Pain assessment
▪ ▪ ▪ ▪ Pain assessment 2
Agenda
Objective
▪ ▪ ▪ ▪ Pain assessment 3
Guidelines for the improvement of skills
Pain assessment 4
Current guidelines for pain assessment in children
Pain assessment 5 ▪ ▪ ▪
Evidences
Pain assessment 6
In Italy
Pain assessment 7
Nursing Associations Royal College of Nursing UK
Pain assessment 8 ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪
Pain assessment 9 Internationally
Media
Pain assessment 10
Conclusions of the module
Pain assessment 11
▪ ▪ ▪ ▪ Pain assessment 12
Agenda
Strategies
Pain assessment 13 ▪ ▪ ▪ ▪ ▪ ▪ ▪
Pain assessment 14
▪ ▪ ▪ ▪
Principles
Quality standards for the assessment of pain
Pain assessment 15
1.
2.
3.
4.
5.
Use of algorithms
Pain assessment 16
Use of protocols
17
Pain assessment
▪ ▪ ▪ ▪ Pain assessment 18
Agenda
Appropriateness in pain assessment
Pain assessment 19
• •
Physiological indicators
Pain assessment 20 ▪ ▪ ▪ ▪
Assessment scales
Pain assessment 21
Pain assessment 22
Use of technology
Pain assessment 23
Reassessment and documentation
Pain assessment 24 ▪ ▪ ▪
Continuous and constant monitoring Audit
assessment upon admission with an appropriate scale reassessment with an appropriate scale in the last 24 hrs.
Pain assessment 25 89% 85% 93% 80% 86% 86% 100% 100% 90% 80% 70% 60% 50% 40% 30% 20% 10%
Average 93-94%
0%
Conclusions
Pain assessment 26 ▪ ▪ ▪
▪ ▪ ▪ ▪ Pain assessment 27
Agenda
Study carried out with Mayo Clinic
Pain assessment 28
▪ ▪
Parents, family members and caregivers
Pain assessment 29
What can we do?
Pain assessment 30 ▪ ▪ ▪
Expected benefits for the child/family
Pain assessment 31 ▪ ▪ ▪ ▪ ▪
Involvement of parents and caregivers in pain assessment
Pain assessment 32 ▪ ▪ ▪
How to explain the “Face Pain Scale” to parents
Pain assessment 33
Case study: a patient with a condition requiring neurorehabilitation
Pain assessment 34 ▪ ▪ ▪ ▪
▪ ▪ ▪ ▪ Pain assessment 35
Agenda
Conclusions
Pain assessment 36
▪ ▪ ▪ ▪ ▪
Pain assessment 37 ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪
Bibliography
