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Pain Free Hospitals: The educational training of the HPH Veneto Region Network

Veneto Region Network. Health Promoting Hospitals. Pain Free Hospitals: The educational training of the HPH Veneto Region Network. Sabrina Marconato M.D. University of Padua (Italy). 13 th International Conference on HPHs Dublin, May 18-20 2005. Veneto Region.

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Pain Free Hospitals: The educational training of the HPH Veneto Region Network

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  1. Veneto Region Network Health Promoting Hospitals Pain Free Hospitals: The educational training of the HPH Veneto Region Network Sabrina Marconato M.D. University of Padua (Italy) 13th International Conference on HPHs Dublin, May 18-20 2005

  2. Veneto Region NORTH- EAST OF ITALY 4.5 MILLIONS OF INHABITANTS 18,364 Km2 MAIN TOWN VENICE 13th International Conference on HPH – Dublin 18-20 may 2005

  3. Veneto Regional Health System Veneto Territory is divided in : 22 Health Social Local Trusts (HSLT) Each HSLT 1 General Director Territorial Sanitary and Social Services 2-3 Hospitals 13th International Conference on HPH – Dublin 18-20 may 2005

  4. 6 Health Social Local Trusts (HSLT) Hospitals + their Territory Health Services STARTED IN 2002 FOR PREPARING THIS HPH PAIN FREE TRAINING 13th International Conference on HPH – Dublin 18-20 may 2005

  5. WHY EDUCATIONAL TRAINING ? 13th International Conference on HPH – Dublin 18-20 may 2005

  6. A POLYCENTRIC SURVEY IN 11 HOSPITALS SHOWED 13th International Conference on HPH – Dublin 18-20 may 2005

  7. 1325 INPATIENTS % Distribution of the percentage of pain Perceived by patients 10% (128) 22% 48% (270) absent (594) mild moder. severe 20% (242) 52 % pain (IC 95% 49-55%) 13th International Conference on HPH – Dublin 18-20 may 2005

  8. 1636 OPERATORS (DOCTORS & NURSES) • Only 51,2 % • Percentage of CORRECT answers IC (95%): 50.5-51.9 were interwieved on Knowledge / Behaviours 13th International Conference on HPH – Dublin 18-20 may 2005

  9. THE EDUCATIONAL TRAINING 13th International Conference on HPH – Dublin 18-20 may 2005

  10. TRAINING CONTENTS Introduction on HPH What is the HPH Network The importance of Pain Management in HPH The Policentric Survey of HPH Veneto Region Theoretical Contents Physiopathology and pharmacology of pain Pain management throught the eyes of different specialists: Internist, Surgeon, Oncologist, Paeditricians… ”Practical” Contents Supported by a videocassette 13th International Conference on HPH – Dublin 18-20 may 2005

  11. VIDEOCASSETTE Scenes Played by actors Technical Aspects on pain measurement 13th International Conference on HPH – Dublin 18-20 may 2005

  12. Technical Aspects A same Pain Scale is a MILESTONE for a common work Presentation of the Pain Scale which were adopetd - Numerical Rating Scale (NRS) was adopted for adult patient N.R.S. 0 1 2 3 4 5 6 7 8 9 10 Absent pain The most severe imaginable pain - Easy to be used - Easy to show to patients how it works - Easy & Fast to record : the values are whole numbers 13th International Conference on HPH – Dublin 18-20 may 2005

  13. Technical Aspetcs Young children do not understand the meaning of numbers Bieri Scale in children 4-7 years old • What is the face that is like your pain ? The most severe imaginable pain Absent pain 0 2 4 6 8 10 13th International Conference on HPH – Dublin 18-20 may 2005

  14. THE SCENES Actors play the scenes in the role of doctors, nurses and patients 13th International Conference on HPH – Dublin 18-20 may 2005

  15. 3 SCENES ARE PLAYED First scene to be watched : INCORRECT beahviour (by doctors and nurses) in measuring pain in adult patient Audience has to watch the incorrect scene Then a discussion is opened 13th International Conference on HPH – Dublin 18-20 may 2005

  16. Discussion facilities Booklet With the texts of the scripts played by actors With notes to help the audience in observing the verbal and not verbal communication With exercises: to write the correct conversation 13th International Conference on HPH – Dublin 18-20 may 2005

  17. After the discussion the other (correct) scenes are showed Second scene: Correct behaviour in measuring pain in adult patient Third scene: Correctbehaviour in measuring pain in children 13th International Conference on HPH – Dublin 18-20 may 2005

  18. Veneto Region Govern Adopted this HPH Training for all the doctors and nurses of Veneto Region 13th International Conference on HPH – Dublin 18-20 may 2005

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