Laurie Soper MS, MSN, APRN -C Acute Care Clinical Education Specialist.

Slides:



Advertisements
Similar presentations
Use of Pain Tools for Pain Assessment Sherry Nolan MSN, RN 2009
Advertisements

1 Neurological Assessment At the end of this self study the participant will: 1.Describe the neuro nursing assessment 2.List 5 abnormal findings in a neuro.
Our GOAL is to manage the patient’s PAIN effectively!
Pain Management National Pediatric Nighttime Curriculum Written by Nicole D. Marsico, MD Stanford University School of Medicine.
Assessment/Methods for capturing information from the patient.
SECTION 4 Post-stroke pain.
Sally Britnell RCN, BHSc, PGCert. Health Sci. (Emergency Nursing) Children’s Emergency Department Starship Children’s Hospital.
© 2011 National Safety Council 21-1 PEDIATRIC PATIENTS LESSON 21.
TRANSLATING EVIDENCE FROM GUIDELINE TO A STANDARDIZED DOCUMENTATION TOOL Debra L. Foster, RN, PHN; Tammy L. Gomez, RN, BAN, Karen A. Monsen, PhD, RN University.
Pain Management and Documentation
Physical Assessment of Children Depending of Age
Interdisciplinary Management of Pain Greater Baltimore Medical Center.
Annual Revalidation Case Study for Adult Ambulatory Areas.
ASSESSING PAIN IN PATIENTS WITH ADVANCED DEMENTIA
Test Taking Skills  Apply Critical Thinking to Multiple-choice Questions. –Although we want you to know as much as possible, there is no way you can know.
PAIN.
Multidisciplinary Approach to Sedation Goals and Treatment Algorithms to Treat Pain & Sedation Needs of PCTU Patients Connie Myres RN, MSN, CCRN & Sandra.
Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 05: Relieving Pain and Providing Comfort.
Pain Management and Sedation Nightfloat Curriculum LPCH Pediatric Residency Program.
LOC Level of arousal, emotional state, social orientation Assess changes in baseline: easy/ difficult/ unable to arouse response to parents degree of irritability/
Pain Paediatric Palliative Care For Home Based Carers Funded by British High Commission, Pretoria Small Grants Scheme.
Assessing Pain What is pain? Do you believe that “perception is reality”? What are EB clinical practice guidelines?? What if client non-verbal, or you.
72 yr old female admitted to facility late Friday afternoon from acute hospital after fall at home. In hospital she had Rt. hip surgery 2 days ago. Other.
Pediatric Pain: Assessment and treatment Cheryl Stohler RN BSN Wolfson Children’s Hospital Children’s Ambulatory Center 2013.
Concepts Related to the Care of Individuals PAIN Concepts of Nursing NUR 123.
Pediatric Pain Assessment
Mental Health Update The Referral Process Behavioral Strategies MHP Job Duties.
Improving pain management in children and young people with complex disabilities, resulting from acquired brain injury and neurological conditions, at.
Mosby items and derived items © 2005, 2001 by Mosby, Inc. Unique Considerations in Children Chapter 13-14, By Nataliya Haliyash, MD, BSN.
Pain and Impaired cognition: Facts and fiction Prof Dr Wilco Achterberg, MD, PhD Leiden University Medical Center, The Netherlands.
Tidewater Hospice Visit Note – Pain Assessment PAIN:  No Problem  Unchanged  Deferred Is patient experiencing pain?  Yes  No  Unable to communicate.
Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Textbook for Nursing Assistants Chapter 17: Comfort and Rest.
A prescription for understanding Don’t be a dodie bird.
PAIN Assessment Najmeh Ajoodanian, MS, NICU 2014.
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 39 Pain Management in Children.
Delirium Patients Experiencing Delirium. Delirium Also known as an “acute state of confusion” It is considered a serious acute medical problem Indicates.
Observation, Documentation, and Reporting to the RN
Presented by Marlene Meador RN, MSN, CNE
1 Miscellaneous Clinical Information NURSING STUDENTS.
Nursing Assistant Monthly Copyright © 2012 Delmar, Cengage Learning. All rights reserved. April 2012 PAIN The fifth vital sign.
Copyright © 2008 Delmar Learning. All rights reserved. Unit 10 Comfort, Pain, Rest, and Sleep.
FOR THE HEALTHCARE PRACTITIONER PAIN ASSESSMENT METHODS.

Objective: Name assessment tools used in the assessment of pain
Case Study Mary has just graduated from a BSN program. She has been offered a job on the pediatric unit at a small rural hospital. Although the hospital.
. Pain Management in the Pediatric Patient.
Paediatric Pain Assessment and Management
Pain Assessment Disclaimer: This presentation contains information on the general principles of pain management. This presentation cannot account for individual.
 What does triage mean?  To sort and to prioritize; making a judgment regarding the nature of complaints  What is a chief complaint?  Screening for.
Hospitalized Child Presented by Marlene Meador RN, MSN, CNE.
Patients and doctors making decisions together GMC Guidance 2008.
TRAINING MODULE FOR PARAMEDICS
Prepared by Office of Kids and Families March 2016 Infants and Children: Management of Acute and Procedural Pain in Emergency Departments.
© 2016 Cengage Learning ®. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.
Copyright © 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 25 Comfort, Rest, and Sleep.
Managing the Patient’s Environment: Promoting Sleep and Comfort.
Our goal is to manage the patient’s pain effectively!
Dementia Care Managing pain and symptom control
Pain Chapter 46.
A Day in the Life of a CPNP
Intranasal Fentanyl Sally Britnell
Children and pain -prevention and treatment
Pediatric Pain Scales Presented by: Danyel Dorn RN, MSN, CPN, Clinical Nurse Educator-Pediatric Service Line.
Education Update Module 3
Pain Assessment and Management
Pain Assessment & Reassessment
RESTRAINT & SECLUSION(R/S) for NON-NURSING
Pain Concerns in the Workplace
Pain Management .5 hours.
Braden Scale Mobility Subsection
Presentation transcript:

Laurie Soper MS, MSN, APRN -C Acute Care Clinical Education Specialist

Identify the appropriate GPRMC policies and procedures related to pain assessment and management Discuss the pain scales used at GPRMC (Wong- Baker, FLACC, Adult Non-verbal, & NIPS) Demonstrate knowledge by completing the post test with a score of 90% or more

GPRMC has a strong commitment to Pain Management Our patients have a right to: Information about pain and pain relief A concerned staff committed to pain prevention and management Health professionals who respond quickly to reports of pain Health professionals who believe your report of pain State of the art pain management

Pain Assessment & Management Policy Patient Controlled Analgesia Policy 6265 I L MED 002

Document the patient’s responses during the following: At admission After any known pain producing event With each new report of pain Routinely at regular intervals (at least every shift)

Pain shall be assessed and pain intensity documented within 60 +/- 15 minutes after parenteral drug therapy Pain shall be assessed and pain intensity documented within 90 +/- 15minutes after oral drug therapy Pain shall be assessed at a minimum every 4 hours during the first postoperative day following major surgery during the inpatient admission Pain shall be assessed and pain intensity documented every 4 hours and PRN while patient has a PCA/PCE

Wong Baker/Numeric Pain Scale FLACC Scale Adult Non Verbal Pain Scale N-PASS

For children and adults who demonstrate the ability to use the scale by choosing a face or stating a number that indicates their pain level

For infants and children who are preverbal or children up to three years of age who are unable to use the Wong-Baker (faces) Scale FLACC PAIN ASSESSMENT SCALE O12 FACENo particular expression or smile Occasional grimace or frown, withdrawn, disinterested Frequent to constant frown, clenched jaw, quivering chin LEGSNormal position or relaxed Uneasy, restless, tense Kicking or legs drawn up ACTIVITYLying quietly, normal position, moves easily Squirming, shifting back and forth, tense Arched, ridged, or jerking CRYNo Cry (awake or asleep) Moans or whimpers, occasional complaint Crying steadily, screams or sobs, frequent complaints CONSOLABILITYContent, relaxedReassured by occasional touching, hugging, or “talking to”; distractible Difficult to console or comfort Face Legs Activity Cry Consolability

For adults that are unable to self report their level of pain for whatever reason (critically ill, intubated, sedated, comatose, confused Categories012 FACE No particular expression or smile Occasional grimacing, tearing, frowning, wrinkled forehead Frequent grimace, tearing, frowning, wrinkled forehead ACTIVITY (Movement) Lying quietly, normal position Seeking attention through movement or slow, cautious movement Restless, excessive activity and/or withdrawal reflexes GUARDING Lying quietly, no positioning of hands over areas of body Splinting areas of body, tense Rigid, Stiff PHYSIOLOGIC I Stable vital signs (no change in past 4 hours) Change over past 4 hours if any of the following: SBP>20mmHG HR>20/min RR>10/min Change over past 4 hours in any of the following: SBP>30mmHG, HR>25/min, RR>20/min Physiological II Warm, dry skinDilated pupils, perspiring, flushing Diaphoretic, pallor

A behavioral assessment tool for measurement of pain in preterm and full-term neonates.

Document pain assessment at minimum every shift Documentation can be completed: Vital Sign Flowsheet Hourly Patient Rounding Flowsheet Shift Assessment Flowsheet Ensure document correct scale use for pain assessment

All patients should be educated on pain during admission and throughout their hospital stay Education is the key to successful pain management

Questions ??