ch 30: pain assessment & management Flashcards
EXAM 1 content
what do we use for behavioral pain measures for pain?
FLACC
what kind of children can the FLACC scale also be used for?
- nonverbal, NON-communicative children
- if sleeping
what consists of the FLACC scale?
face, legs, activity, cry & consolability
what is the score range for FLACC?
0-10
- we want 0
in the FACE section of FLACC, what does a score of 0 mean?
no particular smile for expression
in the FACE section of FLACC, what does a score of 1 mean?
occasional grimace or frown, withdrawn, & disinterested
in the FACE section of FLACC, what does a score of 2 mean?
frequent to constant frown, clenched jaw & quivering chin
in the LEGS section of FLACC, what does a score of 0 mean?
normal position or relaxed
in the LEGS section of FLACC, what does a score of 1 mean?
uneasy, restless, & tense
in the LEGS section of FLACC, what does a score of 2 mean?
kicking or legs drawn up
in the ACTIVITY section of FLACC, what does a score of 0 mean?
lying quietly, normal position & moves easily
in the ACTIVITY section of FLACC, what does a score of 1 mean?
squirming, shifting back and forth, and tense
in the ACTIVITY section of FLACC, what does a score of 2 mean?
arched, rigid or jerking
in the CRY section of FLACC, what does a score of 0 mean?
no crying (awake or asleep)
in the CRY section of FLACC, what does a score of 1 mean?
moans or whimper & occasional complaint
in the CRY section of FLACC, what does a score of 2 mean?
crying steadily, screams or sobs, & frequent complaints
in the CONSOLABILITY section of FLACC, what does a score of 0 mean?
content & relaxed
in the CONSOLABILITY section of FLACC, what does a score of 1 mean?
reassured by occasional touching, hugging or being talked to – distractible
in the CONSOLABILITY section of FLACC, what does a score of 2 mean?
difficult to console or comfort
what are the self-report pain rating scales?
- Wong Baker FACES pain rating scale
- numberic rating scale
what is the usual age of when children can report their own pain?
4 yo +
what should you not do with the Wong Baker FACES scale?
match the faces to the actual patient’s face
what is considered chronic pain?
pain that persists for 3 months or long
- can affect their life in different ways
how can we ask a child where their pain is coming from?
coloring a picture of an outlined body
what are some examples of non-pharmacologic management
- distraction
- relaxation
- guided imagery
- cutaneous stimulation
- containment & swaddling
- non nutritive sucking
- kangaroo care
what are complementary pain medicine?
basically alternative medicine
- bio based
- manipulative treatments
- energy based
- alternative medical systems (Chinese medicine)
with pharmacologic management, what are some of the co-analgesic drugs?
- Zofran
- anti spasm
- gabapentin
- sleep meds
- anti anxiety
what age are kids not allowed ibprofen?
< 6 months
what do we need to watch out for in terms of opioids?
misuse and increase tolerance depending if they’ve had opioids already
what are behavioral consequences if the pain is not treated?
outburst –> bad in school & problems with friends
