ch 30: pain assessment & management

Question 1

what do we use for behavioral pain measures for pain?

Answer 1

FLACC

Question 2

what kind of children can the FLACC scale also be used for?

Answer 2

• nonverbal, NON-communicative children
• if sleeping

Question 3

what consists of the FLACC scale?

Answer 3

face, legs, activity, cry & consolability

Question 4

what is the score range for FLACC?

Answer 4

0-10
- we want 0

Question 5

in the FACE section of FLACC, what does a score of 0 mean?

Answer 5

no particular smile for expression

Question 6

in the FACE section of FLACC, what does a score of 1 mean?

Answer 6

occasional grimace or frown, withdrawn, & disinterested

Question 7

in the FACE section of FLACC, what does a score of 2 mean?

Answer 7

frequent to constant frown, clenched jaw & quivering chin

Question 8

in the LEGS section of FLACC, what does a score of 0 mean?

Answer 8

normal position or relaxed

Question 9

in the LEGS section of FLACC, what does a score of 1 mean?

Answer 9

uneasy, restless, & tense

Question 10

in the LEGS section of FLACC, what does a score of 2 mean?

Answer 10

kicking or legs drawn up

Question 11

in the ACTIVITY section of FLACC, what does a score of 0 mean?

Answer 11

lying quietly, normal position & moves easily

Question 12

in the ACTIVITY section of FLACC, what does a score of 1 mean?

Answer 12

squirming, shifting back and forth, and tense

Question 13

in the ACTIVITY section of FLACC, what does a score of 2 mean?

Answer 13

arched, rigid or jerking

Question 14

in the CRY section of FLACC, what does a score of 0 mean?

Answer 14

no crying (awake or asleep)

Question 15

in the CRY section of FLACC, what does a score of 1 mean?

Answer 15

moans or whimper & occasional complaint

Question 16

in the CRY section of FLACC, what does a score of 2 mean?

Answer 16

crying steadily, screams or sobs, & frequent complaints

Question 17

in the CONSOLABILITY section of FLACC, what does a score of 0 mean?

Answer 17

content & relaxed

Question 18

in the CONSOLABILITY section of FLACC, what does a score of 1 mean?

Answer 18

reassured by occasional touching, hugging or being talked to – distractible

Question 19

in the CONSOLABILITY section of FLACC, what does a score of 2 mean?

Answer 19

difficult to console or comfort

Question 20

what are the self-report pain rating scales?

Answer 20

• Wong Baker FACES pain rating scale
• numberic rating scale

Question 21

what is the usual age of when children can report their own pain?

Answer 21

4 yo +

Question 22

what should you not do with the Wong Baker FACES scale?

Answer 22

match the faces to the actual patient’s face

Question 23

what is considered chronic pain?

Answer 23

pain that persists for 3 months or long
- can affect their life in different ways

Question 24

how can we ask a child where their pain is coming from?

Answer 24

coloring a picture of an outlined body

Question 25

what are some examples of non-pharmacologic management

Answer 25

- distraction - relaxation - guided imagery - cutaneous stimulation - containment & swaddling - non nutritive sucking - kangaroo care

Question 26

what are complementary pain medicine?

Answer 26

basically alternative medicine - bio based - manipulative treatments - energy based - alternative medical systems (Chinese medicine)

Question 27

with pharmacologic management, what are some of the co-analgesic drugs?

Answer 27

- Zofran - anti spasm - gabapentin - sleep meds - anti anxiety

Question 28

what age are kids not allowed ibprofen?

Answer 28

< 6 months

Question 29

what do we need to watch out for in terms of opioids?

Answer 29

misuse and increase tolerance depending if they've had opioids already

Question 30

what are behavioral consequences if the pain is not treated?

Answer 30

outburst --> bad in school & problems with friends