Health Promoting Hospitals Veneto Region Network Pain Free Hospitals: The educational training of the HPH Veneto Region Network Health Promoting Hospitals Veneto Region Network 13 th International Conference on HPHs Dublin, May Sabrina Marconato M.D. University of Padua (Italy)

Health Promoting Hospitals Veneto Region Network 13 th International Conference on HPH – Dublin may NORTH- EAST OF ITALY 4.5 MILLIONS OF INHABITANTS MAIN TOWN VENICE 18,364 Km 2 Veneto Region

Health Promoting Hospitals Veneto Region Network 13 th International Conference on HPH – Dublin may Veneto Territory is divided in : Veneto Regional Health System 22 Health Social Local Trusts (HSLT) Each HSLT 2-3 Hospitals 1 General Director Territorial Sanitary and Social Services

Health Promoting Hospitals Veneto Region Network 13 th International Conference on HPH – Dublin may Health Social Local Trusts (HSLT) STARTED IN 2002 FOR PREPARING THIS HPH PAIN FREE TRAINING Hospitals + their Territory Health Services

Health Promoting Hospitals Veneto Region Network 13 th International Conference on HPH – Dublin may WHY EDUCATIONAL TRAINING ?

Health Promoting Hospitals Veneto Region Network 13 th International Conference on HPH – Dublin may A POLYCENTRIC SURVEY IN 11 HOSPITALS SHOWED

Health Promoting Hospitals Veneto Region Network 13 th International Conference on HPH – Dublin may % Distribution of the percentage of pain Perceived by patients 48% (594) 20% (242) 10% (128) 22% (270) absent mild moder. severe 1325 INPATIENTS 52 % pain (IC 95% 49-55%)

Health Promoting Hospitals Veneto Region Network 13 th International Conference on HPH – Dublin may Only 51,2 % Percentage of CORRECT answers IC (95%): OPERATORS (DOCTORS & NURSES) Knowledge / Behaviours were interwieved on

Health Promoting Hospitals Veneto Region Network 13 th International Conference on HPH – Dublin may THE EDUCATIONAL TRAINING

Health Promoting Hospitals Veneto Region Network 13 th International Conference on HPH – Dublin may Introduction on HPH What is the HPH Network The importance of Pain Management in HPH The Policentric Survey of HPH Veneto Region TRAINING CONTENTS Theoretical Contents ”Practical” Contents Physiopathology and pharmacology of pain Pain management throught the eyes of different specialists: Internist, Surgeon, Oncologist, Paeditricians… Supported by a videocassette

Health Promoting Hospitals Veneto Region Network 13 th International Conference on HPH – Dublin may Technical Aspects on pain measurement VIDEOCASSETTE Scenes Played by actors

Health Promoting Hospitals Veneto Region Network 13 th International Conference on HPH – Dublin may A same Pain Scale is a MILESTONE for a common work Technical Aspects Presentation of the Pain Scale which were adopetd - Numerical Rating Scale (NRS) was adopted for adult patient - Easy to be used - Easy to show to patients how it works - Easy & Fast to record : the values are whole numbers N.R.S Absent pain The most severe imaginable pain

Health Promoting Hospitals Veneto Region Network 13 th International Conference on HPH – Dublin may Young children do not understand the meaning of numbers Technical Aspetcs Bieri Scale in children 4-7 years old - What is the face that is like your pain ? Absent pain The most severe imaginable pain

Health Promoting Hospitals Veneto Region Network 13 th International Conference on HPH – Dublin may THE SCENES Actors play the scenes in the role of doctors, nurses and patients

Health Promoting Hospitals Veneto Region Network 13 th International Conference on HPH – Dublin may First scene to be watched : INCORRECT beahviour (by doctors and nurses) in measuring pain in adult patient 3 SCENES ARE PLAYED Audience has to watch the incorrect scene Then a discussion is opened

Health Promoting Hospitals Veneto Region Network 13 th International Conference on HPH – Dublin may Discussion facilities Booklet With notes to help the audience in observing the verbal and not verbal communication With the texts of the scripts played by actors With exercises: to write the correct conversation

Health Promoting Hospitals Veneto Region Network 13 th International Conference on HPH – Dublin may After the discussion the other (correct) scenes are showed Second scene: Correct behaviour in measuring pain in adult patient Third scene: Correct behaviour in measuring pain in children

Health Promoting Hospitals Veneto Region Network 13 th International Conference on HPH – Dublin may Veneto Region Govern Adopted this HPH Training for all the doctors and nurses of Veneto Region