”

    Acute Chronic Pain

    Adequately Treated Often Under treated


    Taxonomy Subcommittee for the IASP; Merskey H, et al. Pain. 1986(suppl 3):S1-226.
    Pain Mechanism
    Assessment of Pain
    Ask about pain regularly

    Believe the patient reports of pain

    Choose pain control appropriately

    Deliver medications on an "around- the-clock" basis with


    adequate "breakthrough" doses

    Evaluate result frequently and empower patients and


    family
    American Pain Society, 1999
    Pain Intensity Assessment Tools
    Pain Assessment Scales

    Uni-Dimensional Scale Multi-Dimensional Scale

    • Only measures pain intensity • Both intensity (severity) and


    • Appropriate for acute pain unpleasantness (affective)
    • The most common scale used in • Appropriate for chronic pain
    • Research /pathophysiology
    outcome assessment (Analgesic
    • Should be used in clinical outcome
    efficacy) assessment

    Verbal Rating Scale (VRS)


    McGill Pain Questionnaire (MPQ)
    None, mild, moderate, severe
    The Brief Pain Inventory (BPI)
    Numeric Rating Scale (NRS)
    The Memorial Pain Assessment Card
    Visual Analog Scale (VAS)
    Pictorial Scale
    Visual analog scale

    No
    No Worst
    pain pain

    0–10 Numeric pain intensity scale “Wong-Baker Faces” scale

    0 1 2 3 4 5 6 7 8 9 10
    No Moderate Worst 0 1 2 3 4 5
    pain pain Imaginable

    1. Portenoy RK, Kanner RM, eds. Pain Management: Theory and Practice. 1996:8-10.
    2. Wong DL. Waley and Wong’s Essentials of Pediatric Nursing 5th ed. 1997:1215-1216.
    3. McCaffery M, Pasero C. Pain: Clinical Manual. Mosby, Inc. 1999:16.
    Photographic/Numeric Pain Scale
    Multi-Dimensional Pain Assessment Scales
    COMFORT SCALE
    Pain Management
    Kesimpulan

    Hak Setiap Pasien untuk bebas dari rasa


    nyeri

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