1. Pain Management Nancy St. Sauver, RN, MA Lac Qui Parle Health Network
Minnesota
Long Term Care Medicine – 2011  March 24-27, 2011  Tampa, Florida

2. Faculty Disclosures:
Nancy St. Sauver has disclosed that she has no relevant financial relationship(s).

3. Consortium Demographics
Lac Qui Parle Health Network
Appleton Area Health Services
Johnson Memorial Health Services
Madison Lutheran Home

4. Learning Objectives:
By the end of the session, participants will be able to:
Identify staff educational requirements to understand the importance of pain management.
Recognize the effects of chronic pain
Identify the components of assessing pain
Understand how alternative treatments can improve pain management

5. The starting point Minnesota Quality Indicator Report
Residents with moderate to severe pain
Consortium member facilities received poor scores
2-year project
Goal – improve score of residents with moderate to severe pain by 20% over the term of the project

6. Methodology Education Assessment Interventions Physicians Residents
Families
Nursing Home Staff
Assessment
Interventions

7. Education Barriers to recognizing pain Myths in pain management
Chronic pain misconceptions
Cultural and social barriers
Effects of chronic pain
3 R’s
Recognize
Report
Respond

8. Assessment Baseline/history Cognitively intact Cognitively impaired
Interference with daily activities

9. Baseline/history Diagnoses related to pain
Usual manner of expressing pain
Interventions used in the past
Success or Failure of past interventions

10. Cognitively Intact Assessment
Manner of expressing pain
Symptoms related to pain
Pain medication
Location
Onset
Frequency
Description of pain
Causes of pain
Methods of relieving pain

11. Cognitively Impaired Assessment
Observation and Listening
Breathing
Vocal Sounds
Facial Expression
Body Language

12. Interference with Daily Activities
Getting into bed
Turning in bed
Transferring bed to chair/chair to bed
Sitting in chair
Dressing
Eating
Standing
Walking
Bathing

13. Interventions Pain medication Alternative treatments Warmth Cold Music
Positioning
Massage
Aromatherapy

14. Results
Goal: 20% Improvement
Results: 36% Improvement

15. Questions?
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