Assessing Pain: The 5th Vital Sign: Mam Kerstin

Question 1

PAIN ASSESSMENT TOOLS

Answer 1

o	Visual Analog Scale (VAS)
o	Numeric Rating Scale
o	Numeric Pain Intensity Scale (NPI)
o	Verbal Descriptor Scale
o	Simple Descriptive Pain Intensity Scale
o	Graphic Rating Scale
o	Faces Pain Scale

Question 2

COLDSPA

Answer 2

o	Character 
o	Onset
o	Location
o	Duration
o	Severity
o	Pattern
o	Associated factors

Question 3

A pain assessment tool for 2 months and 7 years, or individual who can’t communicate their pain.

Answer 3

FLACC

Question 4

FLACC stands for:

Answer 4

o	Face
o	Legs 
o	Activity
o	Cry
o	Consolability

Question 5

N-PASS stands for:

Answer 5

o	Neonatal 
o	Pain 
o	Agitation 
o	Sedation 
o	Scale

Question 6

FPS-R stands for

Answer 6

o Faces
o Pain
o Scale
o -Revised

Question 7

A pain assessment tool for 3 years or older

Answer 7

QUESTT or Wong-Baker FACES Pain Rating Scale

Question 8

What does QUESTT stands for?

Answer 8

Q – question the child.
U – use pain-rating scales.
E – evaluate behavior and physiologic changes.
S – Secure parent’s involvement.
T – take cause of pain into account
T – take action and evaluate results.

Question 9

It is very useful to establish initial baseline of client’s pain experience.

Answer 9

Mccaffery Initial Pain Assessment tool

Question 10

What is the Hierarchy of Assessment Techniques:

Answer 10

6. Self Report.
7. Search for potential cues for pain.
8. Observe for patient’s behaviors.
9. Surrogate reporting.
10. Attempt an analgesic trial