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    Pain Chart: By: Zarina BT Abd. Rahim

    Uploaded by

    Eggy Zarina
    The document discusses pain assessment and management. It states that pain should be assessed each time vital signs are taken using a 0-10 scale, with 0 being no pain and 10 being the worst pain ever. It recommends using tools like the Wong Baker FACES pain rating scale or numerical scale to assess pain levels in patients. Nurses should ask questions to determine the quality, location, onset, and impact of the pain. Medications can help ease pain but do not eliminate it. Pain should be properly documented in nursing reports including characteristics, location, onset, provoking/relieving factors, and associated symptoms.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd

    Pain Chart: By: Zarina BT Abd. Rahim

    Uploaded by

    Eggy Zarina
    28 views25 pages
    The document discusses pain assessment and management. It states that pain should be assessed each time vital signs are taken using a 0-10 scale, with 0 being no pain and 10 being the worst pain ever. It recommends using tools like the Wong Baker FACES pain rating scale or numerical scale to assess pain levels in patients. Nurses should ask questions to determine the quality, location, onset, and impact of the pain. Medications can help ease pain but do not eliminate it. Pain should be properly documented in nursing reports including characteristics, location, onset, provoking/relieving factors, and associated symptoms.

    Original Description:

    Nursing painscore

    Original Title

    PAINCHART

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    The document discusses pain assessment and management. It states that pain should be assessed each time vital signs are taken using a 0-10 scale, with 0 being no pain and 10 being the worst pain ever. It recommends using tools like the Wong Baker FACES pain rating scale or numerical scale to assess pain levels in patients. Nurses should ask questions to determine the quality, location, onset, and impact of the pain. Medications can help ease pain but do not eliminate it. Pain should be properly documented in nursing reports including characteristics, location, onset, provoking/relieving factors, and associated symptoms.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    28 views25 pages

    Pain Chart: By: Zarina BT Abd. Rahim

    Uploaded by

    Eggy Zarina
    The document discusses pain assessment and management. It states that pain should be assessed each time vital signs are taken using a 0-10 scale, with 0 being no pain and 10 being the worst pain ever. It recommends using tools like the Wong Baker FACES pain rating scale or numerical scale to assess pain levels in patients. Nurses should ask questions to determine the quality, location, onset, and impact of the pain. Medications can help ease pain but do not eliminate it. Pain should be properly documented in nursing reports including characteristics, location, onset, provoking/relieving factors, and associated symptoms.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 25

    PAIN

    CHART
    BY : ZARINA BT ABD. RAHIM
    ??PAIN CHART
    PAIN AS THE FIFTH VITAL SIGN
    MUST BE ASSESED EACH TIME VITAL SIGNS
    ARE PERFORMED
    CLIENT SPECIFIC : PAIN IS WHAT PATIENT
    SAY IT IS
    MEASURE ON 0 – 10 SCALE
    MEANS NO PAIN AND 10 MEANS WORST 0
    .PAIN EVER
    GOAL FOR PAIN CONTROL IS 2
    DOCUMENTATION : ABDOMINAL PAIN 5/10,
    .PATIENT DECLINED MEDICINE
    THE FIFTH VITAL SIGN
    Pain is called the fifth vital sign, in
    conjuction with temperature, pulse,
    .respiration & blood pressure
    Pain can reveal a tremendous amount
    .about the health status of a person
    Pain also affects on such things as
    mood, activity, appetite, sleep,
    hygiene and the ability to focus and
    .concentrate
    PAIN CONTROL
    To achieve adequate pain control it
    is necessary to understand how to
    .assess pain

    Pain is totally subjective and what


    causes excruciating pain to one
    person, may only be perceived as
    .moderate pain to someone else
    ASSESSMENT TOOLS
    There are several pain assessment tools •
    used by health care professional to help
    assess the pain levels. This include the
    Wong Baker faces Pain Rating Scale
    which have several faces from a smiling
    face (represent no pain) to face with tears
    and scowl (represent the worst pain
    imaginable)
    VERBAL PAIN SCALE
    A verbal pain scale uses colour from blue to
    red and a series of vertical lines stretching
    from blue representing pain, to deep red
    .representing severe pain
    NUMERICAL PAIN SCALE

    Numerical pain scale uses number from


    0 to 10 , where 0 represent no pain and
    .10 represent worst pain imaginable

    In addition to the pain scales, nurses will


    ask questions to determine the quality
    of the pain and how its affect patient’s
    .functioning
    ?Where is the pain *
    ?When did it start *
    ?What make it worse *
    ?What helps to ease it *
    ,Is it sharp, dull, aching, throbbing *
    ?shooting, burning
    ?How does the pain affect your life
    Sleep patterns
    Eating
    Activity patterns
    Mood and emotions
    Does the pain affect patient’s
    physical appearance / sexual
    ? function / energy levels
    PAIN MEDICATION
    Medication will not cure or eliminate pain
    Medications work in many ways to help to
    ease patient’s pain, by improving patient’s
    flexibility by treating underlying factors
    causing the pain, or by reducing
    inflammation or swelling. Medications help
    to ease pain by changing how brains
    .perceives the pain
    Rating scale is recommended for
    persons age 3 years and older
    Brief instructions : Point to each
    face using the words to
    describe the pain intensity.
    Ask the child to choose face
    that best describes own pain
    and record the appropriate
    .number
    FLACC Scale
    Scoring Category
    2 1 0

    Frequent to Occasional grimace or No particular Face


    constant quivering frown, withdrawn, expression or
    .chin, clenched jaw disinterested smile
    Kicking or legs Uneasy, restless, tense Normal position Legs
    .drawn up or relaxed

    Arched, rigid or Squirming, shifting back and Lying quietly, Activity


    jerking forth, tense normal position,
    moves easily
    Crying steadily, Moans or whimpers; No cry ( awake / Cry
    scream or sobs, occasional complaint asleep )
    frequent complaints

    Difficult to console Reassured by occasional Content, relaxed Consolability


    touching, hugging or being
    talked to distractable
    FLACC Rating Scale to be use for
    children less than 3 years old of age
    or other patients who cannot self
    report. Can also be used in
    cognitively impaired or demented
    .adults
    Each of the five categories Face, Legs,
    Activity, Cry and Consolabilityis
    scored from 0 – 2, resulting in total
    range of 0 - 10
    HOW & WHERE TO
    ? CHART
    In nursing report please
    document the
    characteristic of pain
    What provokes the pain (exertion, Provokes
    spontaneous onset, stress)

    ?Where does it hurt Location


    Does it travel anywhere? ( to the Radiation or relief
    jaw, back, arms, etc) what makes it
    better? ( position / being still )
    What make it worse? ( inspiration /
    movement? )

    ?When did it start Onset

    Are they any associated signs and Severity or Signs &


    symptoms? (nausea, anxiety, Symptoms
    dizziness, dyspnea, SOB, pallor)
    Positioning, rest & relaxation Provide comfort
    Offer reassurance Validate patients
    response to pain
    Set aside time with patient Relieve anxiety and
    fears
    Rhythmic breathing, guided Relaxation
    imaginery techniques
    Massage, heat & cold Cutaneous
    therapy stimulation
    Bright light, noise & Decrease irritating
    .temperature stimulation
    FACIAL EXPRESSION & CRY

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