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Pain Assessment & Management

Pain Assessment & Management. Laurie Soper MS, MSN, APRN -C Acute Care Clinical Education Specialist. Objective. Identify the appropriate GPRMC policies and procedures related to pain assessment and management

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Pain Assessment & Management

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  1. Pain Assessment & Management Laurie Soper MS, MSN, APRN -C Acute Care Clinical Education Specialist

  2. Objective • 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

  3. PainManagement at GPRMC 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

  4. Pain Assessment & Management Policy 6010-0007 Patient Controlled Analgesia Policy6265 I L MED 002

  5. Pain Assessment 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)

  6. Pain Assessment Cont. 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

  7. Pain Scales • Wong Baker/Numeric Pain Scale • FLACC Scale • Adult Non Verbal Pain Scale • N-PASS

  8. Wong-Baker/Numeric Scale • For children and adults whodemonstrate the ability to use the scale by choosing a face or stating a number that indicates their pain level

  9. The FLACC Scale 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 Face Legs Activity Cry Consolability

  10. Adult Non Verbal Pain Scale For adults that are unable to self report their level of pain for whatever reason (critically ill, intubated, sedated, comatose, confused

  11. Neonatal Infant Pain Scale (NIPS) A behavioral assessment tool for measurement of pain in preterm and full-term neonates.

  12. Documentation 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

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

  14. Questions ??

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